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Home My WebLink AboutCDP 01-02B; Biltmore; Coastal Development Permit (CDP)CITY OF CARLSBAD LAND USE REVIEW APPLICATION 1) APPLICATIONS APPLIED FOR: (C I I Administrative Permit I I Administrative Variance 'rrSAftiMddntovf fo \V\ Coastal Development Permit ^ fn\/'*<f$ <3ppo/$z(£) \V\ Conditional Use Permit I I Condominium Permit | j Environmental Impact Assessment ( j General Plan Amendment Hillside Development Permit I | Local Coastal Program Amendment I | Master Plan I J Non-Residential Planned Development I | Planned Development Permit :HECK BOXES) (FOR DEPARTMENT USE ONLY) 'cpeoi<r*&) CVPh6-6y C D V D D D D D D Planned Industrial Permit Planning Commission Determination Precise Development Plan Redevelopment Permit / AlM^mbn-TTG*Site Development Plan ffoi/i6*$ 5PP-GlOl(g) Special Use Permit v ' Specific Plan Tontative Parcol Mop Obtain from Engineering Department Tentative Tract Map Variance Zone Change List other applications not specified (FOR DEPARTMENT USE ONLY) sDroi-oife 2) ASSESSOR PARCEL NO(S).: 3) PROJECT NAME: 4) BRIEF DESCRIPTION OF PROJECT:'T- OWNER NAME {Print or Type)6) APPLICANT NAME (Print or Type) Sc^ (?3/>*/75 MAILING ADDRESS W5 *• HAMfMJ (Miff, S"lft MAILING ADDRESS CITY AND STATE ZIP tit-- TELEPHONE CITY AND STATE ZIP TELEPHONE \ CERTIFY THAT 1 AM THE LEGAL OV)/NER AND THAT ALL THE ABOVE INFORMATION TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE. 1 CERTIFY THATV AM THE LEGAL REPRESENTATIVE OF THE OWNER AND THAT ALL THE ABOVE INFORMATION IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE. S^GNA'TURE DATE SIGNATURE DATE I 7) BRIEF LEGAL DESCRIPTION NOTE: A PROPOSED PROJECT REQUIRING MULTIPLE APPLICATIONS BE FILED, MUST BE SUBMITTED PRIOR TO 3:00 P.M. A PROPOSED PROJECT REQUIRING ONLY ONE APPLICATION BE FILED, MUST BE SUBMITTED PRIOR JO 4:DO P.M. Form 16 Rev. 04/04 PAGE 1 OF 2 8}LOCATION OF PROJECT: ON THE E BETWEEN [" South (NORTH, SOUTH, EAST, WEST) STREET ADDRESS SIDE OF (NAME OF STREET) (NAME OF STREET) </ J AND (NAME OF STREET) 9) LOCAL FACILITIES MANAGEMENT ZONE 10) PROPOSED NUMBER OF LOTS 13) TYPE OF SUBDIVISION 16) PERCENTAGE OF PROPOSED PROJECT IN OPEN SPACE 19) GROSS SITE ACREAGE 22) EXISTING ZONING 11) NUMBER OF EXISTING RESIDENTIAL UNITS 14) PROPOSED IND OFFICE/ SQUARE FOOTAGE 17) PROPOSED INCREASE IN ADT 20) EXISTING GENERAL PLAN 23) PROPOSED ZONING 12) PROPOSED NUMBER OF RESIDENTIAL UNITS 15) PROPOSED COMM SQUARE FOOTAGE 18) PROPOSED SEWER USAGE IN EDU 21) PROPOSED GENERAL PLAN DESIGNATION 24) IN THE PROCESS OF REVIEWING THIS APPLICATION IT MAY BE NECESSARY FOR MEMBERS OF CITY STAFF, PLANNING COMMISSIONERS, DESIGN REVIEW BOARD MEMBERS OR CITY COUNCIL MEMBERS TO INSPECT AND ENTER THEPROPERTY THAT IS THE SUBJECT OF THIS APPLICATION. I/WE CONSENT TO ENTRY FQ$ THIS PURPOSE SIGNATURE FOR CITY USE ONLY FEE COMPUTATION APPLICATION TYPE FEE REQUIRED ^gccivgo 2005 DATE STAMP APPLICATION RECEIVEDTION RE RECEIVED BY: TOTAL FEE REQUIRED DATE FEE PAID RECEIPT NO. Form 16 Rev. 04/04 PAGE 2 OF 2 PROJECT DESCRIPTION/EXPLANATION PROJECT NAME: __ _ APPLICANT NAME: SfofT &tffjt/\/S ~ S/M]ftf OMlSVUTMb Please describe fully the proposed project by .application type. Include any details necessary to adequately explain the scope and/or operation of the proposed project. You may also include any background information and supporting statements regarding . the reasons for, or appropriateness .of, the application. Use an addendum sheet if necessary. Description/Explanation: / ~C\ Ci>P (oioy-fi flt/£r ft tiw Cvf> ft/l\-^ * " I ^^ City of Carlsbad Planning Department DISCLOSURE STATEMENT rApplicant's statement or disclosure of certain ownership interests or, all applications v\.