HomeMy WebLinkAboutCUP 8A; THE WOMAN'S CLUB OF CARLSBAD; Conditional Use Permit (CUP). -~ <l~ • • ervices "' ... ~ CITY OF
LAND USE REVIEW
APPLICATION
P-1
ng Division
Development S
Planni
1635 Fara
(76 CARLSBAD day Avenue
0) 602-4610
www.car lsbadca.gov
APPLICATIONS APPLIED FOR: (CHECK BOXES)
Development Pennits (FOR DEPT USE ONLY) Legislative Penn/ts (FOR DEPT. USE ONLY)
0 Administrative Pennit
0 Coastal Development Penn it (•) 0 Minor
'S--conditlonal Use Pennit (•)
0 Minor 0 Extension
0 Environmental Impact Assessment
0 Habitat Management Penn it
0 Hillside Development Penn it (•)
0 Planned Development Pennit
0Minor
D Residential D Non-Residential
0 Planned Industrial Pennit
0 Planning Commission Detenninatlon
D Site Development Plan
D Special Use Pennit
0 Tentative Tract Map/Parcel Map
D Variance D Administrative
D General Plan Amendment
D Local Coastal Program Amendment (•)
D Master Plan
D Specific Plan
D Zone Change (•)
0Amendment
0Amendment
D Zone Code Amendment
South Carlsbad Coastal Review Area Pennits
0 Review Pennit
D Administrative D Minor D Major
VIllage Review Area Pennits
D Review Pennlt
D Administrative D Minor D Major
(•) = eligible for 25% discount
NOTE: A PROPOSED PROJECT REQUIRING MULTIPLE APPLICATIONS MUST BE SUBMITTED PRIOR TO 3:30P.M. A PROPOSED PROJECT REQ
APPLICATION MUST BE SUBMITTED PRIOR TO 4:00P.M.
ASSESSOR PARCEL NO(S).: _Zo-=:::..>-_-.~..J60~----"'CJ:.L/....00c.=::::.._ ________________ _
PROJECT NAME: Tlf!LUir:wMJ'./ f-U1R .p-QI'"'-Ut<A-b
BRIEF DESCRIPTION OF PROJECT: Lt.'-="'"-'f."':w,..b...._.w,..tfyr::z>'-'r'--'rOc:.._,t;t"""-t-"P'-"P,~-------------
BRIEF LEGAL DESCRIPTION: f/t?"U!') OE TPA-t.TZ--r2.., tlNo-1 uw f,. S JMIP IJQ. I 6f2(
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LOCATION OF PROJECT: J J;u;> tyPA/#of5 5(
. ON THE:
(NORTH, SOUTH, EAST, WEST)
BETWEEN 7>/A Cfwcx:)j) AU
(NAME OFSTREET)
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STREET ADDRESS
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(NAME OF STREET)
(NAME OF STREET)
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OWNER NAME (Print): APPLICANT NAME (Print):
MAILING ADDRESS: MAILING ADDRESS:
CITY, STATE, ZIP: CITY, STATE, ZIP:
TELEPHONE: 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 OWNER
INFORMATION IS TRUE AND CORRECT TO THE BEST OF MY AND THAT ALL THE ABOVE INFORMATION IS TRUE AND CORRECT TO
KNOWLEDGE. THE BEST OF MY KNOWLEDGE.
SIGNATURE DATE SIGNATURE DATE
APPLICANT'S REPRESENTATIVE (Print):
MAILING ADDRESS:
CITY, STATE, ZIP:
TELEPHONE:
EMAIL ADDRESS:
I CERTIFY THAT I AM THE LEGAL REPRESENTATIVE OF THE
APPLICANT AND THAT ALL THE ABOVE INFORMATION IS TRUE AND
CORRECT TO THE BEST OF MY KNOWLEDGE.
SIGNATURE DATE
IN THE PROCESS OF REVIEWING THIS APPLICATION IT MAY BE NECESSARY FOR MEMBERS OF CITY STAFF, PLANNING
COMMISSIONERS OR CITY COUNCIL MEMBERS TO INSPECT AND ENTER THE PROPERTY THAT IS THE SUBJECT OF THIS
APPLICATION. 1/WE CONSENT TO ENTRY FOR THIS PURPOSE.
NOTICE OF RESTRICTION: PROPERTY OWNER ACKNOWLEDGES AND CONSENTS TO A NOTICE OF RESTRICTION BEING
RECORDED ON THE TITLE TO HIS PROPERTY IF CONDITIONED FOR THE APPLICANT. NOTICE OF RESTRICTIONS RUN WITH
THE LAND AND BIND ANY SUCCESSORS IN INTEREST.
PROPERTY OWNER SIGNATURE
FOR CITY USE ONLY
P-1 Page 2 of6
RECEIVED
JUN 2 6 2013
CITY OF CARLSBAD
DATE fr~W~R,W~~Q~D
RECEIVED BY:
Revised 11112