HomeMy WebLinkAboutEIA 02-01; SO AGUA HEDIONDA INTERCEPTOR; Environmental Impact Report (EIR)• CITY OF CARLSBAD • LAND USE REVIEW APPLICATION
1) APPLICATIONS APPLIED FOR: (CHECK BOXES)
(FOR DEPARTMENT (FOR DEPARTMENT
USE ONLY) USE ONLY)
D Administrative Permit -2nd D Planned Industrial Permit
Dwelling Unit
D Administrative Variance D Planning Commission
Determination : Coastal Development Permit 1~1~ D Precise Development Plan 'JIIlf 11/,
Conditional Use Permit .M.AI\A.-D Redevelopment Permit rvVUlIiJ'W
0 Condominium Permit D Site Development Plan p( Environmental Impact O~-Ol D Special Use Permit
Assessment
D General Plan Amendment D Specific Plan
D Hillside Development Permit D +eRtative PaFsel Ma~
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).:
3) PROJECT NAME: sg~J; «~C--MaLvo'Yld~ • .9v*C~c6{7fv7) 'PnU(l.L]l
4) BRIEF DESCRIPTION OF PROJECT: ('!OnJWvL-i Oj8LfqAyU~ Jc-«-q; tfY' PVe-t?(ltu_o/f1 pU.x::v
(),.t1t1 z ('Zu .h. ~ -faf 1411 in~d-C:o\ICtm.e.wY" .-PoV'"t..LVY1t<.L(l
5) OWNER NAME (Print or Type) 6) APPLICANT NAME (Print or Type)
City of Carlsbad Sherri Howard, city of Carlsbad
MAILING ADDRESS MAILING ADDRESS
1635 Faraday Avenue
CITY AND STATE ZIP TELEPHONE CITY AND STATE ZIP TELEPHONE
Carslbad CA 92008 760-602-2756
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.
,,51 LML ~C<Al9 4:l'5[O-Z-6~ --ttuu(VlcQ 4-/CSLUL
SIGNATURE DATE SIGNATURE DATE
7) BRIEF LEGAL DESCRIPTION
~OlG31 O;"rE:~i~~OP$~EDrtRS~:rC . QUI~I~~.r..lJLTj~~~Af~,bIPATI2,~~";~~>f'~i2ED, MUST B~~(j:~mltT~q;I~,f()R T()~~i30 P.M>?1f
~QR:~SED PRO.,,~gcTR~QYI . 'OHELARPCICA:tION i:lEf,JI.2EGiJlilUST BESYl;JM!tffliO PRfOR·rO'4:00 P,Mi;t::;i·;,:!···
Form 16 PAGE 1 OF 2
8) LOCATION OF PROJECT:
9)
10)
13)
16)
19)
22)
STREET ADDRESS
ON THE I North SIDE OF I Cannon Road
(NAME OF STREET)
BETWEEN
(NORTH, SOUTH, EAST, WEST)
I Car Country Drive AND I Faraday Avenue
(NAME OF STREET) (NAME OF STREET)
LOCAL FACILITIES MANAGEMENT ZONE
PROPOSED NUMBER OF LOTS D 11) NUMBER OF EXISTING D 12) PROPOSED NUMBER
RESIDENTIAL UNITS OF RESIDENTIAL UNITS
TYPE OF SUBDIVISION 0 14) PROPOSED IND OFFICE! D 15} PROPOSED COMM
SQUARE FOOTAGE SQUARE FOOTAGE
PERCENTAGE OF PROPOSED 0 17) PROPOSED INCREASE D18) PROPOSED SEWER
PROJECT IN OPEN SPACE INADT USAGE IN EDU
GROSS SITE ACREAGE 0 20) EXISTING GENERAL D21) PROPOSED GENERAL
PLAN PLAN DESIGNATION
EXISTING ZONING 0 23) PROPOSED ZONING
D
0
0
0
0
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 FEE REQ\JIRED
1:!::Ji\ ~ RECEIVED
f
RECEIVED BY:
TOTAL FEE REQUIRED
DATE FEE PAID 113
7
RECEIPT NO.
Form 16 PAGE 2 OF2