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HomeMy WebLinkAboutHDP 00-11; Fox Miller Property; Hillside Development Permit (HDP)CITY OF CARLSBAD LAND USE REVIEW APPLICATION APPLICATIONS APPLIED FOR: (CHECK BOXES) (FOR DEPARTMENT I Administrative Permit - 2nd Dwelling Unit Administrative Variance Coastal Development Permit Conditional Use Permit Condominium Permit Environmental Impact Assessment General Plan Amendment Hillside Development Permit Local Coastal Plan Amendment Master Plan Non-Residential Planned Development Planned Development Permit (FOR DEPARTMENT USE ONLY) Planned Industrial Permit Planning Commission ' Determination Precise Development Plan Redevelopment Permit Site Development Plan Special Use Permit Specific Plan / =e- C~~~IU~R, Obtain from Engineering Department Tentative Tract Map Variance Zone Change List other applications not specified I I 2) ASSESSOR PARCEL NOW.: - 3) PROJECT NAME: fox lmICw2 4) BRIEF DESCRIPTION OF PROJECT: NN~P \umsrrzrAc LOTS ?Us ofw- 5 Q4cL I CERTIFY THAT I AM THE LEGAL OWNER AND THAT ALL THE ABOVE I CERTIFY THAT I AM THE LEGAL REPRESENTATIVE OF THE INFORMATION IS TRUE AND CORRECT TO THE BEST OF MY OWNER AND THAT ALL THE ABOVE INFORMATION IS TRUE AND KNOWLEPGE. / CORRECT TO THE BEST OF MY KNOWLEDGE. 7) BRIEF LEGAL DESCRIPTION P~z. Lo+ F - GAuccSo &u+~WDUW+ 4 MAP 0~3 Oe~rnroq NOTE: A PROPOSED PROJECT REQUIRING MULTIPLE APPLICATIONS BE FILED, MUST BE SUBMllTED PRIOR TO 3:30 P.M. A PROPOSED PROJECT REQUIRING ONLY ONE APPLICATION BE FILED, MUST BE SUBMITTED PRIOR TO 4:OO P.M. Form 16 PAGE 1 OF 3 8) LOCATION OF PROJECT: STREET ADDRESS ON THE SIDE OF I CL CkWaIhld QGAc 1 u err (NORTH, SOUTH, EAST, WEST) (NAME OF STREET) BETWEEN AND I FA141 DAY hJE- 1 (NAME OF STREET) (NAME OF STREET) / LOCAL FACILITIES MANAGEMENT 'ZONE PROPOSED NUMBER OF LOTS p-ll1) TYPE OF SUBDIVISION PERCENTAGE OF PROPOSED PROJECT IN OPEN SPACE GROSS SITE ACREAGE 154f.l 20) EXISTING ZONING ' NUMBER OF EXISTING RESIDENTIAL UNITS PROPOSED IND OFFICE/ SQUARE FOOTAGE PROPOSED INCREASE IN ADT - " . EXISTING GENERAL 1 21) PIAN w PROPOSED ZONING lpMl PROPOSED NUMBER OF RESIDENTIAL UNITS PROPOSED COMM SQUARE FOOTAGE PROPOSED SEWER USAGE IN EDU PROPOSED GENERAL PIAN DESIGNATION .. 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 TMS PURPOSE FOR CITY USE ONLY FEE COMPUTATION APPLICATION TYPE FEE REQUIRED ,\ 6JP /+ - I I Nl TOTAL FEE REQUIRED /g&? 1 DATE FEE PAID I DATE STAMP jJ 36\'3 APP ?&hON RECEIVED RECEIVED BY: fK& RECEIPT NO. Form 16 PAGE 2 OF 3 City of Carlsbad 1635 Faraday Avenue Carlsbad CA 92008 Applicant: LADWIG DESIGN GROUP, INC Set Id: SO00000485 DescriPtion CT000020 GPA00005 HDPOOOll PIP00002 suPooolo ZC000007 Amount 5,930.00 3,680.00 1,207.50 2,780.00 2,090.00 2,977.50 Total : 18,665.00 Receipt Number: ROO15808 Transaction Date: 10/17/2000 Pay Type Method Description Amount """"" """"" """""""" """"" Payment Check 6210 18,665.00 Transaction Amount: 18,665.00 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 MUST be disclosed at the time of applicafion submittal. Your project cannot be reviewed until this information is completed, Please print. Note: Persen is defined as "Any individual, fh, co-prtnaship, joint venturr, association, social club, htmal organization, corporation, estate, bust, 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 8s a unit" Agents may sign this document; however, the legel name and entity.of the applicant and pmpaty owner must be provided below. 