HomeMy WebLinkAboutCT 04-05X1; VISTA LA COSTA; Tentative Map (CT)7 --jir970
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CITY OF CARLSBAD
LAND USE REVIEW APPLICATION
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1)APPLICATIONS APPLIED FOR:(CHECK BOXES)
(go(FOR '
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USE ONLY)C1 SE ONLY)L4'
Administrative Permit Planned Industrial Permit
Administrative Variance Planning Commission Determination
Coastal Development Permit Precise Development Plan
Conditional Use Permit
1
-7 Redevelopment Permit
igCondominium Permit CP014 -01X I Site Development Plan
Environmental Impact Assessment Special Use Permit
General Plan Amendment Specific Plan
Hillside Development Permit Tentative Parcel Map
Obtain from Engineering Department
Local Coastal Program Amendment EX Tentative Tract Map (To "1.0S x I
Master Plan Variance
Minor Conditional Use Permit Zone Change
Non-Residential Planned Development List other applications not specified
Planned Development Permit
2)ASSESSOR PARCEL NO(S).:
3) PROJECT NAME:5 jr" Lc c6-dot
4)BRIEF DESCRIPTION OF PROJECT:
5)OWNER NAME (Print or Type)6)APPLICANT NAME (Print or Type)
MAILING ADDRESS MAILING ADDRESS
CITY AND STATE ZIP TELEPHONE CITY AND STATE ZIP -TELEPHONE
EMAIL ADDRESS:EMAIL ADDRESS:
I CERTIFY THAT I AM THE LEGAL OWNER AND THAT ALL THE ABOVE I CERTIFY THAT I AM THE LEGAL REPRESENTATIVE OF THE
INFORMATION IS TRUE AND CORRECT TO THE BEST OF MY OWNER AND THAT ALL THE ABOVE INFORMATION IS TRUE AND
KNOWLEDGE.CORRECT TO THE BEST OF MY KNOWLEDGE.
SIGNATURE DATE 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 14 Rev.01/07 PAGE 1 OF 5
DeV011.033
8)LOCATION OF PROJECT:
STREET ADDRESS
ON THE SIDE OF
(NORTH, SOUTH, EAST, WEST)(NAME OF STREET)
BETWEEN AND
(NAME OF STREET)(NAME OF STREET)
9)LOCAL FACILITIES MANAGEMENT ZONE
10)PROPOSED NUMBER OF LOTS 11) NUMBER OF EXISTING 12) PROPOSED NUMBER
RESIDENTIAL UNITS OF RESIDENTIAL UNITS
13)TYPE OF SUBDIVISION 14)PROPOSED IND
OFFICE!
15) PROPOSED COMM
SQUARE FOOTAGE SQUARE FOOTAGE
16)PERCENTAGE OF PROPOSED 17)PROPOSED INCREASE 18) PROPOSED SEWER
PROJECT IN OPEN SPACE IN ADT USAGE IN EDU
19)GROSS SITE ACREAGE 20)EXISTING GENERAL 21) PROPOSED GENERAL
PLAN PLAN DESIGNATION
22)EXISTING ZONING 23)PROPOSED ZONING 24)HABITAT IMPACTS Y /NIF YES, ASSIGN HMP #
25)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.
26)PROPERTY OWNER ACKNOWLEDGES AND CONSENTS TO A NOTICE OF RESTRICTION FILED ON THE
PROPERTY TITLE IF CONDITIONED FOR THE APPLICANT.CERTAIN APPROVALS (SUCH AS A CONDITIONAL USE
PERMIT) RUN WITH THE LAND AND BIND ANY SUCCESSORS IN INTEREST.
A44—Pelo‘_Jrc..-vii gAi/Le 4-tA..PROPERTYOWNER SIGNATURE.
FOR CITY USE ONLY
4667 8 9 70.
FEE COMPUTATION ft?17,
APPLICATION TYPE FEE REQUIRED
•
Fs;
IS)
04;
DATE STAMP APPLIC 'I'dik1VSA&/P
RECEIVED BY:
TOTAL FEE REQUIRED
Form 14 Rev.01/07 PAGE 2 OF 5