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HomeMy WebLinkAboutRP 05-09; Casa Cobra; Redevelopment Permits (RP)RLSBAD REDEVELOPMENT AGEN PERMIT APPLICATION PLEASE CHECK ALL THAT APPLY: I I ADMINISTRATIVE PERMIT New construction of building(s) or addition(s) to the building footprint which have a building permit valuation which is equal to or less than $60,000. Interior or exterior improvements to existing structures which result in an intensity of use. Provisional land uses, where a minor or major redevelopment permit is not required. Changes in permitted land uses which result in site changes, increased ADT, increased parking requirements, or result in compatibility issues/problems. Signs for existing businesses or facilities. Repair or maintenance activities which are not exempt from obtaining a permit. • • • • • COASTAL DEVELOPMENT PERMIT MAJOR REDEVELOPMENT PERMIT IE • New construction of building(s) or addition(s) to the building footprint which have a building permit valuation which is greater than $150,000. Variances for projects within this category. • MINOR REDEVELOPMENT PERMIT • • New construction of building(s) or addition(s) to the building footprint which have a building permit valuation which is greater than $60,000 but less than $150,000. Variances for projects within this category. Variances for projects which would otherwise be exempt or be eligible for an administrative permit. MISCELLANEOUS REDEVELOPMENT PERMIT A-Frame Sign Sign Pennit Sign Program Sidewalk Tables/Chairs Outdoor Displays Other PROJECT TITLE; CAS>A ^^^P^ . . , ^ Bnef description ofproject: c<i>A>5TtZ.UcT A ^-STO^ pR^UecT a3lTH TH-e^ t=IP'S'T Property Location: APN^s^: -2.o4-oe>4-^<^ street Address 3\*=\0 ^^S^^BLT Owner's Name QHg-^ Wf^Wlt-T^^ Address 4^ PACI1=^tC t Telephone Number, THEAREA BELOW IS TO Bg eOMiferE FEES FOR APPLICATION PROCESSING: (List type of fee and amount) Applicanfs Name, Address £fg>7 NEb^STCB AO^, ^7g-. /QO Telephone Number 76^ - A^S-4-9^ I RECEIPT OF APPLICATION Date Application Received^. Application Received bv Qj i^^^'^^^ Pemiit Number Assigned Cv9 OSv^/^ CITY OF CARLSBAD LAND USE REVIEW APPLICATION 1) APPLICATIONS APPLIED FOR: (CHECK BOXES) I I Administrative Permit - 2nd Dwelling Unit I I Administrative Variance I I Coastal Development Permit I I Conditional Use Permit I I Condominium Permit I I Environmental Impact Assessment I I General Plan Amendment I I Hillside Development Permit I I Local Coastal Plan Amendment I I Master Plan I I Non-Residential Planned Development I I Planned Development Permit (FOR DEPARTMENT USE ONLY) I I Planned Industrial Permit I I Planning Commission Determination I I Precise Development Plan I I Redevelopment Permit I I Site Development Plan I I Special Use Permit I I Specific Plan I I Tontativo Parcol Map Obtain from Engineering Department I I Tentative Tract Map I I Variance I I Zone Change I I List other applications not specified (FOR DEPARTMENT USEONLY) 2) 3) 4) ASSESSOR PARCEL NO(S).: PROJECT NAME: 2.C4 - ^4 - o"^ BRIEF DESCRIPTION OF PROJECT: ceW^TP^CT A AlgflO ^Sf^CH Pttoafep- QI^ITH 77i€' Fff^ST 5) OWNER NAME (Print or Type) 6) APPUCANT NAME (Print or Type) MAILING ADDRESS ^ f'^ciFic AUe^. MAILING ADDRESS CITY AND STATE ZIP ^ TELEPHONE CITY