1. ' 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 cornoration or oartnershiu, include the names. title, addresses of all individuals owning more than 10% of the shares. IF NO APPLlCABLE W/A) IN THE SPACE BELOW. If a publiclv-owned cornoration, include the names, titles,. and addresses of the corporate officers. (A separate page may be attached if necessary.) INDIVIDUALS OWN MORE THAN 10% OF THE SHARES, PLEASE INDlCATE NON- Person corp/Part Title Title Address Address 2. OWNER (Not the owner's agent) Provide the COMPLETE, LEGAL names and addresses of persons having any ownership interest in the property involved.. Also, provide the nature of the legal ownership (i.e, partnership. tenants in common, non-profitf cprporation, etc.). If the ownership includes a cornoration or DartnershiD, include the names, title, addresses of all individuals owning more than 10% of the shares. IF NO INDIVIDUALS OWN MORE THAN 10% OF THE SHARES, PLEASE INDICATE NON-APPLICABLE (N/A) IN THE SPACE BELOW. If a publiclv- owned cornoration, include the names. titles. and addresses of the corporate offken. (A separate page may be attached if necessary.) 2075 Las Palmas Dr. - Carlsbad, CA 92009-1576 - (760) 438-11 61 - FAX (760) 438-0894 @ J -1 * NON-PROFIT 01 WIZATION OR TRUST 3. - I If any person identified pursuant to (1) or (2) above is a nonorofit organization or a trust. 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. Non Profiflrust Non Profit/Trust b 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) months? 0 Yes @.No If yes, please indicate person(s): - NOTE: Attach additional sheets if necessary. 1 certify that all the above information is true and correct to the best of my knowledge. Signhe 6f owneddate Signature of applicanudate mr3 E. vtziccrz.R Print or type name of owner Print or type name of applicant Signature of owner/applicant's&ent if applicable/date L&&Jld &QZ5fC& Cw4/NC c, L&DLc//L; Print or type name of owner/applicant's agent H:ADMIN\COUNTER\DISCLOSURE STATEMENT 5/98 .Page 2 of 2 ~ ~~~ 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 MUST be disclosed at the time of applicafion submittal. Your project cannot be reviewed until this information is completed. Please print. Note: Person is defined as "Any individual, fm, co-partnership, joint venture, association, social club, fraternal organization, corpolation, estate. bust. receiver, syndicate, in this and any other 'county, city and county, city municipality, district or other political subdivision or any other pup or combination acting as a unit." Agents may sign this document; however, the kgal name and entity .of the applicant and property owner must be provided below. 1. ' APPLICANT (Not the applicant's agent). Provide the COMPLETE. LEGAL names and addresses of persons having a financial interest in the application. if the applicant includes a comoration or eartnershie, include the names, title, addresses of all individuals owning more than 10% of the shares. IF NO APPLICABLE (N/A) IN THE SPACE BELOW- If a publicly-owned comoration, include the names, titles,. and addresses of the corporate officers. (A separate page may be attached if necessary.) Person Corp/Part INDIVIDUALS OWN MORE THAN 10% OF THE SHARES, PLEASE INDICATE NON- Title Title Address Address 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.). If the ownership inciudes a corDoration or Partnershi& include the names, title, addresses of all individuals owning more than 10% of the shares. IF NO INDIVIDUALS OWN MORE THAN 10% OF THE SHARES, PLEASE INDICATE NON-APPLICABLE (N/A) IN THE SPACE BELOW. If a publiclv- owned coreoration, include the names. titles. and addresses of the corporate officers. (A separate page may be attached if necessary.) Person QO+QDON P, . Fo>( Corp/Psrt Title GG u6g Title Address \SO0 \/I /2- ARC0 Address / ?4us V'ELPES ESrnTES,c4 90274- 2075 Las Palmas Dr. Carlsbad, CA 92009-1576 (760) 438-1161 FAX (760) 438-0894 @ P .I - 3. NON-PROFIT 01 LNIZATION OR TRUST - If any person identified pursuant to (1) or (2) above is a nonuroftt organization or a trust. list the names and addresses of ANY person serving as an offrcer 'or director of the non-profit organization or as trustee or beneficiary of the. Non Profiflrust Non Profiflrust ;r 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) months? 