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Home My WebLink AboutEIA 04-05; RANCHO CAZADERO; Environmental Impact Assessment (EIA)'P . : CITY OF CARLSBAD 1) APPLICATIONS APPLIED FOR: (CHECK U Administrative Permit BOXES) (FOR DEPARTMENT USE ONLY) (Ft4 1' El Planned Industrial Permit (FOR DEPARTMENT USE ONLY) El Administrative Variance £11 Planning Commission Coastal Development Permit Determination Precise Development Plan Conditional Use Permit Redevelopment Permit 0 Condominium Permit Site Development Plan Environmental Impact Assessment Special Use Permit j5) A1UOQ General Plan Amendment Specific Plan Hillside Development Permit Tentative Parcel Map El Local Coastal Program Obtain from Engineering Department Tentative Tract Map Amendment LI Master Plan Variance LII Non-Residential Planned Development Zone Change Planned Development Permit 11111 List other applications not specified 2) ASSESSOR PARCEL NO(S).: p/S - e32o - 0 0 3) PROJECT NAME: j&n.cA o 4) BRIEF DESCRIPTION OF PROJECT: neao 6i"Aj1'e .-Cct.eu 'ty Acn.e. 5) OWNER NAME (Print or Type) 6) APPLICANT NAME (Print or Type) euzctccIz ,4/cnc wc. Rcnt'-LL c Qj MAILING ADDRESS MAILING ADDRESS Q &c 9$ Y CITY AND STATE ZIP TELEPHONE CITY AND STATE 21P TELEPHONE tt'Ø &LS . & f2ccf 9/c -%'/.- 9CC$k trAs6j /4. fl-cf 71c- 7/( fl I CERTIFY THAT I AMIHE LEGAL OWNER AND THAT ALL THE ABOVE I CERTIFY ' THAT IAM THE LEGAL REPRESENTATIVE OF THE INFORMATION IS TRUE AND CORRECT TO THE BEST OF MV OWNER AND THAT ALL THE ABOVE INFORMATION IS TRUE AND KNOWLEDGE. CORRECT TO THE BEST OF MV KNOWLEDGE SIGNATURE DATE SI6NATURE DATE 7) BRIEF LEGAL DESCRIPTION L54 30c.., ..Lt Coj-iOL. fl/S-Sac _¼ist. cC 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. Ferm D o14 Rev. 04/04 0 C-1 1/ 3 PAGE 1 OF 6 . . 8) LOCATION OF PROJECT: STREET ADDRESS .2 e, 9 - a si c ON THE .tae* I SIDE OF ICczcc-derc rn-. I (NORTH, SOUTH. EAST. WEST) (NAME OF STREET) BETWEEN I AND tLacrcrn a'ct Fï- I (NAME OF STREET) (NAME OF STREET) 9) LOCAL FACILITIES MANAGEMENT ZONE I 10) PROPOSED NUMBER OF LOTS 11) NUMBER OF EXISTING 12) PROPOSED NUMBER OF I RESIDENTIAL UNITS C RESIDENTIAL UNITS 13) TYPE OF SUBDIVISION 14) PROPOSED IND OFFICE! 15) I PROPOSED COMM ___ SQUARE FOOTAGE 4'I+ SQUARE FOOTAGE 16) PERCENTAGE OF PROPOSED 17) PROPOSED INCREASE IN 18) PROPOSED SEWER 41 PROJECT IN OPEN SPACE ADT USAGE IN EDU 19) GROSS SITE ACREAGE I4o' 20) EXISTING GENERAL 21) PROPOSED GENERAL PLAN PLAN DESIGNATION 22) EXISTING ZONING 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 71 TOTAL FEE REQUIRED RECEIVED C 2004 CITY OF CARLSBAD PLANNING DEPT DATE STAMP APPLICATION RECEIVED RECEIVED-BY: __ Form 14 Rev 04104 PAGE 2 OF 6 U P . S City of Carlsbad •ruiIs1.pL.S1aI.1apai.znpU DISCLOSURE STATEMENT Applicant's statement or disclosure of certain ownership interests on all applications which will require discretionary action on the part of the City Council or any appointed Board, Commission or Committee. The following information 111JST be disclosed at the time of application submittal. your project cannot be reviewed until this information is completed. Please print Note: Person is defined as "Any individual, firm, co-partnership, joint venture, association, social club, fraternal organization, corporation, estate, trust, receiver, syndicate, in this and any other county,- city and-county city municipality, district or other political subdivision or any other group or combination acting as a unit" Agents may sign this document however, the legal name and entity of the applicant and property owner must be provided below. APPLICANT (Not the applicant's agent) Provide the COMPLETE. LEGAL names and addresses of ALL persons having a financial interest in the application, if the applicant includes a corporation or yartnershiy include the names, title, addresses of all individuals owning more than 10% of the shares.