HomeMy WebLinkAboutCDP 98-12A; FORTH RESIDENCE; Engineering Application1 )
D Dwelling Unit
0 Administrative Variance
~ Coastal Development Permit P961~A
0 Conditional Use Permit
D Condominium Permit
D Environmental Impact
Assessment
D General Plan Amendment
D Hillside Development Permit
D Local Coastal Plan Amendment
D Master Plan
D Non-Residential Planned
Development
D Planned Development Permit
2) ASSESSOR PARCEL NO(S).:
3) PROJECT NAME:
4) BRIEF DESCRIPTION OF PROJECT:
5) OWNER NAME (Print or Type)
Fo ~ \\-\
MAILING ADDRESS
lL(l(P S
CITY AND STATE ZIP
(:p.(ll..S~A~ CA q1-0u
I CERTIFY THAT I AM THE LEGAL OWNER AND THAT ALL THE ABOVE
INFORMATION IS TRUE AND CORRECT ·TO THE BEST OF MY
KNOWL E. " /'"
7) BRIEF LEGAL DESCRIPTION
DATE
D Planned Industri'alPermlt
D Planning Commission
Determination
D Precise Development Plan
0 Redevelopment Permit
D Site Development Plan
D Special Use Permit
D Specific Plan
D =FeFltati'o'e Pereel Ma~
Obtain from !=ngineering Department
D Tentative Tract Map
D, Variance
D Zone Change
6) APPLICANT NAME (Print or Type)
'-:W ~aO-\~
MAILING ADDRESS
l476 SAPPH l(L'~ Dt.LVt'.
CITY AND'STATE ZIP TELEPHONE
/.(.,0
S'O\f q '02.
NOTE: A PROPOSED PROJECT REQUIRING MULTIPLE APPLICATIONS BE FILED, MUST BE SUBMITTED PRIOR TO 3:30 P.M.
A PROPOSED PROJECT REQUIRING ONLY ONE APPLICATION BE FILED, MUST BE SUBMITTED PRIOR TO 4:00 P.M •.
Form 16 PAGE 1 OF 2
• 8) LOCATION OF PROJECT: --;5h~ tJ:'VLC>-A~(' C,-f"_c.l.,,(7., CAo..LS&'.:tO, CA. ct 2.00t:t
STREET ADDRESS
ON THE So011i SIDE OF I tJ~V.\M~C.l~C.l,;t: I
(NORTH, SOUTH, EAST, WEST) (N.AME OF STREET)
BETWEEN Iw,!vC\n..O~~ WQ,..GLG AND ,I fuLl ~()"W.s Ltt&oOrJ -'
(NAME OF STREET) , (NAME OF STREET)
9) LOCAL FACILITIES MANAGEMENT ZONE
10) PROPOSED NUMBER OF LOTS r-:;-l1 11) NUMBER OF EXISTING r.n 12) PROPOSED NUMBER OF ~ RESI,DENTIAL UNITS , L$J '. RESIDENTIAL UNIT.S
13) TYPE OF SUBDIVISION
16) PERCENTAGE OF PROPOSED
PROJECT IN OPEN SPACE
19) GROSS SITE ACREAGE
22) EXISTING ZONING
I .. t 114) PROPOSED IMD OFFICEI r=-JIrJ 15) PROPOSED'COMM
IVj'f"'t SQUARE FOOTAGE ~ SQUARE FOOTAGE
rn 17) PROPOSED INCREASE IN 1,-:-1, 0' 18) PROPOSED SEWER ~ ADT ~ USAGE IN EDU
GIl20) EXISTING GENERAL I R\'A 121) PROPOSED GENERAL ~ PLAN . f" I PLAN DESIGNATION,
I ~G /23) PROPOSED 'ZONING
[IJ
~'
/1,001
1~J41
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 THE PROPERTY THAT IS THE SUBJECT OF THIS APPLICATION. I/WE CONSENT
~~OSE . L~
FOR CITY USE ONLY
FEE COMPUTATION
APPLICATION TYPE
TOTAL FEE REQUIRED
DATE FEE PAID
Form 16
FEE REQUIRED
AUG 3 12aaa 9 rYOFC'
LANNINGARLSBAD DEPT
DATE STAMP APPLICATION RECEIVED
'RECEiPT NO.
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