HomeMy WebLinkAboutAV 82-03; Questar Pools & Spas; Administrative Variance (AV) (3)......... -.I-. ..... *
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APPLICANT DISCLOSURE FORM
In order to assist the members of the Planning Commission 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 informafion 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 nunber 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 partnership 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 nore of the parties be a privately held corparation
(10 shareholders or less) or a real estate syndication, then please state the state of incorporation or syndication, corporate
numbzr, date of incorporation or syndication, corporate or syn- dicate address, and the full names and addresses of each
individual shareholder or syndicate member. Should the corpor-
ation be a publically 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.
APPLICANT : VES2P Pod2 Q SYHS
$,e (individual, partnership, joint venture, corpration, syndication)
_L_ .. (Attach more sheets if necessary)
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CITY OF CARLSBAD
led0 ELM AVENUE CARLSBAD, CALIFORNIA "08
(714 438-5551
ADDRESS
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