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Home My WebLink AboutHDP 98-11; Dabbs Parcel Map; Hillside Development Permit (HDP)APPLICATIONS APPLIED FOR: Administrative Permit - 2nd Dwelling Unit Administrative Variance Coastal Development Permit Conditional Use Permit Condominium Permit Environmental Impact Assessment General Plan Amendment Hillside Development Permit Local Coastal Plan Amendment Master Plan Non-Residential Planned Development Planned Development Permit (CHECK BOXES) (FOR DEPARTMENT 0 0 0 0 0 0 I Io ~ (FOR DEPARTMENT USE ONLY) Planned Industrial Permit Planning Commission Determination Precise Development Pian Redevelopment Permit Site Development Plan Special Use Permit Specific Plan Obtain from Engineering Department Tentative Tract Map Variance Zone Change List other applications not 2) ASSESSOR PARCEL NOW.: 3L7 25= s+- \b7- 580- IS 3) PROJECT NAME: abbs Pavccl Map 4) BRIEF DESCRIPTION OF PROJECT: Lo" SPlif I MAiLiNG ADDRESS ~QX OY?_ &ufh;ny s*veQt CITY AND STATE ZIP TELEPHONE CITY AND STATE ZIP TELEPHONE .-_ . - ... FORMATION IS TRUE AND &&O&Y ~GE. NOTE: A PROPOSED PROJECT REQUIRING MULTIPLE APPLICATIONS BE FILED, MUST BE SUBMITTED PRIOR TO 3:30 P.M. A PROPOSED PROJECT REQUIRING ONLY ONE APPLICATION BE FILED, MUST BE SUBMllTED PRIOR TO 4:OO P.M. %@j ,gow Form 16 T PAGE 1 OF 2 8) LOCATION OF PROJECT: 31 &its don^^ D\~~vP % STREET ADDRESS ON THE ownnc; ov* €*+ensbL.C SIDE OF (NORTH, SOUTH, EAST, WEST) (NAME OF STREET) BETWEEN M!w WW I AND (NAME OF STREET) \ut fNAME OF STREET) 9) LOCAL FACILITIES MANAGEMENT ZONE I 1 I 10) PROPOSED NUMBER OF LOTS El RESIDENTIAL UNITS 11) NUMBER OF EXISTING RESIDENTIAL UNITS 12) PROPOSED NUMBER OF El 13) TYPE OF SUBDIVISION Ed 14) PROPOSED IND OFFICE/ SQUARE FOOTAGE 15) PROPOSED COMM SQUARE FOOTAGE 16) PERCENTAGE OF PROPOSED 17) PROPOSED INCREASE IN FI 18) PROPOSED SEWER 19) GROSS SITE ACREAGE PROJECT IN OPEN SPACE USAGE IN EDU rl PLAN 20) EXISTING GENERAL 21) PROPOSED GENERAL PLAN DESIGNATION 22) EXISTING ZONING 23) PROPOSED ZONING 24) IN THE PROCESS OF REVIEWING THIS APPLICATION IT MAY BE NECESSARY FOR MEMBERS OF CITY STAFF, PLANNING COMMISSIONERS, DESIGN REVIEW BOARD MEMEBERS OR CITY COUNCIL MEMBERS TO INSPECT AND ENTER THE PROPERTY THAT IS THE SUBJECT OF THIS APPLICATION. I/WE CONSENT TO ENTRY FOR THIS PURPOSE SfGNATURE FOR CITY USE ONLY FEE COMPUTATION RECEIVED APPLICATION TYPE FEE REQUIRED \+VP q$.-.’f I/ 6/(3 - TOTAL FEE REQUIRED /&((I DATE FEE PAID Form 16 DATE STAMP APPLICATION RECEIVED r RECEIV D Y: RECEIPT NO. PAGE 2 OF 2 F I- /-. ,.. , ,$: / / CITY OF CARLSBAD - ,J’ (3; (*; ’.-/ 1200 CARLSBAD VILLAGE DRIVE CARLSBAD, CALIFORNIA 92008 434-2867 REC’D FROM I q 7-/3 -98 I ACCOUNT NO. DESCRIPTION I AMOUNT I I I I I I ! I I NOT VALID UNLESS VALIDATED BY CASH REGISTER I" " CITY OF CARLSBAD 1200 CARLSBAD VILLAGE DRIVE CARLSBAD, CALIFORNIA 92008 434-2867 ACCOUNT NO. AMOUNT DESCRIPTION I I I I I I RECEIPT NO. c, p-j- ' !" w F.. , 2-4 @ printed on recycled paper. NOT VALID UNLESS VALIDATED BY CASH REGISTER TOTAL I DISCLOSURE STATEMENT /Applicant‘s statement or disclosure of certain ownership interests on all applications which will require I I discretionary action on the part of the City Council or any appointed Board. Commission or Committee. I The following information MUST be disclosed at the time of application submittal. Your project cannot be reviewed until this information is completed. Please print. Note: Person is defined as “Any individual, firm, co-partnership, joint venture, association, social club, fraternal organization, corporation, estate, trust, receiver, syndicate, in this and any other county, city and county. city municipality, district or other political subdivision or any other group