HomeMy WebLinkAboutCP 94-01; Poinsettia Shores PA B-1; Condo Permit (CP)CITY OP CARLSBAD
LAND List REVIEW APPLICATION FOR PAGE 1 OP ">
1) APPLICATIONS APPLIED FOR: (CHECK BOXES)
(FORDEPT
USE ONLY)
Master Plan
Specific Plan
Precise Development Plan
Tentative Tract Map
fanned Development Permit
Non-Residential Planned Development
Condominium Permit
Special Use Permit
Redevelopment Permit
Tentative Parcel Map
Administrative Variance
Q General Plan Amendment
Q Local Coastal Plan Amendment
n Site Development Plan
C] Zone Change
Q Conditional Use Permit
n Hillside Development Permit
Q Environmental Impact Assessment
Q Variance
Q Planned Industrial Permit
J5J Coastal Development Permit
O Planning Commission Determination
Q List any other applications not sperificed
(FORDEPT
USE ONLY)
2) LOCATION OF PROJECT: ON THE SIDE OF
(NORTH. SOUTH EAST, WEST)(NAME OF STREET)
BETWEEN AND
(NAME OF STREET)
3) BRIEF LEGAL DESCRIPTION:
(NAME OF STREET)
L2L ?P.M.
4) ASSESSOR PARCEL NO(S).
5) LOCAL FACILITIES
MANAGEMENT ZONE
8) EXISTING ZONING
11) PROPOSED NUMBER OF
RESIDENTIAL UNITS
6) EXISTING GENERAL PLAN
DESIGNATION
C£ . 9) PROPOSED ZONING
12) PROPOSED NUMBER
OF LOTS
7) PROPOSED GENERAL PLAN
DESIGNATION
10) GROSS SITE
ACREAGE
13) TYPE OF SUBDIVISION
(RESIDENTIAL
COMMERCIAL
INDUSTRIAL)
14) NUMBER OF EXISTING RESIDENTIAL UNITS —
15) PROPOSED INDUSTRIAL
OFFICE/SQUARE FOOTAGE
16) PROPOSED COMMERCIAL
SQUARE FOOTAGE
A. PRCVOSTO PKOKCT RBQOOUNG THAT 1^
REQUIJUNG THAT Ota^Or«AmJCMK*IBg mm MUST MSUB»«r^ - ~ FRM000168/90
CITY OF CARLSBAD
LAND US£ 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 TRAf FIC
20) PROJECT NAME:
21) BRIEF DESCRIPTION OF PROJECT:
./
22) IN THE PROCESS OF REVIEWING THIS APPLICATION IT MAY BE NECESSARY FOR MEMBERS OF CITY STAFF,
PLANNING COMMISSIONERS7DESIG*/ REVIEWBOARD MEMBERS, OR CITY COUNCIL MEMBERS TO INSPECT AND
ENTER THE PROPERTY miW-JS-THt^rijEOrpF THIS APPLICATION. I/WE CONSENT TO ENTRY FOR THIS
PURPOSE
7 SIGNATURE
23) OWNER 24) APPLICANT
NAME (PRINT OR TYPE)NAME (PRINT OR TYPE)
MAILING ADDRESS MAILING ADDRESS
CITY AND STATE ZIP TELEPHONE CITY AND STATE ZIP TELEPHONE
1 CERTIFY THAT 1 AM THt LEGAL OWNW
AND THAT ALL THE ABOVE INFORMATION
IS TRUE AND CORRECT TO THE BEST OF
.MY KNOWLEDGE.
1 CERTIFY THAT I AM THE EEGAL OWNER1! REPRESENTATIVE AND
THAT ALL THE ABOVE INTORMATtON IS TRUE AND CORRECT TO THE
BEST OF MY KNOWLEDGE.
SIGNATURE DATE SIGNATURE DATE
FOR CITY USE ONLY
FEE COMPUTATION:
APPLICATION TYPE
TOTAL FEE REQUIRED
DATE FEE PAID
FEE REQUIRED
10.
If I 1- «••>.«•: \- <•-•• t~4
APR 2 9 1994
!&£ DEFT.
RECEIVED BY:
OWNER
NAME (PRINT OR TYPE)
Kaiza Poinsettia Corporation
MAILING ADDRESS
7220 Avenida Encinas, Ste. 200
CITY AND STATE
Carlsbad, CA.
TELEPHONE
(619) 931-9100
ZIP
92009
I CERTIFY THAT I AM THE LEGAL OWNER
AND THAT ALL THE ABOVE INFORMATION IS
TRUE AND CORRECT TO THE BEST OF MY
KNOWLEDGE.
SIGNATURE DATE
APPLICANT
NAME (PRINT OR TYPE)
Kaiza Poinsettia Corporation
MAILING ADDRESS
7220 Avenida Encinas, Ste. 200
CITY AND STATE
Carlsbad, CA.
TELEPHONE
(619) 931-9100
ZIP
92009
I CERTIFY THAT I AM THE LEGAL OWNER'S
REPRESENTATIVE AND THAT ALL THE
ABOVE INFORMATION IS TRUE AND
CORRECT TO THE BEST OF MY KNOWLEDGE.
SIGNATURE DATE
cjity of Carlsbad
Rlatming Department
DISCLOSURE STATEMENT
APPLICANTS STATEMENT OF DISCLOSURE OF CERTAIN OWNERSHIP INTERESTS ON ALL APPLICATIONS WHICH WILL REQUIRE
ACTION CN THE PART OF THE CITY COUNCH. on ANY APPOINTED BOARD. COMMISSION on COMMITTEE.
(Please Print)
The following information must be disclosed:
1. Applicant .. f
List the names and addresses of all persons having a financial interest in the application.
Kaiza Poinsettia Corporation
7220 Avenida Encinas
Suite 200
Carlsoaa,CAy/uuy
Owner
List the names and addresses of ail persons having any ownership interest in the property involved.
Kaiza Poinsettia Corporation
7220 Avenida Encinas
Suite ZUTT
LarisDacr, t_ft
3. If any person identified pursuant to (1) or (2) above is a corporation or partnership, list the names znc.
addresses of all individuals owning more than 10% of the shares in the corporation or owning any partnersn:p
interest in the partnership.
Saiga California, Inc.
7220 Avenida
Suite 200
PA, P?QQQ
4. If any person identified pursuant to (1) or (2) above is a non-profit organization or a trust, list the names anc
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
2O75 Las Paimas Drive • Carlsoaa. California 92009-^859 - (6T9)
Disclosure Statement
(Over)
Page 2
5. Have you had more than $250 worth of business transacted with any member of City staff. 3carcs
Commissions. Committees and Council within the past twelve months?
Yes No If yes, please indicate person(s)
Parson it d«lin»d u: 'Any individual, lirm, copartnership, joint vantur*. aaaociation, social club, fraternal organization, corporation, estate, trust.
receiver, syndicate, thia and any otri«r county, city and county, city municipality, district or otfi*r political subdivision, or any other group or
combination acting aa a unit*
(NOTE: Attach additional pages as necessary.)
"signature of Owner/date
Print or type name of owner
Signature of applicant/date
Print or type name of applicant