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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