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HomeMy WebLinkAboutHMP 16-01; Lo Residence; Habitat Management Permit (HMP)r·--------- 1 .(--City of Carlsbad LAND USE REVIEW APPLICATION P-1 ~ V J· i,~ 'I j J / 'J V/ 1 t r ~t 1,,. ·J t.-: -.~: -f. r i' ~ ' ~ \ .... . i' ;JI"'~ • ~. Development Services Planning Division 1635 Faraday Avenue (760) 602-4610 www.carlsbadca.gov APPLICATIONS APPLIED FOR: (CHECK BOXES) Development Permits D Coastal Development Permit(*) D Minor D Conditional Use Permit (*) D Minor D Extension D Day Care (Large) D Environmental Impact Assessment ~Habitat Management Permit ~Minor D Hillside Development Permit(*) D Minor D Nonconforming Construction Permit D Planned Development Permit D Minor D Residential D Non-Residential D Planning Commission Determination D Reasonable Accommodation D Site Development Plan D Special Use Permit D Minor D Tentative Parcel Map (Minor Subdivision) D Tentative Tract Map_ (Major Subdivision) D Variance D Minor (FOR DEPT. USE ONLY) Legislative Permits (FOR DEPT. USE ONLY) lftv1P llU-c.; I D General Plan Amendment D Local Coastal Program Amendment (*) D Master Plan D Amendment D Specific Plan D Zone Change (*) D Amendment D Zone Code Amendment South Carlsbad Coastal Review Area Permits D Review Permit D Administrative D Minor D Major Village Review Area Permits D Review Permit D Administrative D Minor D Major (*) = eligible for 25% discount NOTE: A PROPOSED PROJECT REQUIRING MULTIPLE APPLICATIONS MUST BE SUBMITTED PRIOR TO 3:30P.M. A PROPOSED PROJECT REQUIRING ONLY ONE APPLICATION MUST BE SUBMITTED PRIOR TO 4:00P.M. ASSESSOR PARCEL NO(S).: PROJECT NAME: BRIEF DESCRIPTION OF PROJECT: BRIEF LEGAL DESCRIPTION: ON THE: 0./tst BETWEEN P-1 l?/;1, -~ ... , ;,/ l-' i SIDE OF AND Page 1 of 6 • (NAME OF STREET) C:. , J ft.l /.f,r ~~ +'. ~ .Jt.-....-VlV, ~ r (NAME OF STREET) Revised 07/15 20 160224140144176.pdf I 1 Tt"i!'\~ lttt l*'4t lfl,/fat¥1 ,.-. '"'Ti't.f A~:"• ,~R:f.• f """t iL '1 .'4 V'Y ;,-SJ-<Hf "A$1 It ·vi'.. 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Itt X { Cicyof Carlsbad DISCLOSURE STATEMENT P-1{A) Development Services Planning Division 1635 Faraday Avenue (760) 602-4610 www.carlsbadca.gov 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-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. 2. P-1 (A) APPLICANT (Not the applicant's agent) Provide the COMPLETE, LEGAL names and addresses of ALL persons having a financial interest in the application. If the applicant includes a corporation or partnership, include the names, titles, 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 publicly-owned corporation, include the names, titles, and addresses of the corporate officers. (A separate page may be attached if necessary.) Person CtiVtllt·~ DoCf.ut Corp/Part ____ ~----- Title .k;vvfM'f;ec;,f'-I Title ______ -:!------- /'' I . j, ( ;' ·• Address ~ il( I_( _;;. r·· I (/ Address ·----------~--------------"'t /,· j ~ I{!Lrt :··-1-if 0 '7 11/i if {<"''.... , ... f"'o,,,. \ \.,., (' ~ , K' tr ~-(,J OWNER (Not the owner's agent) Provide the COMPLETE, LEGAL names and addresses of ALL 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, titles, 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 publicly-owned corporation, include the names, titles, and addresses of the corporate officers. (A separate page may be attached if necessary.) Person f-tf'?r lro Corp/Part. _____ -+------- Title f?IAJI1tr·· Title·-------+------ Address /t..fi?O N 11 fV. .C:f. Address ___ ----i[..__ ____ _ 6u+l7&li! l& Air 1f~rto -/,()&1 Page 1 of 2 Revised 07/10 / I .. 