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
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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
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-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