0 Yes $1 No If yes, please indicate person(s): NOTE: Attach additional sheets if necessary. 1 certify that all the above information is true and correct to the best of my knowledge. Signahre of ownerldate Signature of applicantldate &jkDolj 6. hX Print or type name of owner Print or type name of applicant Signature of ownedapplicant'dgent if applicablddate L&DLc)L& QCTW a-CWP, 1 E3c \2O&W--c. L&DLe/l,/ Print or type name of ownedapplicant's agent H:ADMIN\COUNTER\DISCLOSURE STATEMENT 5/98 ' .Page 2 of 2 DISCLOSURE STATEMENT I Applicant's statement or disclosure of certain ownership interests on all applications which will require] I discretionary action on the part of the City Council or any appointed Board, Commission or Committee. I The following information MUST be disclosed at the time of applicafion submittal. Your project cannot be reviewed until this information is completed, Please print. Note: Person is defmed as "Any individual, firm, CO-partnnship, 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.cntity.of the applicant and property owner must be provided below. I :' APPLICANT (Not the applicant's agent) Provide the COMPLETE, LEGAL names and addresses of persons having a financial interest in the application. If the applicant includes a comoration or DartnershiD, include the names, title, addresses of all individuals owning more than 10% of the shares. IF NO APPLICABLE O\J/A) IN THE SPACE BELOW. If a publiclv-owned comoration, include the INDIVIDUALS OWN MORE THAN 10% OF THE SHARES, PLEASE INDICATE NON- names, titles,. and addresses of the corporate necessary.) Person Title Address officers. (A separate page may be attached if CorpPart Title Address &. 3 OWNER (Not the owner's agent) Provide the COMPLETE, LEGAL names and addresses of && persons having any ownership interest in the property involved ... Also, provide the nature of the legal ownership (i.e, partnership. tenants in common, non-profif corporation. etc.). If the ownership includes a comoration or DartnershiD, include the names, title. addresses of all individuals owning more than 10% of the shares. IF NO INDIVIDUALS OWN MORE THAN 10% OF THE SHARES, PLEASE INDICATE NON-APPLICABLE (N/A) IN THE SPACE BELOW. If a publiclv- owned comoration, include the names. titles. and addresses of the corporate officers, (A separate page may be attached if necessary.) Person Q055 A. VIA.] corpmart Title KxW Iu w R Address c/d l&A Ij I CKk Address ~. / A .Title FLbofL 'CQ&4* \ E(_/XflPILlSE- &~l<d L'1KJ0,c4 .~z~~6 2075 Las Palmas Dr. - Carlsbad, CA 92009-1 576 - (760) 438-1161 - FAX (760) 438-0894 @ 4 .A - 1 NON-PROFIT 0 ANIZATION OR TRUST 3. If any person identified pursuant to (1) or (2) above is a nonurofit oreanization or a trust. list the names and addresses of ANY person serving an officer or director of the non-profit organization or as trustee or beneficiary of the. Non Profiflrust Non Profit/Trust Title Title Address Address z 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) months? 0 Yes =No If yes, please indicate person(s): NOTE: Attach additional sheets if necessary. I certify that all the above information is true and correct to the best of my knowledge. $?DSS 4 .a\ LE(c Print or type name of owner Print or type name of applicant Print or type name of owner/applicant's agent ~ ~~~~ / H:ADMIN\COUNTER\DISCLOSURE STATEMENT 5/98 .Page 2 of 2 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. Tlle following information MUST 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, finn, 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 entit).of the applicant and ProperQ owner must be provided below. 