-IF- NO INDWIIXJALS OWN MORE THAN 10% OF THE SHARES, PLEASE INDICATE NON- APPLICABLE (N/A) IN THE SPACE BELOW if a publicly-owned corporation, include the names, tides, and addresses of the corporate officers. (A separate page may be attached if necessary.) Person Rene,cU C- f&J Title /;9 Address —29S /MJS4 a— a- ce/sbc'..L, £2009 Corp/Part tccrejce ,4kines Title Address pqSJhti&& cM. 'qac* T 2. OWNER (Not the owner's agent) Provide the COMPLETE, LEGAL names and addresses of ALL persons having any ownership interest in the property involved. Also, provide the nature of the legal ownership (i.e, partnership, tenants in common, non-profit, corporation, etc.). 111 the ownership includes a corporation or partnership, include the names, title, addresses of all individuals owning more than 10% of the shares. IF NO INDIVIDUALS OWN MORE THAN 10% OF TEE SHAPES, PLEASE INDICATE NON-APPLICABLE (NIA) IN THE SPACE BELOW. If a publicly- owned corporation, include the names, titles, and addresses of the corporate officers. (A separate page may be attached if necessary.) Person fiJh-g,Poa.J- -M.tnszer' Tide Address I'Y k.tt-4üncL ti" ,9-j/ci R-tsln 'tc- - t5CZ4 g-rtCC-C'tc b.- i).cI CorplPart cs..c4cnr' Ahr cts .r)VC. Title Address a fl-i ,qacc,/cc ;-- /t c2cc.-hsba4._ cc.,4- 9ct% 1635 Faraday Avenue • Carlsbad, CA 92008-7314 • (760) 602-4600 • FAX (760) 602-8559 If any person -identifiedpursuant to-(l)=or (2) above ita-nonurofit-organizafion or a4rust, list -the - names and addresses of ANY person serving as an officer or director of the non-profit organization or as trustee-or beneficiary of the. NonProfittThist - - Non Profit/Trust - Title Title - Address Address ---- 4. Have you had more than $250 worth of business transacted with any member of City staff; Boards, Commissions, Committees and/or Council within the past twelve (12)Emonths? Yes [II] No if yes3 please indicate NOTE: Attach additionalsheets if necessary. I certify that all the above:information-is true and correct to the best of my knowledge. akn, 49es flat. Signature of owner/date /Zet..zctrSc,vc' )4tte. -zz/V6-, Print or type name of owner' - Signature of owner/applicant's agent if applicable/date Print or type name of owner/applicant's agent Signature of applicant/date Print or type name of applicant H:ADMIN\COUNTER'iDISCLOSURE STATEMENT 5/98 Page 2 of 2 PROJECT DESCRIPTION/EXPLANATION PROJECT NAME: Ca APPLICANT NAME: £ynaJI s_ Please describe fully the proposed project by application type. include any details necessary to adequately explain the scope and/or operation of the proposed project. You may also include any background information and supporting statements regarding the reasons for, or appropriateness of, the application. Use an addendum sheet if necessary. Description/Explanation: 1-4c P17 one sIyLt -e--- Acar a on 6tj'Q a?onecL Z-o* c/5000 ,. pr) an aac-cLez~a by, ic -4-ocJfr cLoeIcr4 0-L L5 ancL C.a 1 7 ,4eoLt.-e 157 ci €6C,V a_ cC £~4L%k Lr aenj ~nS 790r'tcL /4cc co cwj i .Jcktvi- ct-oj ,'Sv C't. Project Description 10/96 Page 1 of 1 PD 042 - Rancho C?zadero -- Ole 0 Colo' - ---- -- z-- - - / ---------------- / I CIO 215-320-45 T - / ° / \ I N / 1 00, -, - W+E Location of APN: 215-32045 Map created by the City of Carlsbad GIS. Portions of this DERIVED PRODUCT contain gec;raphic inforrnatcn copyrighted by SanGlS. All Rights Reserved !rg/s2prcaucts/çann]r.g(r3i3 04!tauon rap Tm d