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Home My WebLink AboutPIP 98-08; Corte Del Cedro; Planned Industrial Permit (PIP)CITY OF CARLSBAD LAND USE REVIEW APPLICATION APPLICATIONS APPLIED FOR: (CHECK BOXES) 1 (FOR DEPARTMENT USE ONLY) Administrative Permit 2nd Dwelling Unit Administrative Variance Coastal Development Permit Conditional Use Permit Condominium Permit Environmental Impact Assessment General Pian Amendment Hillside Development Permit Local Coastal Plan Amendment I Master Plan IO Non-Residential Planned Development Planned Development Permit 0 0 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 applications not I specified .. (FOR DEPARTMENT USE ONLY) I I CITY AND STATE ZIP TELEPHONE CITY AND STATE ZIP TELEPHONE €NLfWTW / cw %43f ?h*?Jjr.n7f wru4W ,.le %#9 74tWK:777r 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. & 7-10 -Sf ?h;hj3 SIGNATURE DATE 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 SUBMlTTED PRIOR TO 4:OO P.M. Form 16 PAGE 1 OF 2 8) LOCATION OF PROJECT: c?Pw5 O&& cfi&?Ao STREET ADDRESS ON THE I E#JT SIDE OF 1 c@8= &EL P6QFo (NORTH, SOUTH, EAST, WEST) I (NAME OF STREET) 9) LOCAL FACILITIES MANAGEMENT ZONE I 5 I IO) PROPOSED NUMBER OF LOTS RESIDENTIAL UNITS 101 RESIDENTIAL UNITS 1 1) NUMBER OF EXISTING 12) PROPOSED NUMBER OF 13) TYPE OF SUBDIVISION 14) PROPOSED IND OFFICE/ zt';rh9 SQUARE FOOTAGE 15) PROPOSED COMM SQUARE FOOTAGE 16) PERCENTAGE OF PROPOSED ADT 17) PROPOSED INCREASE IN USAGE IN EDU 18) PROPOSED SEWER PROJECT IN OPEN SPACE 19) GROSS SITE ACREAGE PLAN 20) EXISTING GENERAL PLAN DESIGNATION 2 1) PROPOSED GENERAL 22) EXISTING ZONING PI 23) PROPOSED 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 ENLRY FOR THIS PURPOSE SIGNATURE FOR CITY USE ONLY FEE COMPUTATION APPLICATION TYPE FEE REQUIRED Q'P 98-08 '3,9 €30 P t"- 50 TOTAL FEE REQUIRED I x.830 DATE FEE PAID Form 16 JUL 27 1998 CITY OF CAIF;(LSBAQ .PLANNING DEPT. DATE STAMP APPLICATION RECEIVED I RECEIVED BY: RECEIPT NO. I G3314 PAGE 2 OF 2 ACCOUNT NO. I ~ ~~ ~ DESCRIPTION NOT VALID UNLESS VALIDATED BY CASH REGISTER I I . .~ . . . Please describe fully the proposed project. Include any details necessary to adequately explain the scope andlor 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. DISCLOSURE STATEMENT [Applicant‘s statement or disclosure of certain ownership interests on all applications which will require I I discretionary action on the part of the City Council or any appointed Board, Commission or Committee. 1 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. 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 corporation or partnershiu, 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 publiclv-owned corporation, include the names. titles, and addresses of the corporate officers. (A separate page may be attached if necessary.) Person H&P 4- Hc#v@ CorpIPart &e&!& 4fD~/4m htcWe%rL/~c. Tit le f?p&jBw Title Address 6$%r 8% F&& %*t Address wm,* 9WA 3 A. OWNER (Not the owner’s agent) Provide the COMPLETE. LEGAL names and addresses of 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, 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 publiclv- owned corporation, include the names. titles, and addrcsses of the corporate officers. (A separate page may be attached if necessary.) Person GW# 4 DW! Corp/Part Title mums Title Address /&fir @~~&~~~ Address muNps, 9wzy 2075 Las Palmas Dr. Carlsbad, CA 92009-1576 (760) 438-1161 - FAX (760) 438-0894 @ ~~ ~~ ~~~ c A -. 3. NON-PROFIT Oh -+NIZATION OR TRUST If any person identified pursuant to'( 1) or (2) above is a nonprofit organization or a trust. list the names and addresses of ANY person serving as an officer or director of the non-profit organization or as trustee or beneficiary of the. Non ProfittGJ DWM WILY Non ProfitlTrust Title Title 4. Have you had more than $250 worth of business transacted with any member of City staff. Boards, Commissions, Committees and/or Council within the past twelve (12) months? Yes WNo If yes, please indicate person(s): ~ NOTE: Attach additional sheets if necessary. I certify that all the above information is true and correct to the best of my knowledge. Signature of ownerldate Signature of applicantldate ~ Print or type name of owner Print or type name of applicant if applicable/date &&E# Print or type nam H:ADMIN\COUNTER\DISCLOSURE STATEMENT 5/98 Page 2 of 2