HomeMy WebLinkAboutPRE 2020-0009; 5759 FLEET STREET - PARKING STUDY; Preliminary Review (PRE)ti ..
CITY OF CARLSBAD APPLICATION FORM FOR PRELIMINARY REVIEW APPLICATION
C.ffY USE ONLY
Project Number: Development Number:
PROJECT NAME: 5759 Fleet Street -Parking Study
Assessor's Parcel Number(s): 211-022-18
Description of proposal (add attachment if necessary): Proposed 3-story parking structure
Would you like to orally present your proposal to your assigned staff planner/engineer? Yes [XI
□
Please list the staff members you have previously spoken to regarding this project. If none, please so state.
Edward Valenzuela
OWNER NAME (Print): Mike Embree -Drawbridge Realty
MAILING ADDRESS: Three Embarcadero Ctr, Ste 2310
CITY, STATE, ZIP: San Francisco, CA 94111
TELEPHONE: (415) 391-4440
EMAIL ADDRESS: membree@drawbridgerealty.com
*Owner's signature indicates pennission to conduct a preliminary
review for a development proposal.
APPLICANT NAME (Print): Daniel Smith
MAILING ADDRESS: 3603 Fifth Avenue
CITY, STATE, ZIP: San Diego, CA 92110
TELEPHONE: 619-993-8965
EMAIL ADDRESS: dan@hollanderdg.com
No
I CERTIFY THAT I AM THE LEGAL OWNER AND THAT ALL THE
ABOVE I N IS TRUE AND CORRECT TO THE BEST
OF
I CERTIFY THAT I AM THE LEGAL REPRESENTATIVE OF THE
OWNER AND THAT ALL THE ABOVE INFORMATION IS TRUE
AND CORRECT TO THE BEST OF MY KNOWLEDGE.
2-25-2020 [/tUt,, :Sm.dJ(, 2/21/20
SIGNATURE DATE SIGNATURE DATE
APPLICANT'S REPRESENTATIVE (Print):
MAILING ADDRESS:
CITY, STATE, ZIP:
TELEPHONE:
EMAIL ADDRESS:
I CERTIFY THAT I AM THE LEGAL REPRESENTATIVE OF THE
APPLICANT AND THAT ALL THE ABOVE INFORMATION IS TRUE AND
CORRECT TO THE BEST OF MY KNOWLEDGE.
SIGNATURE DATE CITY O~ CARLSBAD
IN THE PRO ESS OF REVIEWING THIS APPLICATION IT MAY BE NECESSARY FOR MEMBERS OF CITY STAFF TO INSPECT
WT~R~RTY THAT IS THE SUBJECT OF THIS APPLICATION. I/WE CONSENT TO ENTRY FOR THIS PURPOSE.
1/~ Michael Embree, SVP
PROPERTY OWNER SIGNATURE
RECEIVED BY:
P-14 Page 3 of 3 Revised 07/17