HomeMy WebLinkAboutRP 98-02A; THE GRAND DELI OUTDOOR SEATING; Redevelopment Permits (RP)LSBAD REDEVELOPMENT AGEN
PERMIT APPLICATION
•
•
•
•
PLEASE CHECK ALL THAT APPLY:
r~| ADMINISTRATIVE PERMIT
New construction of building(s) or
additlon(s) to the building footprint which
have a building permit valuation which is
equal to or iess 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 resuit in
compatibility issues/problems.
Signs for existing businesses or facilities.
Repair or maintenance activities which are
not exempt from obtaining a permit.
n COASTAL DEVELOPMENT PERMIT
I I MAJOR REDEVELOPMENT PERMIT
I 1 New construction of building(s) or
addition(s) to the building footprint which
have a building permit valuation which is
greaterthan $150,000.
I I 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 pennit valuation which is
greater than $60,000 but less than
$150,000.
Variances for projects within this category.
Variances for projects which would
othenvise be exempt or be eligible for an
administrative pemiit.
MISCELLANEOUS REDEVELOPMENT PERMIT
A-Frame Sign
Sign Permit
Sign Program
Sidewalk Tables/Chairs [l^M.^OrOM f)
Outdoor Displays
Other
PROJECT TITLE:.
Brief description of project
I^MCKIO
Cj\AiP-^.
Property Location:
street Address 5^5 ^R.^tJ\^ HME.
im hCAak Address
Telephone Number ?^ ^15^6
THE AREA BELOW IS TO BE
Applicant's H.me/^ICHML L.
Address ^ (^'^/tuO
Telephone Number^
rFEES FOR APPLICATION PROCESSING:
(List type of fee and amount)
RECEIPT OF APPLICATION
Date Application Received ^ / ^ ^(=>
Application Received by fi* ^ft-vl^
Permit Number Assigned^
CITY OFCARLSBAD
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
• 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
Redevelopment Permit
I I Site Development Plan
I I Special Use Permit
I I Specific Plan
I I Tentativo 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)
ASSESSOR PARCEL NO(S).:
PROJECT NAME:
BRIEF DESCRIPTION OF PROJECT: \hice.i^.A<:f ru/ K)ur\.>>£fi^ ll\i.^oi^f.o ^A/r<
NER NAME (Print or Type) 6) APPLICANT NAME (Print or Type)
MAILING ADDRESS
m Mm
MAILING ADDRESS
CITY AND STATE ZIP TELEPHONE CITY AND STATE ZIP TELEPHONE
I CERTIFY THAT I AM T3HE LEGAL OWNER AND THAT ALL THE ABOVE
INFORMATION IS TRUE AND CORRECT TO THE BEST OF MY
I CERTIFY THAT T AM THE LEGAL REPRESENTATIVE OF THE
OWNER AND THAT ALL THE ABOVE INFORMATION IS jAUE AND
CORRECT TQ/THE BEST OF MY KNOWLEDGE.
SIGNATURE ' ^ / DATE SIGNATURE
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 4:00 P.M.
Form 16 Rev. 05/03 PAGE 1 OF 2
8) LOCATION OF PROJECT:
ON THE
BETWEEN
(NORTH, SOUTH. EAST, WEST)
SIDE OF
AND
STREET ADDRESS
(NAME OF STREET)
9) LOCAL FACILITIES MANAGEMENT ZONE
10) PROPOSED NUMBER OF LOTS
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/
SOUARE FOOTAGE
17) PROPOSED INCREASE
IN ADT
20) EXISTING GENERAL
PLAN
23) PROPOSED ZONING
(NAME OF STREET)
^TMT£. <h.
(NAME OF STREET)
12) PROPOSED NUMBER
OF RESIDENTIAL UNITS
15) PROPOSED COMM
SQUARE FOOTAGE
18) PROPOSED SEWER
USAGE IN EDU
21) PROPOSED GENERAL
PLAN DESIGNATION
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. lAA/E
CONSENT TO ENTRY FOR THIS PURPOSE
SIGNATURE
FOR CITY USE ONLY
FEE COMPUTATION
APPLICATION TYPE
TOTAL FEE REQUIRED
FEE REQUIRED
^M/z Mp j^f K/-r
DATE STAMP APPLICATION RECEIVED
RECEIVED BY:
DATE FEE PAID RECEIPT NO.
PROJECT DESCRIPTION/EXPLANATION
PROJECTNAME: ^F'/^sjt> VLLI Odirbooiu Sei^rihl/^ /li^i^MMen/T
APPLICANT NAME: /yfim^^i, pwwc
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:
Project Description 10/96 Page 1 of 1
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 caimot
be reviewed until this information is completed. Please print.
Note:
Person is defined as "Any individual, firm, co-partnership, joint venture, association, social club, fi'atemal
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 bgal name and entity of the applicant and property omasr 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.)
Person/^Mf^ ^> hOuJ^^ Com/Part ^^g: 2>R/,XX/C
Title OUU^^ Title CbU/^^ . ^B^i d£/^r
Address ^A/^ Address 5^^^g^ tf^ZiMf^ 6fir^t6d^
2. OWNER (Not die 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
tiian 10% of the shares. F 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 ^11^ ^^>/H^y6>
Title 7^H^ OiJ/^£l^
Address JAd N!M^h (M^fj^.CA
Corp/Part_
Titie
/^A
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 oreanization 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 beneficiaiy of the.
Non Profit/Trust Non Profit/Trust
Titie_ Titie
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?
I I Yes QNO 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 owner/date ' Signature of applicant/date
Print or type name of owner Print or type name of applicant
A/l-
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