or combination acting as a unit.” Agents may sign this document; however, the legal name and entity of the applicant and property owner must be provided below. I. APPLICANT (Not the applicant’s agent) Provide the COMPLETE, LEGAL names and addresses of persons having a financial interest in the application. If the applicant includes a corporation or partnership. include the names. title, addresses of all individuals owning more than 10% of the shares. IF NO APPLICABLE O\J/A) IN THE SPACE BELOW. If a publiclv-owned corporation, include the names, titles, and addresses of the corporate officers. (A separate page may be attached if necessary.) INDIVIDUALS OWN MORE THAN 10% OF THE SHARES, PLEASE INDICATE NON- OCA) Corp/Part TitleDWnw Rei?(,, ~Ys Title Address 3L.I 3 &&MQ ‘&& Address CcwCsbd ,cA- lc(m& 2. OWNER (Not the owner’s agent) Prcde ?hc CORWLETZ,, LEGAL names and addresses of & persons having any ownersh~p interest in the property involved. Also, provide the nature of the legal ownership (Le, partnership, tenants in common, non-profit, corporation, etc.). If the ownership includes a coworation or partnership, include the names, title. addresses of all individuals owning more than 10% of the shares. IF NO INDIVIDUALS OWN MORE THAN 10% OF THE SHARES, PLEASE INDICATE NON-APPLICABLE W/A) IN THE SPACE BELOW. If a publicly- owned corporation, include the names. titles. and addresses of the corporate officers. (A separate page may be attached if necessary.) PersonC-DIw, L, hbbs Corp/Part )(eay\&h R DGbbr m Title 2075 Las Palmas Dr. - Carlsbad, CA 92009-1 576 - (760) 438-11 61 FAX (760) 438-0894 @ I c LC 3. NON-PROFIT ORtiANIZATION OR TRUST 1’ If any person identified pursuant to (1) or (2) above is a nonwofit Organization or a trust. list the names and addresses of ANY person serving as an officer or director of the non-profit organization or as trustee or beneficiary of the. Non ProWTrust Non ProfitlTrust Title Title Address Address 4. Have you had more than $250 worth of business transacted with any member of City staff. Boards. Commissions, Committees and/or Council within the past twelve (12) months? Yes @NO If yes, please indicate person(s): NOTE: Attach additional sheets if necessary. 1 certify that all the above information is true and correct to the best of my knowledge. Signature of ownerldate Signature of applicaddate Print or type name ofowner Print or type name of applicant Signature of ownedapplicant’s agent if applicable/date . Print or type name of owner/applicant‘s agent .,_,, . . . .. .. . . . ‘ .._ J...,. 8‘ .’ Y:ADMIN\COUNTER\DISCLOSURE STATEMENT 5/98 Page 2 of n^ h PROJECT DESCRIPTION/EXPLANATION . - HIL“ \DE DEVELOPMENT PERMIT CHEC”~ COMMENTS PROJECT NUMBER 1. Land Use Review Application Form 2. Slope Analvsis (5 Copies) 3. Slope Profile (5 Copies) ~~~~ ~ 4. Environmental Impact Assessment Form (Fee not reauired with initial submittal. Fee to be determined after review of proiect and environmental impact assessment form.) 5. Site Plan. Grading Plans, Preliminarv Landscape Plan, Building Plans, Elevations (5 each) “r. tul i) 6. Disclosure Statement 7. Title Report (3 Copies) 8. Application Fees. (Planner to include Application Number and Account Number on receipt) s - lbl0 9. PFF Aqreement (2 Copies) (Separate Fee Required) The original PFF Agreement with the application number written in the lower right hand corner and one copy of the title report must be sent to the Citv Clerk‘s Office bv the Planning Department for review and recordation) IO. Planner to date stamp the application materials and plans. ADplication materials must be given to data entrv as soon as possible on the same dav thev are submitted. DATE SIGNATURE .FRMO0011 3/98 Page 5 of 5