HomeMy WebLinkAboutCD 14-09; Regent Properties; Administrative Permits (ADMIN) (2)CITY OF CARLSBAD APPLICATION FORM FOR CONSISTENCY DETERMINATION APPLICATION
CITY USE ONLY
Project Number:
PROJECT NAME: Jl>T-V|fe.r-/< 'iT-f^
Assessor's Parcel Number(s):
Description of proposal (add attaciiment if necessary): gevoeb hr\A^n^ e.r-.TC'^-r otwe,
i^-r-rt>.cM.»EP. KybCi^fc&S'- S«10t 'Se.K O-rreg, PL>»C^ ^ CA-etS SAD /A ^go/O
Would you like to orally present your proposal to your assigned staff planner/engineer? Yes • No •
Please list tlie staff members you have previously spoken to regarding tliis project, if none, please so state.
C-H ex's Gc»g.CvA-
OWNER NAME (Print): SeN OTrfcfc ^ LL^.
MAILING ADDRESS: 1\'\<\Q SKV^ Mu.cviTTC feLsyp.
CITY, STATE, ZIP: b^^vtr 7430 LoV ^K^UeLgS^OV 'ko^q
TELEPHONE: "gAO - 8o4>-ne>0>-
EMAIL ADDRESS: M&»tJ&^SS.^-r^<<e&eNrrfaerBgTies.(-o/>\
'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
SIGNATURE DATE
APPLICANT NAME (Print): ^^^^^g^ • AiX
MAILING ADDRESS: [Sz-ta ENaotMet r^f»^ t?^ S»flH
CITY.STATE.ZIP: S^.>v t?.^^ O
TELEPHONE:
EMAIL ADDRESS:
gsfi- ^i;^- f??^
i^KSib S g SPA - Sp •^<s./vn
I CERTIFY THAT I AM THE LEGAL REPRESENTATIVE OF THE
OWNER AND THAT ALL THE ABOVE INFORMATION IS TRUE
ANPkQORBECT TO THE BEST OF MY KNOWLEDGE.
^ ?/Vl4
DATE
APPLICANT'S REPRESENTATIVE (Print):
MAILING ADDRESS:
CrrY, STATE, ZIP:
TELEPHONE:
EMAIL ADDRESS:
RECEIVED
JUL 1 1 2014
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.
CITY OF CARLSBAD
PLANNING DIVISION
SIGNATURE DATE
IN THE PROCESS OF REVIEWING THIS APPLICATION IT MAY BE NECESSARY FOR MEMBERS OF CITY STAFF TO INSPECT AND
ENTER THE,EBQPe^]lLZUAT IS Tl lEijUBjiiCT-OF THIS APPLICATION. I/WE CONSENT TO ENTRY FOR THIS PURPOSE.
PROPERTY.WWNER SIGNATURE
FEE REQUIRED/DATE FEE PAID: ^ (/'^ U /^-\\-\^
RECEIVED BY:
P-16 Page 2 of 2 Revised 07/10
City of Carlsbad
Faraday Center
Faraday Cashiering 001
1419201-1 07/11/2014 149
Fri, Jul 11, 2014 08:19 AM
Receipt Ref Nbr: R1419201-1/0002
PERMITS - PERMITS
Tran Ref Nbr: 141920101 0002 0002
Trans/Rcpt#: ROl02571
SET #: CDl40009
Amount: 1 @ $695.00
Item Subtotal: $696.00
Item Total: $696.00
1 ITEM(S) TOTAL: $695.00
Check (Chk# 020972) $696.00
Total Received; $696.00
Have a nice day!
^*************CUSTOMER COPY*************
City of Carlsbad
163 5 Faraday Avenue Carlsbad CA 92 008
Applicant: SPON GREGORY
Description
CD14 0009
590 9 SEA OTTER PL CBAD
Amount
696 .00
Receipt Number: R0102571
Transaction Date: 07/11/2014
Transaction ID: R0102571
Pay Type Method Description Amount
Payment Check 696.00
Transaction Amount: 696.00