HomeMy WebLinkAboutCDP 98-26x2; DeJong Residential Project; Coastal Development Permit (CDP) (2)CITY OF CARLSBAD
LAND USE REVIEW APPLICATION
1) APPLICATIONS APPLIED FOR: (CHE
I | Administrative Permit - 2nd
Dwelling Unit
I | Administrative Variance
^ Coastal Development Permit
(Extension)
I | Conditional Use Permit
Q Condominium Permit
I | Environmental Impact
Assessment
[~] General Plan Amendment
Q Hillside Development
Permit
I | Local Coastal Plan Amendment
O Master Plan
|_J Non-Residential Planned
Development
Q Planned Development Permit
CK BOXES)
(FOR DEPARTMENT
USE ONLY)
^-;&£.
| | Planned Industrial Permit
I | Planning Commission
Determination
I [ Precise Development Plan
| | Redevopment Permit
| I Site Development Plan
| | Specific Use Permit
| | Specific Plan
r | Tentative Parcel Mop
Obtain from Engineering Department
| | Tentative Tract Map
( | Variance
Q Zone Change
Q List other applications not
specified
(FOR DEPARTMENT
USE ONLY)
2) ASSESSOR PARCEL NO(S).:
3) PROJECT NAME:
4) BRIEF DESCRIPTION OF PROJECT:
215-080-01
Dejong Residential Project
Coastal Development Permit Extension for CDP 98-26
Note: Applicant Representative: Jack Henthorn & Associates (760) 438-4090
5) OWNER NAME (Print or Type)
ADJ Holdings, LLC
MAILING ADDRESS
605 East Mission Road
CITY AND STATE ZIP TELEPHONE
San Marcos, CA 92069 (760)751-9104
1 CERTIFY THAT 1 AM THE LEGAL OWNER AND THAT ALL THE ABOVE
INFORMATION IS TRUE AND CORRECT TO THE BEST OF MY
KNOWLEDGE. J
-""— ^ * DATE
5) APPLICANT NAME (Print of Type)
ADJ Holdings, LLC
MAILING ADDRESS
605 East Mission Road
CITY AND STATE ZIP TELEPHONE
San Marcos, CA 92069 (760)751-9104
1 CERTIFY THAT 1 AM THE LEGAL REPRESENTATIVE OF THE
OWNER AND THAT ALL THE ABOVE INFORMATION IS TRUE AND
CORRECT TO THE BESJ*)F MY KNOWLEDGE
— --— * * DATE
7)BRIEF LEGAL DESCRIPTION Portion of Sec. 22, T12S, R4W. SBM, City of Carlsbad, County of San
Diego, State of California
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:
ON THE
BETWEEN
Northeast Corner of Black u Road and Poinsettia Lane
East
(NORTH, SOUTH, EAST, WEST)
Poinsettia Lane
STREETADDRESS
SIDE OF
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
20
11) NUMBER OF EXISTING
RESIDENTIAL UNITS
14) PROPOSED IND OFFICE/
SQUARE FOOTAGE
17) PROPOSED INCREASE
INADT
20) EXISTING GENERAL
PLAN
23) PROPOSED ZONING
Black Rail Road
(NAME OF STREET)
Palomar Airport Road
(NAME OF STREET)
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 BECOME 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
TO ENTRY FOR THIS PURPOSE
SIGNATORE
FOR CITY USE ONLY
FEE COMPUTATION
APPLICATION TYPE'LICATIQN TY
OffMy-^
TOTAL FEE REQUIRED
FEE REQUIRED
RECEIVED
MAR 262002
CITY OF CARLSBAD
DATE
RECEIVED BY
DATE FEE PAID RECEIPT number
Form 16 PAGE 1 OF 2
City of Carlsbad
1635 Faraday Avenue Carlsbad CA 92008
Applicant: ADJ HOOLDINGS LLC
Description
CD?9826X2
Amount 3799 03/26/02 0002 01 02
582.50 CGP 582.50
Receipt Number: R0026256
Transaction Date: 03/26/2002
Pay Type Method Description Amount
Payment Check 3654 582.50
Transaction Amount: 582.50
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 submittal. Your projectcannot
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, 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 COIVfpf .F/TE. 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 oubliclv-owned corporation, include the
names, titles, and addresses of the corporate officers. (A separate page may be attached if
necessary.)
