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Home My WebLink AboutHDP 99-11; Rancho La Costa Village; Hillside Development Permit (HDP)A . CITY OF CARLSBAD LAND USE REVIEW APPLICATION APPLICATIONS APPLIED FOR: (CHECK BOXES) 1 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 "-70 (FOR DEPARTMENT 1Q 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 amlications not specified .. 2) ASSESSOR PARCEL NO(S1.: - - 3) PROJECTNAME: Rancho La Costa Village 4) BRIEF DESCRIPTION OF PROJECT: Neiqhborhood Commercial 5) OWNER NAME (Print or Type) 6) APPLICANT NAME (Print or Type) See Attachment cynthfa Be13 & Associates.Inc. MAILING ADDRESS MAILING ADDRESS CITY AND STATE ZIP TELEPHONE CITY AND STATE ZIP TELEPHONE ort Reach. CA 92657 (949) 644-36 INFORMATION IS TRUE AND CORRECT TO THE BEST OF MY CORRECT TO THE BEST OF MY KNOWLEDGE. KNOWLEDGE. OWNER AND THAT ALL THE ABOVE INFORMATION IS TRUE AND I CERTIFY THAT I AM THE LEGAL OWNER AND THAT ALL 'THE ABOVE I CERTIFY THAT I AM THE LEGAL REPRESENTATIVE OF THE SIGNATURE DATE SIG~TURE 7) BRIEF LEGAL DESCRIPTION Parcel 2 of map No.12586 City of Carlsbad, County of San Diego, recorded on February 25, 1983- 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 SUBMITTED PRIOR TO 4:OO P.M. Form 16 h LOCATION OF PROJECT: STREET ADDRESS 1 1 1 ON THE I West SIDE OF I La Costa Avenue I (NORTH, SOUTH, EAST, WEST) (NAME OF STREET) BETWEEN I Rancho Santa Fe Rd]. AND I Timiteo (NAME OF STREET) (NAME OF STREET) LOCAL FACILITIES MANAGEMENT ZONE 1 6 I PROPOSED NUMBER OF LOTS TYPE OF SUBDIVISION PERCENTAGE OF PROPOSED PROJECT IN OPEN SPACE GROSS SITE ACREAGE EXISTING ZONING rl 1 1 ) NUMBER OF EXISTING rl RESIDENTIAL UNITS RESIDENTIAL UNITS 12) PROPOSED NUMBER OF IN/AI SQUARE FOOTAGE rl SQUARE FOOTAGE 15) PROPOSED COMM 14) PROPOSED IND OFFICE/ F) 23) PROPOSED ZONING m 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 ENTEmHE PROPERTY THAT IS THE SUBJECT OF THIS APPLICATION. I/WE CONSENT FOR CITY USE ONLY FEE COMPUTATION APPLICATION TYPE FEE REQUIRED I I TOTAL FEE REQUIRED I I DATE FEE PAID DATE STAMP APPLICATION RECEIVED I I RECEIPT NO. Form 16 PAGE 2 OF 2 1 . Land Use Review Application Attachment #1 (cont.) 'ARCEL 2 h 5) OWNER NAME (Print or Type) LA COSTA VILLAGE, INC., A NSOada corporation MAILING ADDRESS 145 East Reno Ave,, Suite E5A CITY AND STATE ZIP TELEPHONE Las Vegas, NV 891 19 I CERTIFY THAT I AM THE LEGAL OWNER AND THAT ALL THE ABOVE INFORMATION IS TRUE BWCORRECT TO THE BEST OF MY 24) IN THE PROCESS OF REVIEWING THIS APPLICATION IT MAY BE NECESSARY FOR MEMBERS OF CITY STAFF, PLANNING COMMISSIONERS, DESIGN REVIEW BOARD MEMBERS OR CITY COUNCIL MEMBERS TO INSPECT AND ENTER THE PROPERTY THAT IS THE SUBJECT OF THIS NT TO ENTRY FOR THIS PURPOSE. Applicant's statement or disclosure of certain ownership interests on all applications which will 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-pmaship, joint venture, association, social club, fraternal organization, corporation, estate, trust, receiver, syndicate, in xhi and any other county, city and county. civ municipality, district or other political subdivision or any other group or combinadon acting as a wit" 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 cornoration or pamenhip, 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 (WA) IN THE SPACE BELOW- If a publiclv-owned cornoration, include the names. titles, and addresses of the corporate officers. (A separate page may be attached if necessary.) Penon C. v /VTH/A Z? E LL CoqdPmCynthia Bell & Associates Inc Title PRES 1 b I= E/ 7 Title A A A /'FUA/V/R CdR?d/A?ldd Address /f C AL Address 1 9 us I d&-&CH-/, YAk5-7 Newport Beach, CA 92657 2. OWNER (Not the owner's agent) Provide the COMPLETE. LEGAL names and addresses of persons having any ownership interest in the propeny involved. Also, provide the nature of the legal ownership (Le, partnership. tenants in common. non-profit, corporation. etc.). If the ownership includes a coruoration or uarmershiu, 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 pubiiclv- owned cornoration. include the names. titles. and addresses of the corporate officers. (A separate page may be attached if necessary.) LA COSTA VILLAGE, INC. Person . :. i E ,L c +L Corp/Pan A nevada corporation Title .3 e' c . Title Address .j-\*.c (; !:" FL-2 .-, , - 67 Address 145 East Reno Ave., Ste. E5A , Las Vegas, NV 89119 2075 Las Palrnas Dr. - Carisbad. CA 92009-1576 (760) 438-1161 FAX (760) 438-0894 5. NON-PROFIT CC :ANIZATION OR TRUST -. If any person idenuried pursuant to (1 ) or (2) above is a nonurofit organization or a trust. list tht. names and addresses of ANY person sewing as an officer or director of the non-profit organization or as trustee or beneficiary of the. Non Profiflrust Non Profiflrust Title Title Address Address 4. Have you had more than $250 worth of business transacted with any member of Cit?. staff. Boards. Commissions, Committees andor Council within the past twelve (12) months? 0 Yes If yes, piease indicate person(s): NOTE: Attach additional sheets if necessary. I certify that all the above infomation is true and correct to the best of my knowledge. Signature of owner/appIicant's agent if applicabiddate Print or type name of owner/applicant's agent H:ADMIN\COUNTER\DISCLOSURE STATEMENT 5/98 Page 2 of 2 ~~