HomeMy WebLinkAboutCP 91-03; LA COSTA FAIRWAY VILLAS; Condo Permit (CP)CTh- OF CARLSBAD
LAND USE REVIEW APPLICATION FOR PAGE 1 OF 2
1) APPLICATIONS APPLIED FOR: (CHECK BOXES)
(FOP. DEPT
(1SF. OM.V
O Master Plait
Specific Plan
fJ Precise Development Plan
Tentative Tract Map
l'Planried Development Permit
Non-Residential Planned Development
2/condominium Permit
0 Special Use Permit
Redevelopment Permit
( Tentative Parcel Map
O Administrative Variance
\ b (FOR DEPT
USE OcLY)
0 Olt
General Plan Amendment
Local Coastal Plan Amendment
Site Development Plan
Zone Change
Variance
0 Planned Industrial Permit
Coastal Development Permit
2 Planning Commission Determination
2 List any other applications not specificed
[J Conditional Use Permit
[
"ilside Development Permit ,4'D7
2-'Environmental Impact Assessment
2) LOCATION OF PROJECT: ON THE I 'Jfl4 ] SIDE OF
(NORTH, SOUTH EAST, WEST) (NAME OF STREET)
BETWEEN ILA AND J Jloifl2, p,-
(NAME OF STREET) (NAME OF STREET)
I BRIEF LEGAL DESCRIPTION:
I
0
4) ASSESSOR PARCEL NO(S). J "-1 1 G' - rj — 0 11 O / C(,9
5) LOCAL FACILITIES 6) EXISTING GENERAL PLAN 7) PROPOSED GENERAL PLAN
MANAGEMENT ZONE DESIGNATION DESIGNATION
8) EXISTING ZONING 9) PROPOSED ZONING I f2Oifl 10) GROSS SITE 113 ACREAGE
11) PROPOSED NUMBER OF 112) PROPOSED NUMBER (a 13) TYPE OF SUBDIVISION
RESIDENTIAL UNITS J OF LOTS /
14) NUMBER OF EXISTING RESIDENTIAL UNITS
15) PROPOSED INDUSTRIAL I 16) PROPOSED COMMERCIAL
OFFICE/SQUARE FOOTAGE SQUARE FOOTAGE
(RESIDENTIAL
COMMERCIAL
INDUSTRIAL)
01
NOTE. A PBO('OSED PROA= REQUIRING THAT MULflPtZ APKXAMCM BIS PU,EI) L=r BE 9AWnTM PRWR TO.3MP& it P0I) PROJECr
REQLTMM ,nIJ.X ONLY ONE APKICAMON BE FMW kg= BE SUBMnW P jJjO 400 P.b, FRM000I6 8/90
21)
w CITY OF CARLSBAD w -1 LAND USE REVIEW APPLICATION PAGE 2 OF 2 I
17) PERCENTAGE OF PROPOSED PROJECT IN OPEN SPACE
18) PROPOSED SEWER USAGE IN EQUIVALENT DWELLING UNITS IF- / U7
19) PROPOSED INCREASE IN AVERAGE DAILY TRAFFIC
20) PROJECT NAME: L6,e)-,sTp r--' 111t7A-S
22) IN THE PROCESS OF REVIEWING THIS APPLICATION IT MAY BE NECESSARY FOR MEMBERS OF CITY STAFF,
PLANNING COMMISSIO * 5~EMbEWOARD MEMBERS, OR CITY COUNCIL MEMBERS TO INSPECT AND
ENTER THE PROPER1 S APPLICATION. VWE CONSENT TO ENTRY FOR THIS
PURPOSE
Z
23) OWNER 24) APPLICANT
NAME (PRINT OR TYPE) NAME (PRINT OR TYPE)
/-(<)SSt7422cfl)fo0I
MAILING ADDRESS MAILING ADDRESS
'7? 5 Cr-R <T
CITY AND STATE ZIP TELEPHONE CITY AND STATE ZIP TELEPHONE
(A-
I 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 CoaREcr it THE IS TRUE AND £BQST OF BEST OF MY KNOWLEDGE. MYKNO
SIGNATU SIGNATURE DATE
FOR CITY USE ONLY F
FEE COMPUTATION: ty
APPLICATION TYPE FEE REQUIRED
p !1V rr rJPJSBP[)
/1 DPg/-/() DATE STAMP APPUCAflON RECtNtlY"
RECEIVED BY:
TOTAL FEE REQUIRED J 357) C)
DATE FEE PAID 3 -g_- 9/ I RECEIPT NO.
S
S
/
CITY OF CARLSBAD I
1200 CARLSBAD VILLAGE DRIVE CARLSBAD, CALIFORNIA 92008
438-5621
REC'D FROM - 1624 OZ/2&91 bOji11y
DATE_CFR 65-147111) OO
ACCOUNT NO. DESCRI UON / AMOUNT
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:
IM
C.7\
;)R( _______
(; 29
RECEIPT NO. 3500 TTAL. ç-- H-
S 0
CitV of Carlsbad
. -A! M-
I
DISCLOSURE
APPLICANTS 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:
1. Applicant
List the names and addresses of all persons having a financial interest in the application.
oc/?.! 20a Pa-cl') /
6MAJX
2. Owner
List the names and addresses of all persons having any ownership interest in the property involved.
/SE7,J 7L11 0f2fL ol) I
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.
FRM00013 8/90
2075 Las Palmas Drive • Carlsbad, California 92009-4859 • (619) 438-1161
.
(Over)
Disclosure Statement Page 2
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 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 a unit.
(NOTE: Attach additional pages as necessary.)
7/ Signature of Owner/date
Moss74 24€pJ))
Print or type name of owner
Signature of applicant/date
Print or type name of applicant
0