HomeMy WebLinkAboutEIA 07-01; NORTH AGUA HEDIONDA INTERCEPTOR WESTERN SEGMENT REALIGNMENT PROJECT; Environmental Impact Report (EIR).. CITY OF CARLSBAD •
LAND USE REVIEW APPLICATION
1) APPLICATIONS APPLIED FOR: (CHECK BOXES)
(FOR (FOR DEPARTMENT DEPARTMENT USE ONLY' USE ONLY\ □ Administrative Permit □ Planned Industrial Permit
□ Administrative Variance □ Planning Commission Determination
□ Coastal Development Permit □ Precise Development Plan
□ Conditional Use Permit □ Redevelopment Permit
□ Condominium Permit □ Site Development Plan
~ Environmental Impact Assessment () I) ~t>J'J J □ Special Use Permit
□ General Plan Amendment □ Specific Plan
□ □ +eR!at"1e F!arGel Map Hillside Development Permit
Obtain from Engineering Department
□ Local Coastal Program Amendment □ Tentative Tract Map
□ Master Plan □ Variance
□ Minor Conditional Use Permit □ Zone Change
□ Non-Residential Planned Development □ list other applications not specified
□ Planned Development Permit
2) ASSESSOR PARCEL NO(S).: ___ V_,__,,_f/'--'&'-l.-!-l-"'D-=l,{=5--=;----------------
3) PROJECT NAME: _....!,_t1.!..!1t+--'Ltt.Ll-_!:f.w~l5=6+T__,_;,,===c:..__ ___________ _
4) BRIEF DESCRIPTION OF PROJECT:
5) OWNER NAME (Print or Type)
MAILING ADDRESS
CITY AND STATE ZIP TELEPHONE CITY AND STATE
l/
TELEPHONE
EMAIL ADDRESS: EMAIL ADDRESS:
I CERTIFY THAT I /W. THE LEGAL OWNER AND THAT ALL THE ABOVE I CERTIFY THAT I Afl, THE LEGAL REPRESENTATIVE OF THE
INFORMATION IS TRUE AND CORRECT TO THE BEST OF MY OWNER AND THAT ALL THE ABOVE INFORMATION JS TRUE AND
KNOWLEDGE. CO ECT TO THE EST OF. MY KNOWLEDGE.
SIGNATURE DATE DATE
7) 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 14 Rev 03/06 PAGE 1 0F5
~--~--:--::---:-=---.:--~~-:-::::---:-:--:=:---:::-::::-------__ -_-__ -_-----------------
I ---~~~----------.
8) l:OCATION OF PROJECT: , J,]p lfl fJ: 5:-f}:JJtf 5 ~,EET t~itl
ON THE I Alp i<rJ+ r SIDEOF I fl. Jf. ~N _-.
'(MEOF STREEl) (NORTH,SOUTH,.EAST, WEST)
BETWEEN I If 00 l/£tf ski
(NAME OF S REET)
AND I C,D V i T7 r1
(NAME OF STREEl)
9) [,_OCAL FACILITIES MANAGEMENT ZONE
10) PROPOSED NUMBER OF LOTS I ·' I ,, 111) NUMBER OF EXISTING 1,,;/J-· 112) PROPOSED NUMBER ~I} ✓• II RESIDENTIAL UNITS I"' OF-RESIDENTIAL UNITS l!:!./£JJ
13) TYPE OF SUBQIVISION Qi;] 14) PROPOSED IND OFFICE/ r:7"w 15) PROPOSED·COMM r:7MJ l£!./JIJ -SQUAREJ=00l'AGE --· '11!_/-!IJ SQUARE FOOTAGE ~ . -
16) ~~~~~b'r:~~:::~:coESED ~ 17) iNR~b~SEDINCREASE l&ll 18) ~~~~~~;~~~WER lt-1/AI
[7T,;l 20) PEXLAISNTINGGENERAL ~ 21) PROPOSED GENERAL ~ 19) GROSS SITE:ACREAGE '{!_/!t.J ~ PLANDESIGNATION ~
22) EXISTING ZONING CJAl 23) PROPOSEDZONING I ·1/.A_,I 24) HABITAT IMPACTS ~ 'lifl1J I' l"f IFYES,ASSIGNHMP# ~
25) IN THE PROCESS OF REVIEWING THIS APPLICATION IT MAY BE NECESSARY FOR MEMBERS OF CITY
STAFF, PLANNING COMMISSIONERS, DESIGN R~IEW BOARD MEMBERS OR CITY COUNCIL MEMBERS
TO JNSPEGT 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
£} ti, L>IJ-ool . •-
TOTAL FEE REQUIRED
Form 14 Rev. 03/06
FEE REQUIRED
•
,
J.~.'! 1 0 -2007
CITY OF CARLSBAD
DATE sTf~W'll~~1BiE~JEIVED
RECEIVED BY;
l~-,P{~I
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