201802241401386el pdf 1 I 1 0 0 11 1n1 Plf'lll" ......._, p.nun ~ ( t, 01 (2) lltloWII • t l'lllfiiSaiiMJM p M •ID*- IIII'IIt ,__ _, iidliti 11 til MI.,..._,.. •-" CJIIIaer 01...,. ... ..,.. .... ~ 01 • .,_..,... ........ ,d .. Non PwfiiWfNII_, -~: Nan PldiilfTfi.S Tlltt / Tile ------r------ Adlhu / Adllhla .. Hl¥t ,., hid .... .,., 1500 'IICrttl d ~ ••III!CIIId ... 11'1 ........ Olr 1111 . ._. ~ Con1ft ... U ...,. Counc:l ~ the .... ..._. (12) ....,...,.., ov .. ~No lf~ ...... ~JII'IIOI"CI) ________ _ I / / PmC or type Nme at+~· 4lglll'll . X (-City of Carlsbad PROJECT DESCRIPTION P-1 (B) PROJECT NAME: i,, tJ & 71 '/{:-/r1 c£.. Development Services Planning Division 1635 Faraday Avenue (760) 602-4610 www.carlsbadca.gov APPLICANT NAME: Q vtNu-t-e/ Dtcf.tc, , Arvfvt'tuf-1 I Please describe fully the proposed project by application type. Include any details necessary to adequately explain the scope and/or operation of the proposed project. You may also include any background information and supporting statements regarding the reasons for, or appropriateness of, the application. Use an addendum sheet if necessary. Description/Explanation: P-1(8) Page 1 of 1 Revised 0711 0 (cicyof Carlsbad HAZARDOUS WASTE AND SUBSTANCES STATEMENT P-1(C) Development Services Planning Division 1635 Faraday Avenue (760) 602-4610 www.carlsbadca.gov Consultation of Lists of Sites Related to Hazardous Wastes (Certification of Compliance with Government Code Section 65962.5) Pursuant to State of California Government Code Section 65962.5, I have consulted the Hazardous Waste and Substances Sites List compiled by the California Environmental Protection Agency and hereby certify that (check one): The development project and any alternatives proposed in this application are not contained on the lists compiled pursuant to Section 65962.5 of the State Government Code. D The development project and any alternatives proposed in this application are contained on the lists compiled pursuant to Section 65962.5 of the State Government Code. APPLICANT PROPERTY OWNER Name: Q Y:4? fA M tJ 0(1 {t {£ Name: F~f-tvturi. Sunny ~ I Address: 1-~11 S f.1. f -1 5}-C Ckv Is kf<L , CA 114i/l'f2 Phone Number: 7t~ I 3'/ r I 114:b Address: ll+tzo N 11f'C-t 5f ?t-Qtfi:dtt~ !rtt-f)j/).. ftiJ..-ftllf Phone Number: 4--bO · ft51 • ~5' ftJ AddressofSite:j1o (J!iAr:t>2 ~?il~ttttri yt+-{h<ft-~PvV -1-P~:;;I) Vtltfl(,{p s+, Local Agency (City and County): 0 '?15 bit) 1 ;i;'M/1 ldt',(--"71 t? i:t? ;.,(ft f't r Assessor's book, page, and parcel number: 1-11 "' fk t;' fJ -tJ '1 .__.. J Specify list(s): ______ __.__..___,___ __________________ _ Regulatory Identification Number: ____ ...._ _________________ _ Date of List: _________ _:_t'_·/-=-/~_· ------------------ Applicant Signature/Date Property Owner Signature/Date The Hazardous Waste and Substances Sites List (Cortese List) is used by the State, local agencies and developers to comply with the California Environmental Quality Act requirements in providing information about the location of hazardous materials release sites. P-1(C) Page 1 of 2 Revised 02/13 < Photos of property an urroundings Venado Street prop y-Lo Residence proposal February 22, 2016 Downhill view to south west view Downhill view to west RECEIVED FEB 2 5 2016 CITY OF CARLSBAD PLANNING DIVISION Downhill view to northwest Photos of property an\.. urroundings Venado Street propt" y-Lo Residence proposal February 22, 2016 View at top of lot across street to north View at top of lot to east View: top of lot across street, so-east Photos of property an~ .)urroundings Venado Street prop • y-Lo Residence proposal February 22, 2016 Houses below to west View of terrain of property