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Home My WebLink AboutCP 99-02C; Prentice Deck; Condo Permit (CP) (4)JUN-28-2001 THU 01'39 PM CARLSBAD ENGINEERING FAX NO, 760 602 1052 P, 03 CITY OF CARLSBAD LAND USE REVIEW APPLICATION 1) APPLICATIONS APPLIED FOR: (CHECKBOXES) D D Administrative Permit - 2nd Dwelling Unit Administrative Variance Coastal Development Permit Conditional Use Permit Condominium Permit Environments Impact Assessment General Plan Amendment Hillside Development Permit Local Coastal Plan Amendment Master Plan Non-Residential Planned Development I J Planned Development Permit n (FOR DEPARTMENT USE ONLY) Planned Industrial Permit Planning Commission Determination Precise Development Plan Redevelopment Permit Site Development Plan Special Use Permit Specific Plan Tentoti»e Porcnl Map Obtain from Engineering Department Tentative Tract Map LJ Variance I [ Zone Change LJ List other applications not specified D D D D n n IPOR DEPARTMENT USE OMVl 2) 31 4) ASSESSOR PARCEL NOfS),: PROJECT NAME: BRIEF DESCRIPTION OF PROJECT: 2rvl floor 5) OWNER NAME (Print or Type! MAILING ADDRESS CITY AND STATE ZIP 1 CERTIFY THAT 1 AM THE LEGAL OWNER AND INPOBrtflATTCrNslS TRUE AND CORRECT TO KNOWLEDGE. X SIGNATURE r TELEPHONEGfco) THAT ALL THE ABOV£ THE BEST OF MY (,^<?3^0( DATE 6) APPLICANT NAME (Print or Type) MAILING ADDRESS CITY AND STATE BP TELEPHONE 1 CERTIFY THAT 1 AM THE LEGAL REPRESENTATIVE OF THE OWNER AND THAT ALL THE ABOVE INFORMATION IS TRUE AMD CORRECT TO THE B6ST OF MY KNOWLEDGE- SIGNATURE DATE 1\ BRIEF LEGAL DESCRIPTION 40TE: A PROPOSED PROJECT REQUIRING MULTIPLE APPLICATIONS BE FILED. MUST BE SUBMITTED PRIOR TO 3:3C \ PROPOSED PROJECT REQUIRING ONLY ONE APPLICATION BE FILED, MUST BE SUBMITTED PRIOR TO 4:00 P.M. Form 16 PAGE 1 OF 2 JUN-28-2001 THU 01:39 PH CARLSBAD ENGINEERING-FAX NO, 760 602 1052 P. 04 8) LOCATION OF PROJECT: ON THE BETWEEN (NORTH, SOUTH, EAST, WEST) STREET ADDRESS 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 11) NUMBER OF EXISTING RESIDENTIAL UNITS 14) PROPOSED IND OFFICE/ SQUARE FOOTAGE 17) PROPOSED INCREASE IN ADT 20) EXISTING GENERAL PLAN 23) PROPOSED ZONING (NAME OF STREET) (NAME OF 5TR£ET| 12} PROPOSED NUMBER OF RESIDENTIAL UNITS 1 6) PROPOSED COMM SQUARE FOOTAGE 181 PROPOSED SEWER USAGE IN EDU 21) PROPOSED GENERAL PLAN DESIGNATION 24) IN THE PROCESS OF REVIEWING THIS APPLICATION IT MAY BE 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 SIGNATURE FOR CITY USE ONLY FEE COMPUTATION APPLfCAT^pNTYPE TOTAL FEE REQUIRED FEE REQUIRED RECEIVED JUN 2 8 2001 CITY OF CARLSBAD RECEIVED BY: DATE FEE PAID Form 16 RECEIPT NO. PAGE 2 OF 2 <-/3 City of Carlsbad 1635 Faraday Avenue Carlsbad CA 92008 Applicant: PRENTICE JON AND BETTY Description CP99002C Amount 250.00 Receipt Number: R0021334 Transaction Date: 06/28/2001 Pay Type Payment Method Check Description Amount 5243 250.00 Transaction Amount: 250.00 3429 06/28/01 0002 01 02 CGP 250.00 JUN-28-2001 THU OH 40 PM CARLSBAD ENGINEERING FAX NO, 760 602 1052 P. 07 PROJECT DESCRIPTION/XPLANATION PROJECT NAME: APPLICANT NAME: Please describe fully the proposed project by application type. 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. Project Description 10/96 Page 1 of 1 J'JN-28-2001 THU 01:39 PM^CARLSBAD ENGINEERING FAX NO. 760 602 1052 P. City of Carlsbad • j,_— — ^—^g— 1^^— ^»— j^— ^— — — H^jj.—Planning 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 project cannot be reviewed until this information is completed. Please print. Note; Person is defined as "Any individual, fata, 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" Agfents 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 CQItyPLETy- lfp^^H 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 publiclv-owned corporation, include the names, titles, and addresses of the corporate officers. (A separate page may be attached if necessary.) Person Title Address.. Corp/Part Title Address 2. 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.c, partnership, tenants in common, non-profit, corporation, etc.), If the ownership includes a gorpoation 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 publicly- owned corporation, include the names, titles, and addresses of the corporate officers. (A separat 1635 Faraday Avenue * Carlsbad, CA 92008-7314 • (760) 6O2-4GOO • FAX (760) 6O2-8559 JUN-28-2001 THU OH 40 PM CARLSBAD ENGINEERING * ~—" FAX NO. 760 602 1052 P. 06 3.NON-PlwFTT ORGANIZATION OR TRUST If any person identified pursuant to (I) or (2) above is ajBOnprofit organization or a trust, list the names and addresses of AJN^ 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 A / / A Title Address Address. 4. Have you had more than S250 worth of business transacted with any member of City staff, Boards, Commissions, Committees and/or Council within the past twelve (12) months? DYes No If yes, please indicate persons):. NOTE: Attach additional stjeetfi if necessary. I certify that all the a love i ion is true and correct to the best Print or type name of owner Signature Print or type name of applicant Signature of owner/applicant's agent if applicable/date Print or type name of owner/applicant's agent H:ADMIN\COUNTEft\DISCUGSUftE STATEMENT 5/98 Page 2 of 2