HomeMy WebLinkAboutCD 15-27; PACIFIC RIDGE SCHOOL EXPANSION; Consistency Determination (CD)CITY OF CARLSBAD APPLICATION FORM FOR CONSISTENCY DETERMINATION APPLICATION
CITY USE ONLY fin 10--~7 Project Number:
PROJECT NAME: Pacific Ridge School
Assessor's Parcel Number(s): 213-122-1l
Description of proposal (add attachment if necessary): See attached eroject descrietion
Would you like to orally present your proposal to your assigned staff planner/engineer? Yes D No 0
Please 11st the staff members you have previously spoken to regarding this projecL If none, please so state.
Christer Westman
OWNER NAME (Print): Pacific Ridge School APPLICANT NAME (Print): same as owner
MAILING ADDRESS: 6269 El Fuerte Street MAILING ADDRESS:
CITY, STATE, ZIP: Carlsbad, CA 92009 CITY, STATE, ZIP:
TELEPHONE: 760-448-9820 TELEPHONE:
EMAIL ADDRESS: bbuscher@pacificridge.org EMAIL ADDRESS:
*Owner's signature indicates permission to conduct a preliminary
review for a development proposal.
IN THE PROCESS OF REVIEWING THIS APPLICATION IT MAY BE I CERTIFY THAT I AM THE LEGAL REPRESENTATIVE OF THE
NECESSARY FOR MEMBERS OF CITY STAFF TO INSPECT AND OWNER AND THAT ALL THE ABOVE INFORMATION IS TRUE
ENTER THE PROPERTY THAT IS THE SUBJECT OF THIS AND CORRECT TO THE BEST OF MY KNOWLEDGE.
APPLICATION. I/WE CONSENT TO ENTRY FOR THIS PURPOSE. I
CERTIFY THAT I AM THE LEGAL OWNER AND THAT ALL THE
ABOVE INFORMATION IS TRUE AND CORRECT TO THE BEST OF IKYjir;~ 12/15/2015
SI TURE DATE SIGNATURE DATE
APPLICANTS REPRESENTATIVE (Print): Eric Munoz, Hofman Planning & Engineering
MAILING ADDRESS: 3156 Lionshead Ave, Suite 1
CITY, STATE, ZIP: Carlsbad, CA 92010
! TELEPHONE: 760-692-4011 I
EMAIL ADDRESS: emunoz@hofmanplanning.com
I CERTIFY THAT I AM THE LEGAL REPRESENTATIVE OF THE APPLICANT AND THAT ALL THE ABOVE INFORMATION IS TRUE AND
COR~THft1ST 0~ MY KNOWLEDGE. -
u,,,, ~ ll ,?u· 201 ~ RECEIVED SIGNATURE ~ DATE
FEE REQUIRED/DATE FEE PAID: ~ 1-u> / 11. -l 1 -I '3 I.Jtl 1 1 2015
Gvz.., en y OF CARLSBAD RECEIVED BY:
PL~~f::IJl~IG 81' 11310 .... t> 1'J
P-16 Page 2 of2 Revised 09/14