HomeMy WebLinkAboutEIA 93-01; NORTH BEACH RESTROOM; Environmental Impact Report (EIR)(IIY OF CARLSBAD W
- LAND USE REVIEW APPLICATION FOR PAGE 1 OF 2
1) APPLICATIONS APPLIED FOR: (CHECK BOXES)
(FOR DEPT
USE ONLY)
I - '24-- If 9
(FOR DEPT
USE ONLY)
Master Plan
O Specific Plan
o Precise Development Plan
Q Tentative Tract Map
Planned Development Permit
O Non-Residential Planned Development
O Condominium Permit
Special Use Permit
O Redevelopment Permit
Tentative Parcel Map
O Administrative Variance
General Plan Amendment
Local Coastal Plan Amendment
Site Development Plan
Zone Change
Conditional Use Permit
Hillside Development Permit
Environmental Impact Assessment C/ • i
Variance
Planned Industrial Permit
Coastal Development Permit
Planning Commission Determination
List any other applications not specificed
2) LOCATION OF PROJECT: ON THE [ L4/ r SIDE OF I1$h'/cd 13 )v
(NORTH, SOUTH EAST, WEST)J ______________________ (NAME OF STREET) AO
& AND 5 L.
(NAME OF STREET) (NAME OF STREET)
3) BRIEF LEGAL DESCRIPTION:
4) ASSESSOR PARCEL NO(S). I 70 / 0 I
5) LOCAL FACILITIES I / I 6) EXISTING GENERAL PLAN Z> I 7) PROPOSED GENERAL PLAN
MANAGEMENT ZONE DESIGNATION DESIGNATION
8) EXISTING ZONING 1 05 9) PROPOSED ZONING J t)) 110) GROSS SITE I- ACREAGE
11) PROPOSED NUMBER OF I I 12) PROPOSED NUMBER I ..._J_13) TYPE OF SUBDIVISION I RESIDENTIAL UNITS f OF LOTS E]
(RESIDENTIAL
COMMERCIAL
INDUSTRIAL)
14) NUMBER OF EXISTING RESIDENTIAL UNITS f I
15) PROPOSED INDUSTRIAL I 116) PROPOSED COMMERCIAL I I OFFICE/SQUARE FOOTAGE SQUARE FOOTAGE
A PADPOM'PROMM RJPUIG ThAT POJEC1
REQIING Th NI 1ONMD*E FRM00016 8/90
CITY OF CARLSBAD
LAND USE REVIEW APPLICATION FORM PAGE 2 OF 2 I
17) PERCENTAGE OF PROPOSED PROJECT IN OPEN SPACE I
18) PROPOSED SEWER USAGE IN EQUIVALENT DWELLING UNITS I
19) PROPOSED INCREASE IN AVERAGE DAILY TRAFFIC J
20) PROJECT NAME: ( P QZ174 L &i<W erxr/\ 1
21) BRIEF DESCRIPTIN OF PROJECT:
c ,4-T 71 A 91 7-1 C-),-\7
fl+( s C £m -fl-J- 4cr c ib O 77-
5
22) 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
23) OWNER 24) APPLICANT (Pr(Zyc (&j2iw
NAME (PRINT OR TYPE) NAME (PRINT OR TYPE)
(- t Tt1 QF cçt< cf
MAILING ADDRESS MAILING ADDRESS
1-0-157 C
CITY AND STATE ZIP TELEPHONE CI14ND STATE ZIP TELEPHONE
cr1s2r\c (4 '1Z(5&
I CERTIFY THAT! AM THE LEGAL OWNER I CERTIFY THAT! AM THE IZGAL OWNEWs REPRENTATIVE AND
AND THAT ALL THE ABOVE INFORMATION THAT ALL THE ABOVE INFORMATION IS TRUE AND QRRECt TO THE
IS TRUE AND Q)RECF TO THE BEST OF BEST Of MY JINOWLEDGE.
MY KNOWLEDGE.
SIGNATURE DATE
,._ SIGNATU DATE
-
Aa-c- "H t J' I
FOR CITY USE ONLY RECEIVED
FEE COMPUTATION:
APPLICATION 1YPE FEE REQUIRED JAN 2 9 1093
CTYOFCALAN1 rL D'PT
DATE STAMP APPLICATION RECEIVED
RECEIVED BY:
I I TOTAL FEE REQUIRED
DATE FEE PAID I I RECEIPT NO.
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