HomeMy WebLinkAboutPRE 2020-0007; MINICILLI RESIDENCE; Preliminary Review (PRE). .
'-' CITY OF CARLSBAD APPLICATION FORM FOR PRELIMINARY REVIEW APPLICAT
CITY USE ONLY
Project Number: ,___.., .. __,, Development Number.
PROJECT NAME: ,-.es\Q~i-1ce
Assessor's Parcel Number(s): APN ·• 2.0J-j'30 -60-0~
Description of proposal (add attachment if necessary): 06\w ~l~{Jr-t,. ~l '1G-u; ~fbfL~ 1 $ F'p ... 1 -& Atto 1?>\Jt1.,p tt-6W 1--sn ?Ji ~ fp. w / ~ 1 ... CAe-
Would you like to orally present your proposal to your assigned staff planner/engineer? Yes D
□ No X
Please list the staff members you have previously spoken to regarding this project. If none, please so state.
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APPLICANT NAME (Print): ~ r ~" k M ,,.. i <. 1 JI, OWNER,NAME (Print): f' C 4." }41·" le,~ JI 1•
MAILING ADDRESS: a~~~ f L j /s ( RO< ..f MAILING ADDRESS: L. I R ' 2.. ¥:E' 2.. I , :Sc k , .II
CITY,STATE,ZIP: ft,:.lfty Ce◊lrc, C:i, Cf~l>Z"cl,
TELEPHONE: 760 SOS'-q O q 6
EMAIL ADDRESS: o(v ~ ~ ,'"< (? JM"• 1 ] _'Go,-._
*Owner's signature indicates permission to conduct a preliminary
review for a development proposal.
I CERTIFY THAT I AM THE LEGAL OWNER AND THAT ALL THE
ABOVE INFORMATION IS TRUE AND CORRECT TO THE BEST
OF MY K OWLEDGE.
~
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APPLICANT'S REPRESENTATIVE (Print):
MAILING ADDRESS:
CITY, STATE, ZIP:
TELEPHONE:
EMAIL ADDRESS:
I CERTIFY THAT I AM THE LEGAL REPRESENTATIVE OF THE
CITY, STATE, ZIP:
TELEPHONE:
EMAIL ADDRESS:
AP LI NT AND THAT ALL THE ABOVE INFORMATION IS'TRUE AND
CO CT ll I HE l3EST OF MY KNOWLE~GE. ?./ w[ '/.A11A)
DATE
RECEIVED
FEB 2 4 2020
IN THE PROCESS OF REVIEWING THIS APPLICATION IT MAY BE NECESSARY FOR MEMBERS ~TO INSPECT
AND ENTER THE PROPERTY THAT IS THE SUBJECT OF THIS APPLICATION. I/WE CONSENT TO ENTRY FOR THIS PURPOSE.
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PROPERTY OWNER SIGNATURE
FEE REQUIRED/DATE FEE PAID:
RECEIVED BY: ~~w=l).:,:-__:v~u\~--V-'~=~~\,'_1,....--------------------~
P-14 Page 3 of 3 Revised 07 /17