HomeMy WebLinkAboutCP 99-05; Worth Condominium Conversion; Condo Permit (CP) (3)CITY OF CARLSBAD
LAND USE REVIEW APPLICATION
1) APPLICATIONS APPLIED FOR: (C
| | Administrative Permit - 2nd
Dwelling Unit
| | Administrative Variance
PI Coastal Development Permit
CD Conditional Use Permit
fjj Conrlominii im Pprmit ,j*^^y<y
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[~~l Environmental Impact a^-O^>
Assessment
[~1 General Plan Amendment
CD Hillside Development Permit
CD Local Coastal Plan Amendment
CD Master Plan
CD Non-Residential Planned
Development
[~| Planned Development Permit
:HECK BOXES)
(FOR DEPARTMENT
USE ONLY)
|~1 Planned Industrial Permit
1 1 Planning Commission
Determination
O Precise Development Plan
f~l Redevelopment Permit
D Site Development Plan
[~l Special Use Permit
[~| Specific Plan
|~| Tentative Parcel Map
Obtain from Engineering Department
CD Tentative Tract Map
CK Variance
CD Zone Change
[_) List other applications not
specified
(FOR DEPARTMENT
USE ONLY)
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2) ASSESSOR PARCEL NO(S).: _
3) PROJECT NAME: _
4) BRIEF DESCRIPTION OF PROJECT:
o
(V-.t)6?t/ £ Ti i^ ^ 1"0 C*
5) OWNER NAME (Print or Type)
MAILING ADDRESS
CITY AND STATE ZIP TELEPHONE
QA Q.l^T"'^xVO (1/V- *7 "2(756^ (?tD) {\i)\ -4 T? 2.
1 CERTIFY THAT 1 AM THE LEGAL OWNER AND THAT ALL THE ABOVE
INFORMATION IS TRUE AND CORRECT TO THE BEST OF MY
~~ ) V. , N^K A-V •'—- V\S ^nMIO
SIGNATURE DATE
6) APPLICANT NAME (Print or Type)
*^VKC
MAILING ADDRESS
CITY AND STATE ZIP TELEPHONE
1 CERTIFY THAT 1 AM THE LEGAL REPRESENTATIVE OF THE
OWNER AND THAT ALL THE ABOVE INFORMATION IS TRUE AND
CORRECT TOxWE BEST OF MY KNOWLEDGE.
SIGNATURE DATE
7) BRIEF LEGAL DESCRIPTION
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
8)LOCATION OF PROJECT: M(c£l Vr\^K- £>f2 \0 f C--\jU 3 ^'JQ S^ ^
ON THE
BETWEEN
STREET ADDRESS
SIDE OF
(NORTH. SOUTH. EAST, WEST)(NAME OF STREET)
AND
(NAME OF STREET)
9) LOCAL FACILITIES MANAGEMENT ZONE
10) PROPOSED NUMBER OF LOTS
1 3) TYPE OF SUBDIVISION
1 6) PERCENTAGE OF PROPOSED
PROJECT IN OPEN SPACE
1 9) GROSS SITE ACREAGE
22) EXISTING ZONING
11) NUMBER OF EXISTING
RESIDENTIAL UNITS
14) PROPOSED IND OFFICE/
SQUARE FOOTAGE
1 7) PROPOSED INCREASE IN
ADT
20) EXISTING GENERAL
PLAN
23) PROPOSED ZONING
(NAME OF STREET)
1 2) PROPOSED NUMBER OF
RESIDENTIAL UNITS
15) PROPOSED COMM
SQUARE FOOTAGE
18) 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 MEMEBERS OR CITY COUNCIL MEMBERS
TO INSPECT AND ENTER THE PROPERTY THAT IS THE SUBJECT OF THIS APPLICATION. I/WE CONSENT
TO ENTRY FOR THIS PURPQSt
SIGNATURE
FOR CITY USE ONLY
FEE COMPUTATION
APPLICATION TYPE
TOTAL FEE REQUIRED
FEE REQUIRED
CITY OF CAR)
DATE STAMP APPLICATION RECEIVED
RECEIVED BY:
DATE FEE PAID RECEIPT NO.
Form 16 PAGE 2 OF 2
PROJECT DESCRIPTION/EXPLANATION
PROJECT NAME: lOoO-TVl CLc^o faSwS \lejVO
APPLICANT NAME: ~TtA^^\A<f A •
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.
is AT-
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