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Home My WebLink AboutHDP 99-03; Palomar Forum; Hillside Development Permit (HDP)CITY OF CARLSBAD LAND USE REVIEW APPLICATION APPLICATIONS APPLIED FOR: (CHECK BOXES) 1 (FOR DEPARTMENT (FOR DEPARTMENT USE ONLY) Planned Industrial Permit Planning Commission Determination Precise Development Plan Redevelopment Permit Site Development Plan Special Use Permit 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 Specific Plan Obtain from Engineering Depanment Tentative Tract Map Variance Zone Change List other applications not I .. specified 221 -01 0-1 7, 221 -01 2-1 0 2) ASSESSOR PARCEL NOW.: - ~F 3) PROJECT NAME: 4) BRIEF DESCRIPTION OF PROJECT: 13 lot industrial subdivision. Palomar Forum 3) APPLICANT NAME (Print or Type) Hofman Planning Associates MAILING ADDRESS 5900 Pasteur Court, Ste. 150 Palomar Melrose, LLC MAILING ADDRESS 990 Highland Drive CITY AND STATE ZIP TELEPHONE Solana Beach, CA 92075 619-755-0615 CITY AND STATE ZIP TELEPHONE Carlsbad, CA 92008 (76014381465 I CERTIFY THAT I AM THE LEGAL OWNER AND THAT ALL THE ABOVE INFORMATION IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE. I CERTIFY THAT I AM THE LEGAL REPRESENTATIVEFOF THE OWNER AND THAT ALL THE ABOVE INFORMATION IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE. I 1-20-99 SI~ATURE /GP -of *ana-. DATE SIGNATURE DATE I 7) BRIEF LEGAL DESCRIPTION Known as the Byron White property NOTE: A PROPOSED PROJECT REQUIRING MULTIPLE APPLICATIONS BE FILED, MUST BE SUBMll7ED PRIOR TO 350 P.M. A PROPOSED PROJECT REQUIRING ONLY ONE APPLICATION BE FILED, MUST BE SUBMITTED PRIOR TO 4:OO P.M. Form 16 I rc LOCATION OF PROJECT: STREET ADDRESS ~~ ~~ ON THE NORTH I SIDE OF PALOMAR AIRPORT ROAD i (NORTH, SOUTH, EAST, WEST) (NAME OF STREET) BETWEEN BUSINESS PARK DRIVE MELROSE DRIVE 1 AND (NAME OF STREET) (NAME OF STREET) LOCAL FACILITIES MANAGEMENT ZONE PROPOSED NUMBER OF LOTS TYPE OF SUBDIVISION Ind PERCENTAGE OF PROPOSED F1 17) PROJECT IN OPEN SPACE GROSS SITE ACREAGE 20) EXISTING ZONING I 18 I NUMBER OF EXISTING RESIDENTIAL UNITS PROPOSED IND OFFICE/ SQUARE FOOTAGE I N/A I 15) PROPOSED INCREASE IN ADT EXISTING GENERAL PLAN PROPOSED ZONING I P"~I PROPOSED NUMBER OF RESIDENTIAL UNITS PROPOSED COMM SQUARE FOOTAGE PROPOSED SEWER USAGE IN EDU PROPOSED GENERAL PLAN DESIGNATION 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 FOR CITY USE ONLY FEE COMPUTATION APPLICATION TYPE FEE REQUIRED TOTAL FEE REQUIRED 71 RECEIVED RECEIVED BY: 1 DATE FEE PAID Form 16 RECEIPT NO. u PAGE 2 OF 2 DISCLOSURE STATEMENT Applicant's statement or disclosure of cerlain ownership interests on all applications which \\ill require discretionary action on the part of the City Council or any appointed Board. Commission or Committee. 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. 1. 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 (N/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 necessarv.) INDIVIDUALS OWN MORE THAN 10% OF THE SHARES. PLEASE INDICATE NON- Title Addressmn Rristnl st. N. Address 1420 Bristol Street N. President cnler uperatlnrj urllcer ", Title Suite 100 Newport Beach, CA 92660 Newport Beach. CA 92 130 2. OWNER (Not the owner's agent) -Provide the COMPLETE. LEGAL names and addresses of persons having any ownership interest in the property involved. Also, provide the nature of the legal ownership (i.e, partnership. tenants in common, non-profit. corporation, etc.). If the ownership includes a corporation 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 (N/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.) Person ip7illiam K. Davis Corp/Part Palomar Forum Associates. LP. Title Partner Title Addresd420 Bristol St. N. Address 1420 Bristol Street N. Suite 100 Newport Becac.h-,, CA 92660 Newport Beach. CA 92 130 1635 Faraday Avenue Carlsbad, CA 92008-7314 (760) 602-4600 FAX (7En 602-8559 3. NON-PROFIT ORGANIZATION OR TRUST If any person identified pursuant to’(]) or (2) above is a nonprofit 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 ProfiVTrust N/A Non ProfiVTrust N/A .A . 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? 0 Yes 0 No If yes, please indicate person(s): NOTE: Attach additional sheets if necessary. I certify that all the above information is true and correct to the best of my knowledge. Signature of odnerldate Signature of apppantldate Larry E. Nelson Larry E. Nelson Print or type name of owner Print or type name of applicant Signature of owner/applicant’s agent if applicable/date Print or type name of owner/applicant’s agent H:ADMIN\COUNTER\DISCLOSURE STATEMENT 5/98 Page 2 of 2