HomeMy WebLinkAboutCD 09-10; BRESSI RANCH VILLAGE CENTER; Consistency Determination (CD)CITY OF CARLSBAD
APPLICATION FORM FOR
CONSISTENCY DETERMINATION APPLICATION
Pro·ectNumber: CD
PROJECT NAME:
APPLICANT NAME Print or T e
MAILING ADDRESS MAILING ADDRESS
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CITY AND STATE ZIP TELEPHONE CITY AND STATE ZIP TELEPHONE
DESCRIPTION OF PROPOSAL (ADD ATTACHMENT IF NECESSARY):
l I
WOULD YOU LIKE TO ORALLY PRESENT THE PROPOSED CHANGES TO YOUR ASSIGNED STAFF
PLANNER/ ENGINEER?
YES ~ NO 0
PLEASE LIST THE NAMES OF ALL STAFF MEMBERS YOU HA VE PREVIOUSLY SPOKEN TO REGARDING
THIS PROJECT. IF NONE, PLEASE SO STATE.
w~s-t-
FOR CITY USE ONLY
FEE REQUIRED/DATE FEE PAID: ______________________ _
RECEIPT NO.: ____________________________ _
RECEIVED BY: ____________________________ _
Routing: Planning D Engineering D Fire D Other __________ _
Form 16 Rev. 03/08 Page 2 of2