HomeMy WebLinkAboutHDP 89-11; Jessop; Hillside Development Permit (HDP)City of Carlsbad
2075 Las Palmas Drive
Carlsbad, CA 92009
(619) 438-1161
One Single
Family Home: No Charge
All Other Applications
Based on Project Site
Size:
PLANNING DEPARTMENT 0 - 1 Acres 50.00
HILLSIDAPP^rAT?nNEFN0TRMERMIT 1° Z ^^^ ™-™APPLICATION FORM 1QO Acres ^ QQ
Complete Description of Project (attach additional sheets if necessary)
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Location of Project
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Permit/File Numbers Associated with this Project
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Legal Description (complete)
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Local Facility Management Zone
Zone General Plan
Proposed Zone Proposed General Plan
Owner
Name (Print or Type)
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Mailing Address
City and State Zip Telephone
1 CERTIFY THAT 1 AM THE LEGAL OWNER
AND THAT ALL THE ABOVE INFORMATION
IS TRUE AND CORRECT TO THE BEST OF
MY KNOWLEDGE.
SIGNATURE A DATE
DaW Application Rej/'d. ^Received By
Assessors Parcel Number
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Existing Land Use
Site Acreage
Applicant
Name (Print or Type)
Mailing Address
City and State Zip Telephone
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1 CERTIFY THAT 1 AM THE OWNER'S
REPRESENTATIVE AND THAT ALL
THE ABOVE INFORMATION IS TRUE
AND CORRECT TO THE BEST OF
MY KNOWLEDGE.
SIGNATURE DATE
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Fees Received Receipt" No.
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PROJECT NUMBER (S)
APPLICANT:
AGENT:
MEMBERS:
DISCLOSURE FORM
Name (individual, partnership, joint venture, corporation, syndication)
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Business Address
Telephone Number
Name
Business Address
Telephone Number
Name (individual, partner, joint
venture, corporation, syndication)
Home Address
Business Address
Telephone Number
Name
Telephone Number
Home Address
Business Address
Telephone Number Telephone Number
(Attach more sheets if necessary)
I/We understand that if this project is located in the Coastal Zone, I/we will apply
for Coastal Commission Approval prior to development.
I/We acknowledge that 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.
I/We declare under penalty of perjury that the information contained in'this disclosure
is true and correct and that it will remain true and correct and may be relied upon
as being true and correct until amended.
BY \
Agent, Owner, Partner