AND STATE ZIP TELEPHONE 1 CERTIFY THAT 1 AM THE LEGAL OWNER AND THAT ALL THE ABOVE INFORMATION IS TRUE AND CORRECT TO THE BEST OF MY \ CERTIFY THAT 1 AM THE LEQAL REPRESENTATIVE OF THE OWNER AN^kJHAT ALL7HE ABOVE INFORMATION IS TRUE AND CORRECTimTHE a&T OF MY KNOWLEDGE SIGNATURE DATE 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 REQUIRINQ ONLY ONE APPLICATION BE FILED, MUST BE SUBMITTED PRIOR TO 4:00 P.M. Form 16 Rev. 05/03 PAGE 1 OF 2 8) LOCATION OF PROJECT: ON THE BETWEEN ~ SOUTH.IgASTjWEST) STREET ADDRESS SIDE OF (NAME OF STREET) AND (NAME OF STREET) 9) LOCAL FACILITIES MANAGEMENT ZONE 10) PROPOSED NUMBER OF LOTS / I 13) TYPE OF SUBDIVISION 16) PERCENTAGE OF PROPOSED PROJECT IN OPEN SPACE 19) GROSS SITE ACREAGE 22) EXISTING ZONING 11) NUMBER OF EXISTING RESIDENTIAL UNITS 14) PROPOSED IND OFFICE/ SQUARE FOOTAGE 17) PROPOSED INCREASE IN ADT 20) EXISTING GENERAL PLAN 23) PROPOSED ZONING (NAME OF STREET) 12) PROPOSED NUMBER OF RESIDENTIAL UNITS OW^^t ',15) PROPOSED COMM ^'' SQUARE FOOTAGE V 18) PROPOSED SEWER USAGE IN EDU 21) PROPOSED GENERAL PLAN DESIGNATION 6A& 24) 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 MEMBERS TO INSPECT,AND ENTER THE PROPERTY THAT IS THE SUBJECT OF THIS APPLICATION. I/WE C0N/8BNT TOI ENTRY FOR THIS PURPOSE FOR CITY USE ONLY FEE COMPUTATION APPLICATION TYPE TOTAL FEE REQUIRED FEE REQUIRED DATE STAMP APPLICATION RECEIVED RECEIVED BY: DATE FEE PAID RECEIPT NO. Form 16 Rev. 05/03 PAGE 2 OF 2 PROJECT DESCRIPTION/EXPLANATION PROJECT NAME: C fi9B CC^BP-/^ APPLICANT NAME: Cb^Afgl Afot/er At2.dM hsc^t _ 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: ^ AP^APR-N-|MG F=-(i A AlA^op. Z;|l(b ^^5^^ ,2^tP^X^-r//^C OA^(T^ c./>, TH^ Project Description 10/96 P^9® "I Citv of Carlsbad Housing & Redevelopment Department DISCLOSURE STATEMENT 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 tliis information is completed. Please print. Note: Person is defined as "Any individual, firm, co-partnership, joint venture, association, social club, fratemai 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 ALL persons having a financial interest in the application. If the applicant 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 addresses of the corporate officers. (A separate page may be attached if necessary.) O^^fLCt* ]jkf^t/toi^ Corp/Part_ Title Person Address Title_ Address 4^3 PAcm/C Aife 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, 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^ACUU>P WA^v\utO^^ Corp/Part . Title Ou/PCfi- Title Address Address 2965 Roosevelt St., Ste. B • Carlsbad. CA 92008-2389 • (760) 434-2810/2811 • FAX (760) 720-2037 ^ # 3. NON-PROFIT ORGANIZATION 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 Profit/Trust Non Profit/Trust Title Title Address Address 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? QYCS [3NO Ifyes, please indicate person(s): NOTE: Attach additional sheets if necessary. I certify that all the above infonnation is true and correct to the best of my Imj^ledge Signature of applicant/date Print or type name of owner Print or type name of applicant Signature of owner/applicant's agent if applicable/date Print or type name of owner/applicant's agent H:ADMIN\COUNTER\DISCLOSURE STATEMENT 5/98 Page 2 Of 2