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Home My WebLink AboutCDP 98-13A; Rancho Real; Coastal Development Permit (CDP) (6)CITY OF CARLSBAD LAND USE REVIEW APPLICATION 1) APPLICATIONS APPLIED FOR: (C Q Administrative Permit - 2nd Dwelling Unit Q Administrative Variance £3 Coastal Development Permit C Arwe rvci m-e*rl- J Q Conditional Use Permit Q Condominium Permit Q Environmental Impact Assessment [J General Plan Amendment Q Hillside Development Permit Q Local Coastal Plan Amendment Q Master Plan Qj Non-Residential Planned Development Q Planned Development Permit -HECK BOXES) (FOR DEPARTMENT USE ONLY) dDP W-M(f> 1 ~| Planned Industrial Permit [~~1 Planning Commission Determination O Precise Development Plan Q Redevelopment Permit 1 1 Site Development Plan I | Special Use Permit Q Specific Plan [H Tentative Parcel Map Obtain from Engineering Department |~1 Tentative Tract Map |~l Variance [~| Zone Change [ 1 List other applications not specified (FOR DEPARTMENT USE ONLY) 2) 3) 4) ASSESSOR PARCEL NO(S).: PROJECT NAME: 203-040- BRIEF DESCRIPTION OF PROJECT: 5) OWNER NAME {Print or Type) MAILING ADDRESS CITY AND STATE ZIP TELEPHONE 1 CERTIFY THAT 1 AM THE LEGAL OWNER AND THAT ALL THE ABOVE INFORMATION IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE. fyjafc t&0c^~ iohl^& SIGNATURE DATE 6) APPLICANT NAME (Print or Type) MAILING ADDRESS CITY AND STATE ZIP TELEPHONE 1 CERTIFY THAT 1 AM THE LEGAL REPRESENTATIVE OF THE OWNER AND THAT ALL THE ABOVE INFORMATION IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE. /feofe^tO- lof&l^& SIGNATURE DATE 7) BRIEF LEGAL DESCRIPTION LOT 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 40015 PAGE 1 OF 2 8) LOCATION OF PROJECT:H/A STREET ADDRESS ON THE BETWEEN w&srr (NORTH, SOUTH, EAST,WEST) USA sr (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 1 9) GROSS SITE ACREAGE 22) EXISTING ZONING y\ £ES. x/fi tt.%5 P>-A (0000 SIDE OF AND i 1 1 ) NUMBER OF EXISTING RESIDENTIAL UNITS 14) PROPOSED IND OFFICE/ SQUARE FOOTAGE 1 7) PROPOSED INCREASE IN ADT 20) EXISTING GENERAL PLAN 23) PROPOSED ZONING £u (^A^irao Q£*L~ (NAME OF STREET) £-ANMOM {ZO^O ^KTFWSlONl (NAME OF STREET) 2- / tffr RL|^\ A//? 12) PROPOSED NUMBER OF RESIDENTIAL UNITS 15) PROPOSED COMM SQUARE FOOTAGE 18) PROPOSED SEWER USAGE IN EDU 21) PROPOSED GENERAL PLAN DESIGNATION ?* 0 *fa/ t*l* 24) IN THE PROCESS OF REVIEWING THIS APPLICATION IT MAY BE NECESSARY FOR MEMBERS OF CITY STAFF, PLANNING COMMISSIONERS, DESIGN REVIEW BOARD MEMEBERS OR CITY COUNCIL MEMBERS TO INSPECT AND ENTER THE PROPERTY THAT IS THE SUBJECT OF THIS APPLICATION. I/WE CONSENT TO ENTRY FOR THIS PURPOSE SIGNATURE FOR CITY USE ONLY FEE COMPUTATION APPLICATION TYPE FEE REQUIRED V-L/ r u\ WltTit t\]A\-£sf*£xr FPf ITAL FEE REQUIRED I, Ofc»0 ^•0 \,\ \b RECEIVED OCT 08 1998 CITY OF CARLSBAD RECEIVED BY: DATE FEE PAID RECEIPT NO. Form 16 PAGE 2 OF 2 v CITY OF CARLSBAD ^ 1200 CARLSBAD VILLAGE DRIVE CARLSBAD, CALIFORNIA 92008 434-2867 REC'D FROM DATE \Q-& ACCOUNT NO. C- PfrmtL RECEIPT k6. 59^50 DESCRIPTION CDP q&- 1?> cfa pff- 2040 10/08/98 NOT VALID UNLESS VALIDATED BY TOTAL AMOUNT I.Dkn — So -- 0001 01 02 C-PRHT lllp-00 \.i\o — Printed on recycled paper.CASH REGISTER PROJECT DESCRIPTION/EXPLANATION PROJECT NAME: APPLICANT NAME: CAfeu'bSAQ 3S , Please describe fully the proposed project. 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. OP -rue -- K^-^-o^ TO AULO»-*J oo/i»N»t> -TH^ MoarAA ix v i to APW c \.-THE ts A R«v. 4/91 City of Carlsbad Planning Department DISCLOSURE STATEMENT Applicant's statement or disclosure of certain ownership interests on all applications which will require discretionary action on the part of the City Council or any appointed Board, Commission or Committee. The following information MUST be disclosed at the time of application submirtal. Your project cannot be reviewed until this information is completed. Please print. Note: Person is defined as "Any individual, firm, co-partnership, joint venture, association, social club, fraternal organization, corporation,- estate, oust, 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 publiclv-owned corporation, include the names, titles, and addresses of the corporate officers. (A separate page may be attached if necessary.) Person, Title Corp/Part PtuMACte Title Address 3CQ-2- povA/Ave.122- Address 3QOZ Qow (e>o~b Ho'OWNER (Not the owner's agent) Provide the COMPLETE. LEGAL names and addresses of ALL persons having any ownership interest in the property involved. Also, provide the nature of the legal ownership (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 publicly- owned corporation, include the names, titles, and addresses of the corporate officers. (A separate page may be attached if necessary.) Person Title Corp/Part Title Address ress 2075 Las Palmas Dr. • Carlsbad, CA 92OO9-1576 • (76O) 438-1161 • FAX (760) 438-O894 3. NON-PROFIT ORGANIZATION OR TRUST If any person identified pursuant to (1) or (2) above is a nonprofit organization or a trust, list the names and addresses of ANY person serving as an officer or director of the non-profit organization or as trustee or beneficiary of the. Non Profit/Trust Non Profit/Trust Title Title Address Address 4. Have you had more than $250 worth of business transacted with any member of City staff, Boards, Commissions, Committees and/or Council within the past twelve (12) months? I""] Yes j^No If yes, please indicate person(s): NOTE: Attach additional sheets if necessary. I certify that all the above information is true and correct to the best of my knowledge. Signature of owner/date Signature of applicant/date Print or type name of owner Print or type name of applicant Signature of owner/applicant's agent if applicable/date Print or type name of owner/applicant's agent H:ADMIN\COUNTER\DISCLOSURE STATEMENT 5/98 Page 2 of 2