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Home My WebLink AboutCP 276; PARK LA COSTA; Condo Permit (CP)CITY OF CARLSBAD LAND USE REVIEW APPLICATION . 1) APPLICATIONS APPLIED FOR: (CHECK BOXES) (FOR DEPARTMENT (FOR DEPARTMENT USE ONLY) USE ONLY) Administrative Permit - 2nd Dwelling Unit fl Administrative Variance Coastal Development Permit F-1 Conditional Use Permit /?1o_ AniRI p5D/Wex,7-70 Permit Environmental Impact Assessment General Plan Amendment Hillside Development Permit Local Coastal Plan Amendment Master Plan LII Non-Residential Planned Development fl Planned Development Permit Planned Industrial Permit Planning Commission Determination fl Precise Development Plan 0 Redevelopment Permit Site Development Plan fl Special Use Permit Specific Plan fl Tentative Parcel Map Obtain from Engineering Department Tentative Tract Map Variance Zone Change List other applications not specified C. F 2) ASSESSOR PARCEL NO(S).: Af't) 3o6J, O2, 9S 3) PROJECT NAME: t ,- Cr* 71Pq2.r71'7 4) BRIEF DESCRIPTION OF PROJECT: CL..o$E:- /1—L.L (tP?TS 77b CÔA-) Vzg7f' /'.Y7 .P,2c5 C.92 5) OWNER NAME (Print or Type) - 1-4 e057- 6) APPLICANT NAME (Print or Type) /4'' MAILING ADDRESS 9,5 MAILING ADDRESS CITY AND STATE Df__2__ ZIP TELEPHONE C4 qs72 CITY AND STATE e,- ZIP TELEPHONE 1261/ -7 I CERTIFY THAT I AM THE LEGAL OWNER AND THAT ALL THE ABOVE INFORMATION IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AL I CERTIFY THAT (AM THE LEGAL REPRESENTATIVE OF THE OWNER AND THAT ALL THE ABOVE INFORMATION IS TRUE AND CORRECT TO THE BEST OF MY IJOWábGE. SI?NATUEJ DATE t67/A 5'20 Y A-'LO OAms irI 7) BRIEF LEGAL DESCRIPTION -' (92q7Q.7' 7 MLjW71i i4-, ePy NOTE: A PROPOSED PROJECT REQUIRING MULTIPLE APPLICATIONS BE FILED, MUST BE SUBMITTED PRIOR TO 3:30 P.M. A PROPOSED PROJECT REQUIRING ONLY ONE APPLICATION BE FILED, MUST BE SUBMITTED PRIOR TO 4:00 P.M. Form 16 PAGE 1 OF 2 I 8) LOCATION OF PROJECT: 1014 STREET ADDRESS ON THE I /LI f?# 4 5ew4 SIDE OF I t&7Zz4 rTô (NORTH, SOOTH, EAST, WEST) (NAME OF STREET) BETWEEN I Z# 74//; AND pi '"$ zS (NAME OF STREET) (NAME OF STREET) 9) LOCAL FACILITIES MANAGEMENT ZONE L I 10) PROPOSED NUMBER OF LOTS 11) NUMBER OF EXISTING 12) PROPOSED NUMBER OF RESIDENTIAL UNITS RESIDENTIAL UNITS 13) TYPE OF SUBDIVISION 14) PROPOSED IND OFFIE/ SQUARE FOOTAGE 15) PROPOSED COMM SQUARE FOOTAGE 16) PERCENTAGE OF PROPOSED 17) PROPOSED INCREASE IN 18) PROPOSED SEWER PROJECT IN OPEN SPACE ADT USAGE IN EDU 19) GROSS SITE ACREAGE 20) EXISTING GENERAL PLAN 21) PROPOSED GENERAL PLAN DESIGNATION 22) EXISTING ZONING 23) PROPOSED ZONING 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 TON,TRY FOR THIS PURPOSE r /7 SIG MACrU RE FOR CITY USE ONLY FEE COMPUTATION APPLICATION TYPE FEE REQUIRED TOTAL FEE REQUIRED qg MAR 13 1998 CITY OF PLANNING DEpT DATE STAMP APPLICATION RECEIVED • RECEIVED BY: DATE FEE PAID RECEIPT NO. Form 16 PAGE 2OF2 I of Carlsbad 4lLI Øç't 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: 1. APPLICANT List the names and addresses of all persons having a financial interest in the application. 5L6 .7 1kc2rxeia 2. OWNER • List the names and addresses of all persons having any ownership interest in the property involved. 3. If any person identified pursuant to (1) or (2) above is a corporation or partnership, list the names and addresses of all individuals owning more than 10% of the shares in the corporation or owning any partnership interest in the partnership. 