1. APPLICANT (Not the applicant's agent) Provide the COMPLETE. LEGAL names and addresses of persons having a financial interest in the application. If the applicant includes a comoration or partnership. include the names. title, addresses of all individuals owning more than 10% of the shares. IF NO APPLICABLE (N/A) IN THE SPACE BELOW. If a pubiiclv-owned comoration. include the names, titles, and addresses of the corporate officers. (A separate page may be attached if necessary.) INDIVIDUALS OWN MORE THAN 10% OF THE SHARES, PLEASE INDICATE NON- Person CorpIPart Title Title Address Address *. 3 OWNER (Not the owner's agent) Provide the COMPLETE, LEGAL names and addresses of persons having any ownership interest in the property involved.. Also, provide the nature of the legal ownership (Le, partnership. tenants in common, non-profit, corporation. etc.). If the ownership includes a comoration 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 THE SHARES, PLEASE INDICATE NON-APPLICABLE @/A) IN THE SPACE BELOW. If a publiclv- owned corporation, include the names. titles. and addresses of the corporate officers. (A separate page may be attached if necessary.) i 2075 Las Palmas Dr.: Carlsbad, CA 92009-1576 - (760) 438-1161 FAX (760) 438-0894 @ NON-PROFIT OP" JYIZATION OR TRUST If any person identirlc;d pursuant to (1) or (2) above is a nonuroht organization or a trusl. 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. Non ProfifI'rust Non Profiflrust - 3. 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) months? Yes Po If yes, please indicate person(s): NOTE: Attach additional sheets if necessary. I certify that all the above information is true and correct to the best of my knowledge. A Signature of owneridate Signature of applicanddate i/;b 55 A M L~oL fi,+~~x~ NS+IJC;WU. Print or type name of owner I Print or type name of applicant Signature 6f owner/applicant's a&t if applicable/date (LAP4 QE.r/W drZa@. /Ale Print or type name of ownedapplicant's agent . H:ADMIN\COUNTER\DlSCLOSURE STATEMENT 5/98 Page 2 of 2 DISCLOSURlE 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 MUST be disclosed at the time of applicafion submittal. Your project cannot be reviewed until this information is completed, Please print. Note: Person is defined as "Any individual, fm, co-partnmhip, 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 pup 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. 1. APPLICANT (Not the applicant's agent) Provide the COMPLETE. LEGAL names and addresses of && persons having a financial interest in the application. If the applicant includes a comoration or Dartnership. include the names. title, addresses of all individuals owning more than 10% of the shares. 1F NO APPLICABLE W/A) IN THE SPACE BELOW. If a publiclv-owned cornoration, include the INDIVIDUALS OWN MORE THAN 10% OF "HE SHARES, PLEASE INDICATE NON- names, titles,. and addresses of the corporate necessary.) Person Title Address offkers. (A separate page may be attached if Corp/Part Title Address 2. OWNER (Not the owner's agent) Provide the COMPLETE. LEGAL names and addresses of persons having any ownership interest in the property involved.. Also, provide the nature of the legal ownership (Le, partnership. tenants in common, non-profit, corporation, etc.). If the ownership includes a coruoration or Dartnershiu, include the names, title. addresses of all individuals owning more than IO% of the shares. IF NO INDIVIDUALS OWN MORE THAN 10% OF THE SHARES, PLEASE INDlCATE NON-APPLICABLE (N/A) IN THE SPACE BELOW. If a publicly- owned coruoration, include the names, titles, and addresses of the corporate off'cers. (A separate