HomeMy WebLinkAboutCD 2019-0008; LEARNING CENTER LIBRARY AWNINGS; Consistency Determination (CD)CITY OF CARLSBAD APPLICATION FORM FOR CONSISTENCY DETERMINATION APPLICATION
CITY USE ONL y Developmerit Number: \)£,\til:}oJ1 I Original Project Number: c.aP d~-l2 Consii:;tency D~fermination Number: cou,lf -0001 (
PROJECT NAME: L l=Arl.N ,~t:i C£~-reR. L111>rt!.AR "J_ Aw rJ u.r Er<li
Assessor's Parcel Number(s) aQd
£u~Et<A ft.Ai:.& C..A-RL ~ SAO ')'21.,d 8 •OS°'t l~ l"7oo Address: 3?~0
Description of proposal (add attachment if necessary): 'f /J. b r, c.,:;:. t" "' ~l,L.J Tn-s. t"-( f 11. b o Yl of I ti
('5 -(., , <I Fo..bru. 5t,.t:..de 5/,-.u, f,.,,,-~ w,fJ, Tt,,..be. Sf~ e I Fr-IA.,.,,~ ,c I'>-~
L•-ht~ H-DPE CS.FM A f2_&_rove. d t:d._b r, c:. Cave.r ) 1 i
Would you like to orally present your proposal to your assigned staff planner/engineer? Yes ~ No
□
Please list the staff members you have previously spoken to regarding this project. If none, please so state.
PA:.n-.. DRE""'1
OWNER NAME (Print): C,f+ ,,f C.~/~/;"'~ APPLICANT NAME (Print): Ro-., Ht1.7_ I~~ J
MAILING ADDRESS: 4-o G ~k Ave, MAILING ADDRESS: '-1-o <; 011..f( Ail~
CITY, STATE, ZIP: Cl(,.J'> ~.i, LA CITY, STATE, ZIP: CA.rli f:>4d 1 CA
'
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TELEPHONE: tbo-'17t; -1.f-lo TELEPHONE: ihtJ-'f75 · 1410
EMAIL ADDRESS: /?on, lfat<.J},:;.._Je-c'4.r/s,dca..4ov EMAIL ADDRESS: Ro"J, /-1¢1.L.,.J~"'d~t.,.-, .. 1.Wc4.~ ,,,, ✓
*Owne~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 Tl-I.-
NECESSARY FOR MEMBERS OF CITY STAFF TO INSPECT AND OWNER AND THAT ALL THE ABOVE INFORMATION IS TRU(
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 MY
rDtt'"4 LJ ¥" .. l~ -2.,o 11 !:::iJ'7W 4-tt;'-2otf
SIGNATURE 7 DATE DATE
APPLICANTS REPRESENTATIVE (Print):
MAILING ADDRESS:
CITY, STATE, ZIP:
I
TELEPHONE:
EMAIL ADDRESS:
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.
SIGNATURE DATE
D"""' t.""'-r•~ivEO ~ Cu"" ·.Iii '·: ~•j ' ·_
."/l
FEE REQUIRED/DATE FEE PAID:
t;I I :: ·~ ~\:~B'.,il <-il] '-
RECEIVED BY:
Pl _Al'Ji\l\\\;C \":ilv\SION \ I
P-16 Page 2 of 2 Revised 02/28/18