4. If any person identified pursuant to (1) or (2) above is a non-profit organization or a trust, list the names and addresses of any person serving as officer or director of the non-profit organization or as trustee or beneficiary of the trust. 2075 Las Palmas Dr. • Carlsbad. CA 92009-1576. (619) 438-1161 • FAX (619) 438-0894 5. Have you had •e than $250 worth of business tr acted with any member of City staff, Boards, Commissions, Committees and/or Council within the past twelve (12) months? Yes j.No If yes, please indicate person(s):__________________________ 'Person is .defined. as "Any individual, firm, co-partnership, joint venture, association, social club, fraternal organization, corporation,:estate, trust, receiver, 'syndicate, -,this and any other county, city and county,. ,city municipality, district' or other. :political .subdivision or any other group or combination acting as aunit." NOTE: Attach additional sheets if necessary. Signatuf owier/date ç 'h'àtur appliit/date 1)i r-fL 74 -ie - Z37, Print or type name of wrier Print or type name of applicant Disclosure Statement 10/96 Page 2 of 2 . . PROJECT DESCRIPTION/EXPLANATION PROJECT NAME: 7PA,10~ LOL APPLICANT NAME: 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. •7; [5 / 2 p5i74 I ppe—o p e-l' -17 0 ~ 0 DO 7 4L/5 ô iy 7 •1 7o 477 CO o a / a P / P"') / D C W aD fg44-M :F7 I ceo 4 cc- 0 A U ( (7 9 UcT:D 7O /44 ,PT-( ~77' C __ ctv X 157A CL%T L9cr7d Rev. 4/91 PrejD.ac.frm STATEMENT OF AGREEMENT TENTATIVE SUBDIVISION MAP CITY OF CARLSBAD The Subdivision Map Act and the Carlsbad Municipal Code sets a fifty (50) day time restriction on Planning Commission processing of Tentative Maps and a thirty (30) day time limit for City Council action. These time limits can only be extended by the mutual concurrence of the applicant and the City. By accepting applications for Tentative Maps concurrently with applications for other approvals which are prerequisites to the map; i.e., Environmental Assessment, Environmental Impact Report, Condominium Plan, Planned Unit Development, etc., the fifty (50) day time limits and the thirty (30) day time limits are often exceeded. If you wish to have your application processed concurrently, this agreement must be signed by the applicant or his agent. If you choose not to sign the statement, the City will not accept your application for the Tentative Map until all prior necessary entitlements have been processed and approved. that the processing time required by the City limits, therefore the undersigne or anning Commission and C y concurs with any extensionsme up o te the application was accepted as complete to properly review all of the applications. 5 -9-' ig Date Name (Print) Relationship Z Application (Property Owner-Agent) 4A) 1-31 pvry qpPi( Qi::T O,t3 0 1DS FRM0037 2/96 7frF6 L-/fr' I LO I '- 42?Y LØIØJ QUALITY ORIGINAL (S) ) "7 CITY OF CARLSBAD 1200 CARLSBAD AGE DRIVE CARLSBAD, CA FORNIA 92008 434-2867 REC'D FROM (X _________ DATE I ACCOUNT NO DESCRIPTION AMOUNT (r/ [flJ4 49723/1-3i9 U0101 C-f F11 00 PF(FIPT NO NOT VALID UNLESS VALIDATED BY TOTAL c f ( Printed on recycled paper. CASH REGISTER v CITY OF CARLSBAD cIFORNIA 92008 1200 CARLSBAD LAGE DRIVE CARLSBAD, 434-2867 REC'D FRO J7c tT)'> DATE f2 -7O ACCOUNT NO. DESCRIPTION AMOUNT ' - - -_i?D N RF(FIPT Nfl NOT VALID UNLESS VALIDATED BY TOTAL Printed on recycled paper. CASH REGISTER