HomeMy WebLinkAboutEIA 01-01; AT&T NEXGEN FIBER OPTIC LINE; Environmental Impact Report (EIR)CITY OF CARLSBAD -\
LAND USE REVIEW APPliCATION
1l APPLICATIONS APPLIED FOR: (CHECK BOXES)
(FOR OEPARTMENT (FOR DEPARTMENT
USE ONLY) USE ONLY)
D Administrative Permit -2nd D Planned Industrial Permit
Dwelling Unit
D Administrative Variance D Planning Commission
Determination
D Coastal Development Permit D Precise Development Plan
D Conditional Use Permit D Redevelopment Permit
D Condominium Permit D Site Development Plan
~EnvironmentaI Impact EIft \ D Special Use Permit 01-0 I Assessment
D General Plan Amendment D Specific Plan
D Hillside Development Permit D =feflteti','e Pefeel Me~
Obtain from Engineering Department
D Local Coastal Plan Amendment D Tentative Tract Map
D Master Plan D Variance
D Non-Residential Planned D Zone Change
Development
D Planned Development Permit D List other applications not
specified
2} ASSESSOR PARCEL NO(S}.: NIA
3) PROJECT NAME: Irr~ -r tJ~~£;J F{~ OPT:.1 c:..-i-lrJ(£"
4} BRIEF DESCRIPTION OF PROJECT: JtJp6'2-~(WrJD rlMfi-0l~fl c:..-I T~£..£.C:O~wW;'tIl~taNS
.6 ~ f2-Iff-f UN£' I,.J Wo~ 14 -0 -W;ty L-
5) OWNER NAME (Print or Type) 6} APPLICANT NAME (Print or Type)
-s:r/tle. l-rt-iV l> S" Co~s)torJ
MAILING ADDRESS MAILING ADDRESS ----
CITY AND STATE ZIP TELEPHONE CITY AND STATE ZIP TELEPHONE
r-
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 KNOWLEOGE.
SIGNATURE DATE SIGNATURE DATE
7} BRIEF LEGAL DESCRIPTION
NOTE: A PROPOSED PRqJECT REQUIRING MULTIPLE APPUCATIONS BE FILED. MUST BE SUBMITTED PRIOR TO 3:30 P.M.
A PROPOSED PROJECT REQUIRING ONLY ONE APPUCATION BE FILED. MUST BE SUBMITTED PRIOR TO 4:00 P.M.
Form 16 PAGE 1 OF 2
8) LOCATION OF PROJECT:
ON THE
(NORTH, SOUTH, EAST, WEST)
BETWEEN
(NAME OF STREET)
STREET ADDRESS
SIDE OF
AND
(NAME OF STREET)
(NAME OF STREETl
9) LOCAL FACILITIES MANAGEMENT ZONE
10) PROPOSED NUMBER OF LOTS D 11) NUMBER OF EXISTING D 12) PROPOSED NUMBER OF
RESIDENTIAL UNITS RESIDENTIAL UNITS D
D
D
D
13) TYPE OF SUBDIVISION
16) PERCENTAGE OF PROPOSED
PROJECT IN OPEN SPACE
19) GROSS SITE ACREAGE
22) EXISTING ZONING
D 14} PROPOSED IND OFFICE! D 15) PROPOSED COMM
SQUARE FOOTAGE SQUARE FOOTAGE
D 17) PROPOSED INCREASE IN D 18) PROPOSED SEWER
ADT USAGE IN EDU
D 20) EXISTING GENERAL
PLAN
D 23) PROPOSED ZONING
D 21) PROPOSED GENERAL
PLAN DESIGNATION
D
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
APPLICATION TYPE
TOTAL FEE REQUIRED
DATE FEE PAID
Form 16
FEE REQUIRED RECEIVED
JUN 1 4 2001
CITY OF CARLSBAD
DATE ~NNiN.(Q.tei5R1iECEIVED
RECEIVED BY:
RECEIPT NO.
PAGE 2 OF 2