HomeMy WebLinkAboutPRE 2021-0030; MARTIN RESIDENCE; Preliminary Review (PRE)(_ Cicyof
Carlsbad
PRELIMINARY REVIEW
REQUEST FORM
P-14
Community Development
Planning Division
1635 Faraday Avenue
(760) 602-4610
www.carlsbadca.gov
PROJECT NAME: MARTIN RESIDENCE
Assessor's Parcel Number(s): 155-221-05-00
Description of proposal (add attachment if necessary):
NEW SINGLE FAMILY RESIDENCE, A TT ACHED ADU, SWIMMING POOL, FIRE PIT.
Would you like to orally present your proposal to your assigned staff planner/engineer? Yes ~ No LJ
Please list the staff members you have previously spoken to regarding this project. Please state "N/ A" if not.
EDWARD VALENZUELA
FOCUS AREA(S): ~ Site Design 0 Land Use [XI Architecture I!] Zoning Interpretations D Engineering Standards O Other
OWNER NAME (Print): APPLICANT NAME (Print):
JOHN & PAMELLA MARTIN NEW MODERN DESIGN C/O STEVE RAGAN
MAILING ADDRESS: MAILING ADDRESS:
3301 LINCOLN ST 143 S. CEDROS A VE #B203
CITY, STATE, ZIP: CITY, STATE, ZIP:
CARLSBAD. CA 92008 SOLANA BEACH, CA 92075
TELEPHONE: TELEPHONE:
760.402.987 4 858.442.3522
EMAIL ADDRESS: EMAIL ADDRESS:
JDMARTIN999@GMAIL.COM STEVE@NEWMODERNDESIGN.COM
I CERTIFY THAT I AM THE LEGAL OWNER AND THAT ALL THE I CERTIFY THAT I AM THE LEGAL REPRESENTATIVE OF THE
ABOVE INFORMATION IS TRUE AND CORRECT TO THE BEST OF MY OWNER AND THAT ALL THE ABOVE INFORMATION IS TRUE
KNOWLEDGE. AND CORRECT TO THE BEST OF MY KNOWLEDGE.
~/4Jlf~ 07.19.2021 S1eu~~ 07.19.2021
SIGNATURE DATE SIGNATURE DATE
*Owner's signature indicates permission to conduct a preliminary
review for a development proposal.
CITY USE ONLY
Project Number: "tL~ U, ~I --~0,31) Development Number: Drviz-o2.-1-o,n
FEE REQUIRED/DATE FEE PAID: ~2,lf.~
RECEIVED BY: ,~-_.D,. r~JA-
'-..J II I
P-14 Preliminary Review Revised: 05/20