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HomeMy WebLinkAboutCD 2017-0018; THE GRAND MADISON; Consistency Determination (CD)c-r 15-d-ilk Pt NC. CITY OF CARLSBAD APPLICATION FORM FOR CONSISTENCY DETERMINATION APPLICATION PfT".ilitettfik clehtnitbution''''''':'Noolise.26122tai-bao PROJECT NAME:Grand Madison Aswan Puree Nentbenid:203-303-21-00 Description of proposal (add attachmentif necessary):See attached Yes 0 No V Would you See toorallym ad your proposal In your as staff pleansdengirmiiir?0 Pisa* ilia the *WIT Mania:fayfau Nee& pfliVannsiy spoken to rugairding they project.If nom; pinata Mate. Shannon Werneke and Don Neu OWNER NAME (Print):Patrick Smith, LLC APPLICANT NAME (Pont):Kevin Dunn -Rincon Homes MAILING ADDRESS:2609 Ocean St.MAIUNG ADDRESS:3005 S.a Camino Neat i CITY. STATE, ZIP.Cadebatt CA 92008 1 CITY: STATE ZIP:San Clemente, CA 92672 I TELEPHONE:760-729-6950 TELEPHONE 949-436-5494 EMAIL ADDRESS:paU2ocearestreet.net EMAIL ADDRESS:kdunn4trincon9roup.corn 'Owners signature indicates permission to conduct a preliminary review for a development proposal. IN THE PROnTSS OF REVIEWING THIS APPUCATION IT MAY BE I CERTIFY THAT IAM 11€LEGAL REPRESENTATIVE OF THE NECTSSAFT TOT MEMBESS OF CAW STAPP TO SIEPTICT AND ; CARNERAND NATALL THE ABOYEINFORMATICRIS TRUE rIrro-114r PROPERTY THAT RI-114E LIUSJECT Or TN'I AND CORRECT TO THE PEST Or MY KNOWLEOCE I APPLICATION.ONE CONSENT TO ENTRY FOR THIS PURPOSE.I I CERTIFY THAT IASI THE LEGAL CANNER AND THAT ALL THE ABOVE INFORMATION IS TRUE AND CORRECT TO THE BEST OF MY erDOE.aikv.Vs5 ..M%4C/-6-26-17 6-26-17 SIGNATURE DATE SIGNI4R.DATE nieNtsesesAsesa. I APPLICANTS REPRESENTATIVE (Print):lir*.P-4021!ssr-MAO; Arch 1 MAILiNG ASCreS3:2175 Saik kve. Suite 250 CITY. STATE. zip:Carlsbad, CA 92006 TELEPHONE:760-431-7775 1 EMAIL ADDRESS:kirkemeaarchnects.com II !CERTIFY THAT !AR THE _at.Fr.PP.cArNTATIler OF THE APPLICANT AND THAT ALL THE ABOVE !NFORIAATKIIN IS TRUE AND CORR 0THE BEST OF MY KNIIIIVLEDGEI.6-26-17 SIGNATURE DATE FEE REQUIRED/DATE FEE PAID:fty g'.. -7 33 ---RECit:IVED I RECEIVED SY:IA 47147$13Q-3 .111N 2 8 2017 1 AD PLANNING DIVISION P.16 Page 2 of 2 Revised 03/17