page may be attached if necessary.) Person YZIA./~CL E U J L cGL Corp/Part Title Q WbJ% Title Address c/u O&Ad E. Vu f Lw Address / FLUOR Co~k I (ZhJTZZLP131JFZ DR. &LIS0 * VI KJO, cq . q261aG 2075 Las Palmas Dr. - Carlsbad, CA 92009-1576 - (760) 438-1161 FAX (760) 438-0894 @ - 3. NON-PROFIT C" rANIZATION OR TRUST - If an? person identliied pursuant to (1) or (2) above is a nonurorit oreanization or 3 trus1. list the names and addresses of ANY person sewing an officer or director of the non-profit organization or as trustee or beneficiary of the. Non Profiflrust Non Profiflrust Title Title Address Address 4. Have you had more than $250 worth of business transacted with any member of City staff. Boards. Commissions. Committees and/or Council within the past twelve (12) months? Yes o$ No If yes, please indicate person(s): NOTE: Attach additional sheets if necessary. I certify tha5 all the above information is true and correct to the best of my knowledge. /"J y%&2k !=. LczL? Print or type name of owner Print or type name of applicant Signature of owner/applicant's age#if applicable/date L&$w/r; Ql€..fdm /kc Print or type name of ownedapplicant's agent , c H:ADMIN\COUNTER\DISCLOSURE STATEMENT 5/98 ' Page 2 of 2 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 MUST 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-parblmhip, 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. 1. APPLICANT (Not the applicant’s agent) Provide the COMPLETE, LEGAL names and addresses of persons having a financial interest in the application. If the applicant includes a corporation or partnership. include the names, title, addresses of all individuals owning more than 10% of the shares. IF NO APPLICABLE (N/A) IN THE SPACE BELOW. If a publiclv-owned cornoration. include the names, titles, and addresses of the corporate offkers. (A separate page may be attached if necessary.) Person Corp/PaIt INDIVIDUALS OWN MORE THAN 10% OF THE SHARES, PLEASE INDICATE NON- Title Title Address ‘ Address -. 3 OWNER (Not the owner’s agent) Provide the COMPLETE, LEGAL names and addresses of persons having any ownership interest in the property involved.. Also, provide the nature of the legal ownership (Le, partnership. tenants in common, non-profit, corporation, etc.). If 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 THE’ SHARES, PLEASE INDICATE NON-APPLICABLE (N/A) IN THE SPACE BELOW. If a publiclv- owned cornoration, include the names. titles. and addresses of the corporate officers. (A separate page may be attached if necessary.) / Person 5 L- 5 ~r K . A i - te Corp/Part ;Q i, 5 2 T u i3~b t LC Title [,‘o “[C * 6 j+t-p~ttGt~e~ t Address 4 2 i 1. /vi 1 Fr L CVL’ (7ck @Address fl6b-5 u :Wz= I wt4. y’i(27 2075 Las Patmas Dr. - Carlsbad. CA 92009-1 576 - (760) 438-11 61 * FAX (760) 438-0894 @ -7 J. NON-PROF'IT OF NIZATION OR TRUST - If any person ident. ;d pursuant to (1) or (2) above is a nonmb. .. organization or a trust. list tilt. names and addresses of ANY person serving an officer or director of the non-profjl organization or as trustee or beneficiary of the. F Non Profiflrust Non Profiflrust Title Title Address Address 4. Have you had more than $250 worth of business transacted with any member of Cit?. staff. Boards. Commissions. Committees and/or Council within the past twelve (12) months? 0 Yes NO If yes, please indicate person(s): NOTE: Attach additional sheets if necessary. 1 certify that all the above information is true and correct to the best of my knowledge. Signature of owneddate Signature of applicanddate Print or type name of owner Print or type name of applicant Signature of owner/appIicant's agent if appIicable/date Print or type name of ownedapplicant's agent c H:ADMIN\COUNTER\DISCLOSURE STATEMENT 5198 Page 2 of 2