HomeMy WebLinkAboutEIA 92-03; TIME LOCKED BEACH GATES; Environmental Impact Report (EIR)crr OF CARLSBAD
LAND USE REVIEW APPLICATION FOR PAGE 1 OF 2
(1) APPLICATIONS APPLIED FOR; (CHEC S)
(FOR DEPT
USE ONLY) FOR
SE O\
Master Plan
Specific Plan
Prec:se Development Plan
C Tentative Tract Map
Planned Development Permit
Non-Residential Planned Development
C Condominium Permit
Special Use Permit
Redevelopment Permit
C Tentative Parcel Map
Administrative Variance
General Plan Amendment
Local Coastal Plan Amendment
Site Development Plan
Zone Change
:onditionai Use Permit
-liliside Development Permit
nvironmental Impact Assessment
Iariance
'tanned Industrial Permit
oastal Development Permit
'lanning Commission Determination
List any other applications not specificed
2) LOCATION OF PROJECT: ON THE
[
SIDE OF 5/IJ 5iI7
(NORTH. SOUTH EAST, WEST) (NAME OF STREET)
(7) /pi 41
(NAME OF STREET) (NAME OF STREET) CI AV)C
3) BRIEF LEGAL DESCRIPTION: 1 fl /P'ç -j
4) ASSESSOR PARCEL NO(S). - I ,1 JA
5) LOCAL FACILITIES \ 6) EXISTING GENERAL PLAN r 7) PROPOSED GENERAL PLAN
MANAGEMENT ZONE DESIGNATION DESIGNATION
8) EXISTING ZONING (%,1 14- 1 9) PROPOSED ZONING )1L4' (10) GROSS SITE yt/4-i 1 1 ACREAGE
ii) PROPOSED NUMBER OF 1,4- 12) PROPOSED NUMBER
1 1.4 13) TYPE OF SUBDIVISION // Fn 'V RESIDENTIAL UNITS OF LOTS "fr' L
(RESIDENTIAL
COMMERCIAL
INDUSTRIAL)
14) NUMBER OF EXISTING RESIDENTIAL UNiTS )_v,1A'
15) PROPOSED INDUSTRIAL )4 16 PROPOSED COMMERCIAL ,14
OFFICE/SQUARE FOOTAGE SQUARE FOOTAGE
NOTE A PPOSE1) POJEC 1WUIR1NG ThAT ?JLTL APPUC&MOM BE F(L) imr BE 9MWnW PRIOR TO 330 P.M. A PROPOSED PROJECT
REQUIRM fl4ij' ONLY ONE APPUCAMON BE FMW ba= BE "MM2D PPIM TO 4 P.M. FItM000I6 &(S)
U,
CITY OF CARLSBAD IRLAND USE REVIEW APPLICATION FORM PAGE 2
17) PERCENTAGE OF PROPOSED PROJECT IN OPEN SPACE
18) PROPOSED SEWER USAGE IN EQUIVALENT DWELLING UNITS I
19) PROPOSED INCREASE IN AVERAGE DAILY TRAFFIC
20) PROJECT NAME: -ri m 1C)(J7 (MTS
23) OWNER 24) APPLICANT -
NAME (PRINT
/UlL
NAME (PR3' OR TYPEI c -Rep
MAILINGADORE
Wo
ADDRESS s MA1tD/ G ADDRESS
V.
CITY S TELEPHONE
&f
ZIP TELEPHONE ra Xsu ur~ 1~ Woo'
CERTIFY THAT I AM THE LEGAL OWNER I CERTIFY THAT I AM THE LEGAL OWN ER's , REPRESENTA1WE 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
MY KNOWLEDGE.
SIGNATURE DATE
SIG ATURE DATE
tt* ta * a * * * a tat at ** a a *t* st**t *
FOR CITY USE ONLY
FEE COMPUTATION:
APPLICATION TYPE FEE REQUIRED
DATE STAMP APPLICATION RECEIVED
7/ RE CEIVED BY:
177
TOTAL FEE REQUIRED I
DATE FEE PAID RECEIPT NO. L_