-n;cn \v;K i discretionary action on the pan of the Ciry Council or.any appointed Board. Comjr.iSjiC'n or Comr Tn; following information MUST be disclosed ai the time of application subm-.na!. Your proiec1, be reviewed until this information is completed. Please print. Note: Person is defined as "Any individual, fum. co-partnership, joint venture, association, social club, fraternal organization, corporation, estate, trust, receiver, syndicate, in this and any other county, city and county, city municipality, district or other political subdivision or any other group or combination acting as a unit," Agents may sign this document; however, the legal name and entity of the applicant and property owner must be provided below. 1 .APPLICANT (Not the applicant's agent) Provide the COMPLETE. LEGAL names and addresses of ALL persons having a financial interest in the application. If the applicant includes a corporation or partnership, include the names, title, addresses of all individuals owning more than 10% of the shares. IF NO INDIVIDUALS OWN MORE THAN 10% OF THE SHARES. PLEASE INDICATE NON- APPLICABLE (N/A) IN THE SPACE BELOW If a publicly-owned corporation, include the names, titles, and addresses of the corporate officers. (A separate page may be attached if necessary.) Person *rv^- '^W^ ' Com/Pan Title Address OWNER (NotWhe owner's a^nt) Provide the COMPLETE. LEGAL names and addresses of ALL persons having ar$ ownership interest in the property involved. Also, provide the nature of the legal dwnership (i.e, partnership, tenants in common, non-profit, corporation, etc.). If the ownership includes a corporation or partnership, include the names, title, addresses of all individuals owning more than 10% of the shares. IF NO INDIVIDUALS OWN MORE THAN 10% OF THE SHARES, PLEASE INDICATE NON-APPLICABLE (N/A) IN THE SPACE BELOW. If a publiclv- owned corporation, include the names, titles, and addresses of the corporate officers. (A separate page may be attache*} if.necessary.) Person^^ly^^^^^-^ « Corp/Pan. Title Address . Title Address SO 80 p.l Mar 09 05 11:39p NON-PROFIT ORGANIZATION OR TRUST If any person identified pursuant 10 (1) or (2) above is a-nonprojii prganiganor or names and addresses of ANY person serving as an officer or director of organization or as trustee or beneficiar. of the Non Profit.Trjsi ._ Non Profit"! rji". ; Tide Title Address Address Have you had more than S250 worth of business transacted \vith any member 01" Cir> stai Boards. Commissions.Commirtees and/or Council within the past twelve (12) months? Yes No If yes, please indicate'person(s):_ NOTE: Attach additional sheets if necessary. 1 certify that ajjthe above information is true and correct to the best of my knowledge. Signarure'-of q „Signature of applicWivdatc Print, or type name of owner Prim or type name of applicant Signature oTowner/applicant s agent if,,applicablc/date Print or type name of owner/applicant's agent