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HomeMy WebLinkAboutCP 91-02; LAGUNA VILLAGE; Condo Permit (CP)I 1 QTY OF CARLSTiAj) 1 LAND USE REVIEW APPLICATION FOR PAGE 1 OF 2 1) APPLICATIONS APPLIED FOR: (CHECK BOXES) (FOR DEPT rtc CPITV (FOR DEPT USE OL) O % O Master Plan Specific Plan Precise Development Plan Tentative Tract Map Planned Development Permit Non-Residential Planned Development Condominium Permit Special Use Permit Redevelopment Permit Tentative Parcel Map Administrative Variance E 0 E Q General Plan Amendment Local Coastal Plan Amendment Site Development Plan Zone Change Conditional Use Permit Hillside Development Permit Environmental Impact Assessment Variance Planned Industrial Permit Coastal Development Permit Planning Commission Determination List any other applications not specificed -) 9'j j - 2) LOCATION OF PROJECT: ON THE 7 SIDE OF Lu..ci.. lDvwe (NORTH, SOUTH EAST, WEST) (NAME OF STREET) BETWEEN J issr f. J AND J 1 (NAME OF STREET) (NAME OF STREET) 3) BRIEF LEGAL DESCRIPTION: J L4 J liek 8 é Ssi -Slope- YrI '- S I)Fe, Caaia%+,j Mp 46 6 / ri Ie4 Pot ip.. Z tejJ 4) ASSESSOR PARCEL NO(S). 155 211 - 2- 4 J5- 2'71—;5 ,0 5) LOCAL FACILITIES I / 6) EXISTING GENERAL PLAN (L01,714 7) PROPOSED GENERAL PLAN MANAGEMENT ZONE DESIGNATION DESIGNATION 8) EXISTING ZONING 2. 9) PROPOSED ZONING 2 1 10) GROSS SITE I ACREAGE 11) PROPOSED NUMBER OF 12) PROPOSED NUMBER 13) TYPE OF SUBDIVISION RESIDENTIAL UNITS 8 OF LOTS (RESIDENTIAL COMMERCIAL INDUSTRIAL) 14) NUMBER OF EXISTING RESIDENTIAL UNITS 2. 15) PROPOSED INDUSTRIAL I i• 116) PROPOSED COMMERCIAL OFFICE/SQUARE FOOTAGE SQUARE FOOTAGE NOTE. A PROPOSED PROJECT RErVIRING ThAT I.LTWLE APPUCA110!' BE PILE) MLT BE 9JM&rrM PRIOR TO 33O PAL A PROO6U) PROJECT REQUIRING ThAT ONLY ONE APPLICATION BE PUM I&T BE SUBhUrM PRIOR TO 4M pj FB.M00016 8/90 I. CITY OF CARLSBAD LAND USE REVIEW APPLICATION FORM PAGE 2 OF 2 17) PERCENTAGE OF PROPOSED PROJECT IN OPEN SPACE 18) PROPOSED SEWER USAGE IN EQUIVALENT DWELLING UNITS 19) PROPOSED INCREASE IN AVERAGE DAILY TRAFFIC 20) PROJECT NAME: I L u' l'I 21) BRIEF DESCRIPTION OF PROJECT: 0 rf W141 2 tCLS)Ah6L15 a _ S -- L. l) ?up 22) IN THE PROCESS OF REVIEWING 14{IS APPLICATION IT MAY BE NECESSARY FOR MEMBERS OF CITY STAFF, ENTER THE PROP W8.-rHE SUBJECT QF-{IS APPLICATI. I/I)CONSENT TO ENTRY FOR THIS PLANNING COrERS DESIGN REVIEW BOARD MEMBERS, OR CITY COUNCIL MEMBERS TO INSPECT AND PURPOSE b—' V SIGNATURE 23) OWNER 24) APPLICANT NAME (PRINT OR TYPE) NAME (PRINT OR TYPE) '4& MAILING ADDRESS MAILING ADDRESS / C14'-tLe 7)rIe. i CITY AND STATE ZIP TELEPHONE CITY AND STATE ZIP TELEPHONE qL'8 q4/-IBI/ C4r(g/ .' 72e7 /2*52_ CERTIFY THAT I AM THE LEGAL OWNER I CERTIFY THAT I AM THE LEGAL OWNER's REPRESENTATIVE AND AND THAT ALL THE ABOVE INFORMATION THAT ALL THE ABOVE INFORMATION IS TRUE AND CORRECT TO THE IS TRUE AND CO TO THE BEST OF BEST OF MY KNOWLEDGE. SIGNA rE j DATE SralVNTUREI~ 2A Do FOR CITY USE ONLY Recei''eci FEE COMPUTATION: APPLICATION TYPE FEE REQUIRED tai-I tE 1,A- 2,10.00 pp1fcp g1) 3 go,a ,pp ?,6.30. QO 9c-i ::i- TOTAL FEE REQUIRED I 761c.Oo 1 DATE FEE PAID I 2// RECEIPT NO. 1 3 2 7 FEB 15 199) CITY OF CARLSBAD DATE STAMP APPLICATION RECEIVED RECEIVED BY: . S - I CITY OF CARLSBAD 1200 CARLSBAD VILLAGE DRIVE CARLSBAD, CALIFORNIA 92008 438-5621 REC'D FROM-' I DATE j I.J C (f) /d ACCOUNT NO. DESCRIPTION AMOUNT I - _ {)ç1((W)-')/ _090402/15/91 •.2/)/(13 0001 01 02 CT ?76 RECEIPT NO. 3293 TOTAL / City of Carlsb F1p(III1! •Z.J.gi DISCLOSURE STATEMENT APPLICANT'S STATEMENT OF 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. (Please Print) The following information must be disclosed: Applicant List the names and addresses of all persons having a financial interest in the application. Ch ra ts k'Mr.4LL( /fjitf (DQ/e( I9',' 4L'S4LFI-114 7/144 14gAt140'4 iJI-.57A, cg uç iJf-rSr$, 1- 42ô9 2. Owner List the names and addresses of all persons having any ownership interest in the property involved. hoLItS 1. FLI-A C/t/?D K47rr;/-t J A f t 1 M. Fi.i A j e. A / TIi /J,Il9e#1c..Q. IDdQ. tj.(-, - J1 t f'4 .4. oc/ -'@ 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. c1h,qc AIieA/ I ftw £a5A-,qLM* 1/1/16 ,4MAL4-u5- tp~17 V:7-4, j4 ''Zt L i25/4 £6 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. GFRM00013 8/90 2075 Las Palmas Drive • Carlsbad, California 92009-4859 • (619) 438-1161 (Over) Disclosure Statement Page 2 5. Have you had more than $250 worth of business transacted with any member of City staff, Boards, Commissions, Committees and Council within the past twelve months? Yes - No If yes, please indicate person(s)__________________ Person is defined as: Any individual, firm, copartnership, joint ventur•. 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 a unit. (NOTE: Attach additional pages as necessary.) Signature of Owner/date Sirure of appli ant/ ate 0, FPQ/As e/zA4I 04 L- Print or type name of owner Print or type name of applicant -9 i • Fte& MIXTUMMIM 1S1/ . FRM00013 8190 9)