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HomeMy WebLinkAboutCD 2019-0012; ABDI RESIDENCE; Consistency Determination (CD)CITY OF CARLSBAD APPLICATION FORM FOR CONSISTENCY DETERMINATION APPLICATION CITY USE ONLY Development Number: € ISO$? Original Project Number: cDf 1$-"-I $ Consistency DetermJna~ti~·o"""'n-=N~u--m-:b~e--r-: c~9!f_\.,,.4\--""'d_O.,..,,l .---- PROJECT NAME: Jll:E. A.r,p1 g,= $\P'eNC#, A~essor's Parcel Number(s): ----=2=-l""O'-•-Of,a::;..,EJ..l --t ,!,,iiL--_,c,o_'------------------- D~crfption of proposal (add attachment If necessary): Ille~,:, kt1;.S:tewc: rlF e., t-!f4-'.lt>l(. ,\14fr: llfflJ1t1Y \\ c,.(. :n t,,\A\IJPW-1 ~l!!;'c:QJ !Bk2 Would you like to orally present your proposal to your assigned staff planner/engineer? Yes 0 □ No Piease 11st the staff members you have previously spoken to regarding this project. If none, please so state. OWNER NAME (Print): MAILING ADDRESS: CITY, STATE, ZIP: TELEPHONE: EMAIL ADDRESS: Behrooz and Sharon Abdi 18485 Wjthey Road Monte Sereno CA 95030 858-245-9395 blabdi@yahoo.con\ "Owner's signature Indicates permission to conduct a preliminary review for a development proposal. IN THE PROCESS OF REVIEWING THIS APPLICATION IT MAY BE NECESSARY FOR MEMBERS OF CITY STAFF TO INSPECT AND ENTER THE PROPERTY THAT IS THE SUBJECT OF THIS APPLICATION. INVE CONSENT TO ENTRY FOR THIS PURPOSE. I OERTIFY THAT I AM THE LEGAL OWNER AND THAT ALL THE ABOVE r INFORMATION IS T UE AND CORRECT TO THE BEST OF MY KNOWlEDGE .• . 5/16/19 SIGNATURE -OA_T __ E ___ ·• APPLICANT'S REP"RESENTATIVE (PFlnt): MAILING ADDRESS: CllY, STA1E, ZIP: APPLICANT NAME (Print): g I C.tW/) \4,AlJ F""':::'W MAILINGADDRESS: U-z1 E-U).t.J04Lf-4.C!)IUl\'f .. f~ CITY, STATE, ZIP: i;tztP.,mN;iJl64-S 7]t>71 TELEPHONE: • 7b0. s,, ·Tl1+ . EMAIL ADDRESS: .. r lg((:? +kc.c,rrc:.hije Lil. {D"'i I CERTIFY THAT I AM THE LEGAL REPRESENTATIVE OF THE OWNER AND THAT ALL THE ABOVE INFORMATION IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE. DATE TELEPHONE: 140. s,, . ,174 EMAIL ADDRESS: . ' I CERTIFY THAT I AM THE LEGAL REPRESENTATIVE OF THE APPLICANT AND THAT ALL THE ABOVE INFORMATION IS TRUE AND ORRl:CT TO THE B T OF MY KNOWLEDGE. ~-12 .l'J ATE FEE REQUIRED/DATE FEE PAID: RECEIVED BY: P-16 Page2of2 -~ •, r1 . · ., Revised 07/17