HomeMy WebLinkAboutHDP 93-03; ALDER ESTATES; Hillside Development Permit (HDP)\
CITY OF CARLSBAD
1200 CARLSBAD VILLAGE DRIVE CARLSBAD, CALIFORNIA 92008
438-5621
REC'D FROM______ ft /f DATE________
JA. A I L % A A A )JJ A Iti I)
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ACCOUNT NO. DESCRIPTION AMOUNT
1804 04/07/93 0001 01 02
C-MT 30100
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RECEIPT NO.26 TOTAL
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DISCLOSURE STATEMENT
APPLICANT'S STATEMENT OF 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.
(Please Print)
The following information must be disclosed:
1. Applicant
List the names and addresses of all persons having a financial interest in the application.
Gayla Erickson
3800 Alder Avenue
Carlsbad, CA 92008
2. Owner
List the names and addresses of all persons having any ownership interest in the property involved.
Gavla Erickson
3800 Alder Avenue
Carlsbad, CA 92008
3. If any person identified pursuant to (1) or (2) above is a corporation or partnership, list the names and
addresses of all individuals owning more than 10% of the shares in the corporation or owning any partnership
interest in the partnership.
4. If any person identified pursuant to (1) or (2) above is a non-profit organization or a trust, list the names and
addresses of any person serving as officer or director of the non-profit organization or as trustee or beneficiary
of the trust. -
FRM 13 4/91 Page 1 of 2
2075 Las Palmas Drive • Carlsbad, California 92009-4859 • (619) 438-1161
(Over)
Disclosure Statement Page 2
5. Have you had more than $250 worth of business transacted with any member of City staff, Boards,
Commissions, Committees and Council within the past twelve months?
Yes - No x If yes, please indicate person(s)_________________________________________
Person is defined as: Any individual, firm, copartnership, joint venture, association, social club, fraternal organization, corporation, estate, trust,
receiver, syndicate, this and any other county, cit y and county, city municipality, district or other political subdivision, or any other group or
combination acting as a unit.
(NOTE: Attach additional pages as necessary.)
Signature 'Owner/date nature ofplicant/date
Gayla Erickson Gayla Erickson
Print or type name of owner Print or type name of applicant
FRM13 4/91 Page 2of2
CITY OF CARLSBAD
1200 CARLSBAD ILLAGE DRIVE CARLSBAD, PALIFORNIA 92008
434-2867
REC'D FROM 14 ,4 DATE 5 12-01--1 kf,
ACCOUNT NO DESCRIPTION AMOUNT
7067 05/20/94 0001 01 02
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RECEIPT NO. 1-0114A NOT VALID UNLESS VALIDATED BY TOTAL 7ç
8 Printed on recycled paper. . CASH REGISTER