HomeMy WebLinkAboutRP 87-05; SMOKY JS; Redevelopment Permits (RP)LAND USB PLANNING APPLICATION
REQUEST
CoBpiete Description of Project (attacti a^Sditional sheets if necessary)
azone Change
aceneral Plan Amvidment
aTteitativ* Tract Nap
•Major Planned Uhit Development
•Haster Plan
•Major Redevelopment Pennit
jSlNinor Redevelopment Permit
• Precise Development Plan
(check other boxes if appropriate)
•Specific Plan
•Site Development Plan
•Conditional Use Pennit
•Variance
•Planning Conndssion Detennination
•Special Use Pennit
•Structure Relocation
CMajor Condominium Pennit
•Coastal Pennit (Portion of Redavelopnent
Area Cnly)
•YQ^^e-c::^«oA. "TV
Legal Description^ (conplete) >
A T:^rhcrv. 15(QC\C 1"^, (c>on o^- _GrU b^V^(WA/
J I AA -tttf---^^ AJL I ^ Parcel Nuifcer ~ '
Zone I [General Plan / /
• rr, \- I
Assessors Parcel Nuiter , , ,
9 Land Gxistiiig Land Use
Proposed Zone
i I
Prcsposed Gener2U. Plan
t(
Site Acreage
.5
Owner Applicant
Name (Print or Type) Name (Print or Type)
telling Address ' Nailing Address
City and State Zip Telephone City and State Z^ Telephone
THAT ALL IHE ABOVE INFORMATION IS TRUE
AND ODRRBCT TO IHE BEST OF NST mOMLEDGE.
I CISBdtlt^ IHAT I AN IHE OWNER'S RSPRESENTOTlV^
AND THAT ALL THE ABOVE INFORMATION IS TOJE
AM) CORRECT TO IHE BEST OF NST mJinilXSB.
SIGNA3XJRE CATS
i 7
VoeiWI Raoelpt K97
Dub* Anplicii^iai Ate'a
DISCLOSORB FORN
APPLICAOT: lT?yofxe^ 4 -X^cArsoAc. ^A'^^^ ,
Name (individual, partnership, ^oint venture, corporation, syndication)
Business P^resa ^
Telephone Nunber AGEtlT:
MEMBERS:
Name
Business Address I ~
Telephone Nunber '
Name (individual, partner, joint Heme Address
venture, corporation, syndication)
Business Address
Telephone Nvmber Telephone Number
Name Hcxne /k^dress
Business Address
Telephone Nunber Telephone Number
(Attach more sheets if necessary)
The applicant is reqaired to apply for Coastal CoHmission Approval
i£ located in the Coastal lone.
I/Vfe declare under penalty of perjury that the information contained in this
disclosure is true and correct and that it will remain true and correct and may be
relied upon as being true and correct mtil amended.
^PLICAOT X
Agent, Onjner, Partner
APPLICANT DISCLOSURE FORM
In order to assist the members of the Planning Conunission and
City Council to avoid possible conflicts of interest, all appli-
cants are required to complete this disclosure form at the time
of submitting their application. When this form has been com-
pleted and signed, the information will be relied upon by them in
determining if a conflict may exist, so please ensure that all of
the information is completed and accurate. If at anytime before
a final action on your application has been rendered, any of the
information required by this disclosure changes, an amendment
reflecting this change must be filed.
If the applicant is an individual, or a partnership (either gen-
eral or limited) or a joint venture, please state the full name,
address and phone number of each person or individual (including
trusts) who own any beneficial interest in the property which is
the subject of this application. Should one or more parties to
the application be a partnerstiip or joint venture, then please
state the full legal name of the partnership or joint venture,
its legal address and the name and address of each individual
person who is a general and/or limited partner or member of the
joint venture.
Should one or more of the parties be a privately held corporation
(10 shareholders or less) or a real estate syndication, then
please indicate the state of incorporation or syndication,
corporate number, date of incorporation or syndication, corporate
or syndicate address, and the full names and addresses of each
individual shareholder or syndicate member. Should the corpor-
ation be a publicly held corporation, then state the full name
and address of the corporation, the place of its incorporation,
number of shareholders, and the name and address of the officers
of the corporation.
Should you feel that additional information needs to be provided
in order to provide a full disclosure, please include it.