Person Arie de Jong, Jr. Corp/Part ADJ Holdings, LLC
Title Anna R de Jong Title Managing Member
Address 605 E. Mission Road
San Marcos, CA 92069
Address 605 E. Mission Road
San Marcos, CA 92069
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 snares. 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
Arie de Jong, Jr.
Anna E de Jong
Corp/Part ADJ Holdings, LLC
Title Managing Member
Address 605 E. Mission Road
San Marcos, CA 92069
Address 605 E. Mission Road
San Marcos, CA 92069
1635 Faraday Avenue • Carlsbad, CA 92008-7314 • (760) 602-460O • FAX (760) 602-8559
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?
Yes IXjNo 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.
Signa
Arie dejong, Jr., Managing Member Arie dejong, Jr., Managing Member
Print or type name of owner Print or type name of applicant
C]sU^t
Signature of owner/applicant's agent if applicable/date
David R. Shibley, Owner's Agent _ __
Print or type name of owner/applicant's agent
H:ADMIN\COUNTER\DISCLOSURE STATEMENT 5/98 Page 2 of 2
rARLSBAD
APPLICATION
1)
D
APPLICATIONS APPLIED FOR: (CHECK BOXES)
(FOR DEPARTMENT
USE ONLY)
D
D
D
D
D
n
Administrative Permit - 2nd
Dwelling Unit
Administrative Variance
Coastal Development Permit
(Extension)
Conditional Use Permit
Condominium Permit
Environmental Impact
Assessment
General Plan Amendment
Hillside Development
Permit
Local Coastal Plan Amendment
Master Plan
Non-Residential Planned
Development
Planned Development Permit
(FOR DEPARTMENT
USE ONLY)
Planned Industrial Permit
I I Planning Commission
Determination
\~\ Precise Development Plan
I | Redevopment Permit
| | Site Development Plan
I | Specific Use Permit
I | Specific Plan
n Tentative Porocl Map
Obtain from Engineering Department
| | Tentative Tract Map
| [ Variance
[ | Zone Change
f~] List other applications not
specified
2) ASSESSOR PARCEL NO(S).:
3) PROJECT NAME:
4) BRIEF DESCRIPTION OF PROJECT:
215-080-01
Dejong Residential Project
Coastal Development Permit Extension for CDP 98-26
Note: Applicant Representative: Jack Henthorn & Associates (760)438-4090
5) OWNER NAME (Print or Type)
ADJ Holdings, LLC
MAILING ADDRESS
605 East Mission Road
CITY AND STATE ZIP TELEPHONE
San Marcos, CA 92069 (760)751-9104
1 CERTIFY THAT 1 AM THE LEGAL OWNER AND THAT ALL THE ABOVE
INFORMATION IS TRUE AND CORRECT TO THE BEST OF MY
KNOWLEDGE. S
-^-"^x ' DATE
5) APPLICANT NAME (Print of Type)
ADJ Holdings, LLC
MAILING ADDRESS
605 East Mission Road
CITY AND STATE ZIP TELEPHONE
San Marcos, CA 92069 (760)751-9104
1 CERTIFY THAT 1 AM THE LEGAL REPRESENTATIVE OF THE
OWNER AND THAT ALL THE ABOVE INFORMATION IS TRUE AND
CORRECT TO THE BES^bF MY KNOWLEDGE
-r-^ ' DATE
7)BRIEF LEGAL DESCRIPTION Portion of Sec. 22, T12S, R4W, SBM, City of Carlsbad. County of San
Diego, State of California
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