HomeMy WebLinkAboutEIA 03-03; WOODSTOCK SEWER EXTENSION; Environmental Impact Assessment (EIA)Planned Industrial Permit
03o
Planning Commission
Determination
Precise Development Plan
Redevelopment Permit
El Site Development Plan
Special Use Permit
LI Specific Plan
[II] Tentative Parcel Map
Obtain from Engineering Department
LI Tentative Tract Map
LI Variance
LII Zone Change
List other applications not
2-fl—ID 1-
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CITY OF CARLSBAD
.
TION
11 APPLICATIONS APPLIED FOR: (CHECK BOXES)
FOR DEPARTMENT FOR DEPARTMENT
USE ONLYI
LI Administrative Permit - 2nd
Dwelling Unit
Administrative Variance
11111 Coastal Development Permit
Conditional Use Permit
D Condominium Permit
Environmental Impact
Assessment
[III General Plan Amendment
El Hillside Development Permit
LI Local Coastal Plan Amendment
El Master Plan
Non-Residential Planned
Development
LI Planned Development Permit
2) ASSESSOR PARCEL NO(S).: -
3) PROJECT NAME: 4
4) BRIEF DESCRIPTION OF PROJECT:
5) OWNER NAME (Print or Type) 6) APPLICANT NAME (Print or Type)
of Catxaq-o 'Do i C
MAILING AD6RESS MAILING ADDRESS
/ sc F -M-mtt,o A-i)
CITY AND STATE ZIP TELEPHONE CITY AND STATE ZIP TELEPHONE
QM-cc&O x460 2_
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 BBST 0 V KNOW GE.
SIGNATURE DATE SIGNATURE DA1'E
71 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 16 Rev. 05/03 PAGE 1 OF 2
8) LOCATION OF PROJECT: - - - - -
- - -
- STREET ADDRESS
ON THE I I SIDEOF IiJ k__sr. I
(NORTH, SOUTH, EAST, WEST) (NAME OF STREET)
BETWEEN AND j 4t-tPJUS
(NAME OF STREET) (NAME OF STREET)
9) LOCAL FACILITIES MANAGEMENT ZONE I 7
10) PROPOSED NUMBER OF LOTS 11) NUMBER OF EXISTING I 112) PROPOSED NUMBER OF at RESIDENTIAL UNITS - - RESIDENTIAL UNITS
13) TYPE OFSUBDIVISION 14) PROPOSED-IND OFFICE/ 15) PROPOSED COMM
SQUARE FOOTAGE SQUAREEOOTAGE
16) PERCENTAGE OF PROPOSED IM/e 17)
PROJECT IN OPEN SPACE
PROPOSED INCREASE IN
AbT -
g.. 18)
-
PROPOSED SEWER
USAGE IN EDU 1t941
19) EXISTING-GENERAL 5 21-) PROPOSED GENERAL GROSS SITE ACREAGE I 0f4j 20)
PLAN :0 PLAN DESIGNATION
22) EXISTING ZONING f-p....4.23 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 THé%JRPOSE
SIGNATURE -
FOR CITY USE ONLY
FEE COMPUTATION
RECEIVED
o:c 22 203
CITY OF CARLSBAD
DATE
TOTAL FEE REQUIRED
• /J:j At vxjra
DATE FEE PAID RECEIPT NO. I
Form 16 Rev. 05/03 PAGE 2 OF 2