HomeMy WebLinkAboutEIA 03-02; STREET LIGHTING LANDSCAPE DISTRICT 2; Environmental Impact Assessment (EIA)CITY OF CARLSBAD
LAND USE REVIEW APPLICATION
11 APPLICATIONS APPLIED FOR: (CHECK BOXES)
¶FOR DEPARTMENT
Administrative Permit - 2nd
Dwelling Unit
LII Administrative Variance
Planned Industrial Permit
Planning Commission
Determination
El Coastal Development Permit Precise Development Plan
Conditional Use Permit III Redevelopment Permit
U Condominium Permit Site Development Plan
I11 Environmental Impact
Assessment
General Plan Amendment
Special Use Permit
LII Specific Plan
.__ . -i/-i 03- OZ..
LI Hillside Development Permit
Local Coastal Plan Amendment
I Tentative Paroci Mop
Obtain from Engineering Department
Tentative Tract Map
El Master Plan 1111 Variance
LII Non-Residential Planned
Development
EJ Planned Development Permit
Zone Change
List other applications not
2) ASSESSOR PARCEL NO(S).: -
3) PROJECT NAME:
4) BRIEF DESCRIPTION OF PROJECT: 1
(FOR DEPARTMENT
a
5) OWNER NAME (Print or Type)
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MAILING ADDRESS MAILING AdDRESS
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Ch .iw omit.. I"ELEPHONE CITY AND STATE ZIP TELEPHONE
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I CERTIFY THAT I AM THE LhAL 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. ..
10/7/03
CORRECT TO THE BEST OF MV KNOWLEDGE.
SIGNATURE DATE SIGNATURE DATE
7) BRIEF LEGAL DESCRIPTION
NOTE: A PROPOSED PROJECT REQUIRING MULTIPLE APPLICATIONS RE 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 1OF2
8) LOCATION OPROJECT-
STREET ADDRESS - - -
ONtHE I I SIDE OFF -- - - I
(NORTH. SOUTH. EAST. WEST) - -- -(NAME-OF STREET) - -
BETWEEN I AND -- -
(NAME OF STREET) (NAME OF STREET)
9) LOCAL FACILITIES MANAGEMENT ZONE L N
10) PROPOSED-NUMBER OF LOTS -- - - 11) NUMBER OF EXISTING - -- 1 12) PROPOSED NUMBER OF
RESIDENTIAL UNITS I RESIDENTIAL UNITS
13) TYPE OF SUBDIVISION. - - 14) PROPOSED ]ND OFFICE/ - 15) PROPOSED COMM
SQUARE FOOTAGE SQUARE FOOTAGE
16) PERCENTAGE OF PROPOSED - 17)
PROJECT IN OPEN SPACE - -
PROPOSED INCREASE IN
ADT
18)
- -
PROPOSED SEWER
USAGE IN EDt)
19) GROSS SITE ACREAGE 20)
-
--
EXISTING GENERAL
PLAN
- 21)
- -
PROPOSED GENERAL
PLAN -DESIGNATION
22) EXISTING ZONING F-1 23) PROPOSED ZONING
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 REQUIRED
-OCT 07 203
CITY OF CARLSBAD
jp JI.NING DEPT. AMP APPLICATION RECEIVED
RECEIVED BY:
TOTAL FEE REQUIRED
DATE FEE PAID RECEIPT NO.
Form 16 PAGE 2OF2