HomeMy WebLinkAboutLCPA 97-01; Drive-Thru Restaurant Prohibition; Local Coastal Program Amendment (LCPA)CITY OF CARLSBAD
LAND USE REVIEW APPLICATION
I
1)
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APPLICATIONS APPLIED FOR: (CHECK BOXES)
(FOR DEPARTMENT
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 Amend ent LQi5 -. Master Plan
Non-Residential Planned
Development
Planned Development Permit
USE ONLY)
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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
(FOR DEPARTMENT 7 I
I
List other applications not
specified -- ==f?
2) ASSESSOR PARCEL NO(S).: C\Q Cy\>CT
3) PROJECT NAME: LST- Fo n> c\;tui%*T 7=5./kW
4) BRIEF DESCRIPTION OF PROJECT:
6) APPLICANT NAME (Print or Type) 5) OWNER NAME (Print or Type)
MAILING ADDRESS MAILING ADD~ESS
C:& 3
CITY AND STATE ZIP TELEPHONE CITY AND STATE ZIP TELEPHONE
I CERTIFY THAT I AM THE LEGAL OWNER AND THAT ALL THE ABOVE I CERTIFY THAT I AM THE LEGAL REPRESENTATIVE OF THE
INFORMATION IS TRUE AND CORRECT TO THE BEST OF MY OWNER AND THAT ALL THE ABOVE INFORMATION IS TRUE AND
KNOWLEDGE.
SIGNATURE DATE I SIGNATURE DATE
7) BRIEF LEGAL DESCRIPTION
NOTE: A PROPOSED PROJECT REQUIRING MULTIPLE APPLICATIONS BE FILED, MUST BE SUBMITTED 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 PAGE 1 OF 2
x
8) LOCATION OF PROJECT:
(NAME OF STREET)
ONTHE 71 SIDT l-
(NORTH, SOUTH, EAST, WEST)
AND )I
(NAME OF STREET)
BETWEEN 7
(NAME OF STREET)
9) LOCAL FACILITIES MANAGEMENT ZONE [I
10) PROPOSED NUMBER OF LOTS 1 1) NUMBER OF EXISTING 12) PROPOSED NUMBER OF rl RESIDENTIAL UNITS
15) PROPOSED COMM
SQUARE FOOTAGE
18) EAE!SFEEWER
21) PROPOSED GENERAL
13) TYPE OF SUBDIVISION 14) PROPOSED IND OFFICE/
16) PERCENTAGE OF PROPOSED 17) PROPOSED INCREASE IN
PROJECT IN OPEN SPACE
PLAN DESIGNATION
19) GROSS SITE ACREAGE 20) EXISTING GENERAL
22) EXISTING ZONING
24) 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
TO ENTRY FOR THIS PURPOSE
SIGNATURE
FOR CITY USE ONLY
FEE COMPUTATION
APPLICATION TYPE I
TOTAL FEE REQUIRED I / I
DATE STAMP APPLICATION RECEIVED
RECEIVED BJ: 1
DATE FEE PAID
Form 16
RECEIPT NO.
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