HomeMy WebLinkAboutHDP 99-08; Buerger Subdivision; Hillside Development Permit (HDP)CITY OF CARLSBAD
LAND USE REVIEW APPLICATION - APPLICATIONS APPLIED FOR: (CHECK BOXES)
(FOR DEPARTMENT
USE ONLY)
Administrative Permit - 2nd 0
Dwelling Unit
Administrative Variance 0
Coastal Development Permit
Conditional Use Permit 0
Condominium Permit 0
Environmental Impact
Assessment
General Plan Amendment 0
Hillside Development Permit
Local Coastal Plan Amendment
Master Plan
Non-Residential Planned
Development .'pu
LOP q"l-17 0
hop 94. -08 0
'
LCPh qq-03 "q
0
-
Planned Industrial Permit
Planning Commission
Determination
Precise Development Plan
Redevelopment Permit
Site Development Plan
Special Use Permit
Specific Plan
Obtain from Engineering Department
Tentative Tract Map
Variance
Zone Change
List other applications not
(FOR DEPARTMENT
USE ONLY) I"----
E t- ?+lo
Planned Development Permit QLJO 93-05 U specified
2) ASSESSOR PARCEL NO(S1.:
3) PROJECT NAME:
7) BRIEF LEGAL DESCRIPTION hllu '1.1 OF SW'IJ OF UW Iq
NOTE: A PROPOSED PROJECT REQUIRING MULTIPLE APPLICATIONS BE FILED, MUST BE SUBMllTED PRIOR TO 3:30 P.M.
A PROPOSED PROJECT REQUIRING ONLY ONE APPLICATION BE FILED, MUST BE SUBMllTED PRIOR TO 4:OO P.M.
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8) LOCATION OF PROJECT:
STREET ADDRESS ~ -~ ~-~
ON THE I Em+ 1 SIDE OF I Olak b 1 I Kmd I
(NORTH, SOUTH, EAST, WEST) (NAME OF STREET)
9) LOCAL FACILITIES MANAGEMENT ZONE 1 20 ~ ~ I
10) PROPOSED NUMBER OF LOTS 1 1) NUMBER OF EXISTING El RESIDENTIAL UNITS
12) PROPOSED NUMBER OF
13) TYPE OF SUBDIVISION FI SQUARE FOOTAGE E] SQUARE FOOTAGE
15) PROPOSED COMM 14) PROPOSED IND OFFICE/
16) PERCENTAGE OF PROPOSED I,a%( ADT PROJECT IN OPEN SPACE
17) PROPOSED INCREASE IN
USAGE IN EDU
18) PROPOSED SEWER pt3f
19) GROSS SITE ACREAGE
22) EXISTING ZONING I L-CI 23) PROPOSED ZONING
24) IN THE PROCESS OF REVIEWING THIS APPLICATION IT MAY BE NECESSARY FOR MEMBERS OF CITY
STAFH PLANNING COMMISSIONERS, DESIGN REVIEW BOARD MEMEBERS OR CITY COUNCIL MEMBERS
ROPERTY THAT IS THE SUBJECT OF THIS APPLICATION. I/WE CONSENT
~
FOR CITY USE ONLY
FEE COMPUTATION
APPLICATION TYPE FEE REQUIRED
TOTAL FEE REQUIRED 71
DATE FEE PAID
Form 16
RECEIVED BY: 3
RECEIPT NO.
- PAGE 2 OF 2
DISCLOSURE STATEMENT
Applicant's statement or disclosure of ccrtain owncrship intcrests on all applications wI1ich wit1 rcqlrirc
discretionary action on thc part of the City Council or any appointed Board. Commission or Committee.
A
The following information MUST bc disclosed at the time of application subnlittal. Your projcct cmm
bc reviewed until this information is completed. Plcasc print.
1. APPLICANT (Not tllc applicant's agent)
Provide the COMPLETE. LEGAL names and addrcsses of pcrsons having a finaI1cial
interest in the application. If the applicant includcs a cornoration or nartncrs11iD. include tllc
names. title. addresses of all individuals owning morc than 16% of the sllarcs. IF NO
INDIVIDUALS O'vW MOP& THAN 10% OF T%E SilAWS. PLEASE JNDlCATE NQN-
APPLICABLE W/A) IN THE SPACE BELOW. If a puhliclv-owncd cornoration, includc the
names. titles. and addresscs of the corporate officcrs. (A scparatc page may be attached if
nccessary.)
Personut\\\am A A u. t-a L * rr, ,& Corp/Part
Title 0- TitJe . .
Address '4bdh CqW b-i Addrcss
OCC-", CA 920>%
2. OWNER (Not the owner's agent)
Provide the COMPLETE. LEGAL names and addresses of &L pcrsons having any ownership
interest in the property involvcd. Also. provide the naturc of tllc legal ownership (i.e,
partnership. tenants in common, noa-profit. corporation. ctc.). If tllc owncrship includes a
cornoration or mnnershin. include the names, title. addresses of all- individuals owning morc
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 puhlicfv-
owncd cornoration. include the names. titles. and addresses of thc corporate officers. (A separate
page may be attached if necessary.)
Person 1/)1 \lm~n I'SU %e r CorpPart '.
~itle oumecs Title
& 6
2075 Las Palmas.Dr. - Carlsbad. CA 92009-1576 (760) 438-11 61 - FAX (760) 438-0894 @
d. 1 NON-PROFIT ORGP" LTION OR TRUST I
If any person identifiecl ,,muant to (I 1 or (2) abovc is a nonprofit ol canitat ion or n frus[. list thc
tlanlcs and addresses of ANI' person serving as an offccr or dircctor of tllc non-prolit
organization or as trustee or beneficiq of thc.
Not1 ProfifITrust Non ProfiVTrusl
Title Title
Address Address .-
._
4. Have you had more than $250 worth of business transacted with any nlenlber of City staff.
Boards. Commissions, Committees and/or Council within the past twclve (12) months? 0 Yes WNo If yes. plcasc indicatc pcrson(s):
NOTE: Attach additional sheets if necessary.
Print or type name of owner Print or type namc of applicant '
Signature of ownerhpplicant's agent if applicablddate
Print or type name of owner/applicant's agent
H:ADMIN\COUNTER\DISCLOSURE STATEMENT 5/98
b
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