HomeMy WebLinkAboutEIA 91-18; UNDERGROUND RECLAIMED WATER; Environmental Impact Report (EIR)LAND USE REVtEWApPUCJTION FOR PAGE 1 OF 2
1) APPLICATIONS APPLIED FOR: (CHECK BOXES)
(FOR DEPT
USE ONLY) FOP. E?T
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C Master Plan
Specific Plan
C Prec:se Development Plan
C Tentative Tract Map
C ?arned Development Permit
C Non-Residential Planned Development
C Condominium Permit
C Special Use Permit
C Redevelopment Permit
C Tentative Parcel Map
C Administrative Variance
General Plan Amendment
Local Coastal Plan Amendment
Site Development Plan
Zone Change
Conditional Use Permit
Hillside Development Permit
Environmental Impact Assessment
Variance
Planned Industrial Permit
Coastal Development Permit
?tanning Commission Determination
List any other applications not specificed
2) LOCATION OF PROJECT: ON THE SIDE OF I It CiV'1 u'ic' 4f
(NORTH. SOUTH EAST, WEST)__ (NAME OF STREET)
__ IFABETWEEN ___ AND J0j* Aç4 J
(NAME OF ED (NAME OF STREET)
3) BRIEF LEGAL DESCRIPTION:
4) ASSESSOR PARCEL NO(S). Z iS— C€,Q - ac, AS
5) LOCAL FACILITIES 157[)_lO,t5) EXISTING GENERAL PLAN hrl4) PROPOSED GENERAL PLAN -
MANAGEMENT ZONE 1 DESIGNATION DESIGNATION
8) EXISTING ZONING PROPOSED ZONING 10) GROSS SITE
ACREAGE
11) PROPOSED NUMBER OF 12) PROPOSED NUMBER 13) TYPE OF SUBDMSION
RESIDENTIAL UNITS OF LOTS
(RESIDENTIAL
COMMERCIAL
INDUSTRIAL)
14) NUMBER OF EXISTING RESIDENTIAL UNITS
15) PROPOSED INDUSTRIAL I ' 14 1 16) PROPOSED COMMERCIAL F Vs/k I OFFICE/SQUARE FOOTAGE SQUARE FOOTAGE
NOTE A PROPOSED PROJECI RSVIP1NG ThAT MXTUU AMICM" BE FILED !T BE 9MMI17W PRIOR TO 330 P.M. A PROPOSED PROJECT
R.EQUIBING THAT J TO 400 PJA FRM00016 8/90
CITY OF CARLSBA.D
LAND USE REVIEW APPLICATION FORM
17) PERCENTAGE OF PROPOSED PROJECT IN OPEN SPACE
18) PROPOSED SEWER USAGE IN EQUIVALENT DWELLING UNITS
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19) PROPOSED INCREASE IN AVERAGE DAILY TRAFFIC
20) PROJECT NAME: i 1 (vi
23) OWNER 24) APPLICANT
NAME (PRINT OR TYPE) AME1(P.1NT OR TYPE)
L4sbL i p 1Arc T166
MAILING ADDRESS MAILING ADDRESS
5-TlS-0 61 V)$Ov1
CITY AND STATE ZIP TELEPHONE C AND ZIP TELEPHONE al
O 72Ct9 q3m67
CERTIFY THAT I AM THE LEGAL OWNER I CERTIFY THAT I AM THE LEGAL OWNERs P.ZPRESENTA1WE AND
AND THAT ALL THE ABOVE INFORMATION THAT ALL THE ABOVE INFORMATION IS TRUE AND CORRECT TO THE
IS TRUE AND CORRECT TO THE BEST OF BEST OF MY KNOWLEDGE.
MY K]4OWLEE.
SIGNATURE DATE
SIGNATURE DATE
*******************************************************************************************************************
FOR CITY USE ONLY
FEE COMPUTATION:
APPLICATION TYPE FEE REQUIRED
DATE STAMP APPLICATION RECEIVED
RECEIVED BY:
TOTAL FEE REQUIRED I
DATE FEE PAID I RECEIPT NO.
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