HomeMy WebLinkAboutMCA 15-02; WATER EFFICIENT LANDSCAPE ORDINANCE;^City of
Carlsbad
LAND USE REVIEW
APPLICATION
P-1
Development Services
Planning Division
1635 Faraday Avenue
(760) 602-4610
www carlsbadca gov
APPLICATIONS APPLIED FOR (CHECK BOXES)
Davelooment Permits (for dept use onlyi Leaislative Permits (for dept use only)
□Coastal Development Permit (*) O Minor 1 1 General Plan Amendment
□Conditional Use Permit (*)
1 1 Minor 1 1 Extension 1 1 Local Coastal Program Amendment (*)
□Day Care (Large)1 1 Master Plan d] Amendment '
□Environmental Impact Assessment 1 1 Specific Plan dl Amendment
□Habitat Management Permit HD Minor dl Zone Change (*)
□Hillside Development Permit (*) HH Minor 1 1 Zone Code Amendment
□Nonconforming Construction Permit
r:i_
South Carlstyad Coastal Review Area Permits
□Planned Development Permit O Minor
1 1 Residential f"] Non-Residential
1 1 Review Permit
1 1 Administrative dl Minor d Major
□Planning Commission Determination
□Reasonable Accommodation Villaae Review Area Permits
□Site Development Plan dl Minor 1 1 Review Permit
□Special Use Permit dl Administrative d] Minor dl Major
□Tentative Parcel Map (Minor Subdivision)/Muvmc.iio»^l CoAe. A aacK I^~07~
□Tentative Tract Map (Major Subdivision)T
□Vanance dj Minor {*) = eligible for 25% discount
NOTE A PROPOSED PROJECT REQUIRING MULTIPLE APPUCAT10N8 MUST BE SUBMITTED PRIOR TO 3 30 P M A PROPOSED PROJECT REQUIRING ONLY ONE
APPLICATION MUST BE SUBMITTED PRIOR TO 4 DO P H
ASSESSOR PARCEL NO(S)
PROJECT NAMEPROJECT NAME L^Us.Capp.
BRIEF DESCRIPTION OF PROJECT 4^1
gcg<47iNg. Or~jjL^ IS '-PCji. l/JaA*^
BRIEF LEGAL DESCRIPTION
LOQATION OF PROJECT
ON THE
cru riji
STREET ADDRESS
(NORTH, SOUTH, EAST, WEST)
BETWEEN
SIDE OF
AND
(NAME OF STREET)
(NAME OF STREET)(NAME OF STREET)
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pev/ i5o5f;
Revised 07/15
OWNER NAME
(Pnnt)
MAIUNG ADDRESS
CITY, STATE, ZIP
TELEPHONE
aiAIL ADDRESS
APPLICANT NAME (Pnnt)
MAILING ADDRESS
CITY, STATE, ZIP
TELEPHONE
EMAIL ADDRESS
I CERTIFY THAT I AM THE LEGAL OWNER AND THAT ALL THE ABOVE
INFORMATION IS TRUE AND CORRECT TO THE BEST OF MY
KNOWLEDGE I CERTIFY AS LEGAL OWNER THAT THE APPUCANT AS
SET FORTH HEREIN IS MY AUTHORIZED REPRESENTATIVE FOR
PURPOSES OF THIS APPLICATION
I CERTIFY THAT I AM THE LEGAL REPRESENTATIVE OF THE OWNER
AND THAT Aa THE ABOVE INFORMATION IS TRUE AND CORRECT TO
THE BEST OF MY KNOWLEDGE
SIGNATURE DATE SIGNATURE DATE
APPLICANTS REPRESENTATIVE (Pnnt) Ca»-I
MAILING ADDRESS
CITY, STATE, ZIP
TELEPHONE
EMAIL ADDRESS
1L3S u.e
I CERTIFY THAT I AM THE REPRESENTATIVE OF THE APPUCANT FOR
PURPOSES OF THIS APPUCATON AND THAT ALL THE ABOVE
INFORMATION IS TRUE AND CORRECT TO THE BEST OF MY
KNOWLEDGE
SIGNATURE 5*
IN THE PROCESS OF REVIEWING THIS APPLICATION IT MAY BE NECESSARY FOR MEMBERS OF CITY STAFF, PLANNING
COMMISSIONERS OR CITY COUNCIL MEMBERS TO INSPECT AND ENTER THE PROPERTY THAT IS THE SUBJECT OF THIS
APPLICATION lyWE CONSENT TO ENTRY FOR THIS PURPOSE
NOTICE OF RESTRICTION PROPERTY OWNER ACKNOWLEDGES AND CONSENTS TO A NOTICE OF RESTRICTION BEING
RECORDED ON THE TITLE TO HIS PROPERTY IF CONDITIONED FOR THE APPLICANT NOTICE OF RESTRICTIONS RUN WITH
THE LAND AND BIND ANY SUCCESSORS IN INTEREST
PROPERTY OWNER SIGNATURE
FOR CITY USE ONLY
DATE STAMP APPLICATION RECEIVED
RECEIVED BY
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