HomeMy WebLinkAboutLCPA 03-02; Second Dwelling Unit Ordinance; Local Coastal Program Amendment (LCPA) (2)- CITY OF CARLSBAD
LAND USE REVIEW APPLICATION
5) OWNER NAME (Print or Type)
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MAI& ADDRESS
6) APPLICANT NAME (Print or Type) c+ of cui-1s bndi
MAILIKJ~ ADDRESS
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CITY AND STATE TELEPHONE
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I CERTIFY THAT I AM THE LEGAL OWNER AND THAT ALL THE ABOVE
INFORMATION IS TRUE AND CORRECT TO THE BEST OF MY
CITY AND STATE J ZIP
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I CERTIFY THAT I AM THE LEGAL REPRESENTATIVE OF THE
OWNER AND THAT ALL THE ABOVE INFORMATION IS TRUE AND
KNOW LEDGE. CORRECT TO THE BEST OF MY KNOWLEDGE.
A PPLl CAT IO N S APPLl ED FO R : (CHECK BOXES)
(FOR DEPARTMENT (FOR DEPARTMENT
USE ONLY\ I USE ONLY) CI
0
0
Administrative Permit - 2nd
Dwelling Unit
Administrative Variance
Planned Industrial Permit I
Planning Commission
Determination
Precise Development Plan Coastal Development Permit
0
0 c Redevelopment Permit
Site Development Plan
Special Use Permit
Conditional Use Permit
Condominium Permit
Environmental Impact
Assessment
General Plan Amendment 0 Specific Plan
Obtain from Engineering Department
Tentative Tract Map
/o Hillside Development Permit W" 0
Local Coastal Plan Amendment
Master Plan I Variance
Non-Residential Planned
Development
Zone Change
.- Planned Development Permit List other applications not
I I I specified
I I I I SIGNATURE DATE I SIGNATURE DATE I
- 7) BRIEF LEGAL DESCRIPTION
NOTE:
A PROPOSED PROJECT REQUIRING ONLY ONE APPLICATION BE FILED, MUST BE SUBMITTED PRIOR TO 4:OO P.M.
A PROPOSED PROJECT REQUIRING MULTIPLE APPLICATIONS BE FILED, MUST BE SUBMITTED PRIOR TO 330 P.M.
Form 16 PAGE 1 OF 2
8)
9)
IO)
13)
16)
19)
22)
24)
14
LOCATION OF PROJECT:
STREET ADDRESS
ONTHE 71 SIDEOF [;I
AND ) I
(NAME OF STREET) (NORTH, SOUTH, EAST, WEST)
(NAME OF STREET)
BETWEEN 71
(NAME OF STREET)
LOCAL FACILITIES MANAGEMENT ZONE
PROPOSED NUMBER OF LOTS II11)
I 114) TYPE OF SUBDIVISION
PERCENTAGE OF PROPOSED
PROJECT IN OPEN SPACE
NUMBER OF EXISTING
RESIDENTIAL UNITS
PROPOSED IND OFFICE/
SQUARE FOOTAGE
PROPOSED INCREASE IN
ADT
0 15)
I I 20)
GROSS SITE ACREAGE I I 21)
EXISTING GENERAL
PLAN
I I 23)
EXfSTfNG ZONfNG n PROPOSED ZONING
PROPOSED NUMBER OF
RESIDENTIAL UNITS
PROPOSED COMM
SQUARE FOOTAGE
U PROPOSED SEWER
USAGE IN EDU
U 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 MEMBERS OR CITY COUNCIL MEMBEm
TO INSPECT AND ENTER THE PROPERTY THAT IS THE SUBJECT OF THIS APPLICATION. INVE CONSE
TOENTRYFORTHISPURPOSE
SIGNATURE
FOR CITY USE ONLY
FEE COMPUTATION
APPLICATION TYPE FEE REQUIRED
~ I I
TOTAL FEE REQUIRED 71
- I K~VED
JAM 28 2003
RECEIVED BY:
DATE FEE PAID I I RECEIPT NO. I1
Form 16 PAGE 2 OF 2