HomeMy WebLinkAboutHDP 96-13; Kelly Ranch Village E; Hillside Development Permit (HDP)/c
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2) LOChRON OF PRoJEct: ON THE 1 Southeast
in the City of Carlsbad,'according to Map 823. I
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0. Clemens/Vice President
CITY OF CARLSBAD
1200 CARLSBAD VILLAGE DRIVE CARLSBAD, CALIFORNIA 92008
434-2867
ACCOUNT NO. DESCRIPTION
RECEIPT NO. .. 35939
@ Mnted on rtcyc~~d ~IPI. h,
NOT VALID UNLESS VALIDATED BY
CASH REGISTER TOTAL
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City of Carlsbad
DISCLOSURE STATEMENT
APPLICAiS STATEMElUT OFDISCLOSURE OR CERTAIN OWERSHIP INTERESTS ON ALL APPLICXTIONS
WHICH WILL REQUIRE DISCRETIONARY ACTION ON THE PART OF THE CITY COUNCIL OR .&YY
APPOINTED BOARD, COMMISSION OR COhrlhfIlTEE
I (Please Print)
The following information must be disclosed:
1. Audicant List the names and addresses of all persons having a financial interest in the application.
Kelly Land Comuanv. a De-re Corporatian 2011 Palomar Airport Rd., #206
Carlsbad, CA 92009
2. Owner
List the names and addressees of all person having any ownership interest in the property involved. Kelly Land Company, a Delaware Corporation *
2011 Palomar Airport Road, t206 Marvin H. Sippel 6 Lucia .c.
Carlsbad, CA 9213139 Sippel, Sippel Revocable
Family Trust
3.
4.
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 artnership interest in the partnership.
NA P
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.
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DISCLOS.FRM 2/96 PAGE 1 of 2
2075 LaS Palmas Drive - Carlsbad. California 92009-1 576 - (61 9) 438-1 161 0
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Disclosure Statement
- PCrsen is detined as "hy individual. firm, copartnership, joint venture. 3ssoc:arion. social club, I'ratenal orz2izzc:oc.
corporation, estate, trust, receiver, sydicxe, this snd any other county, city and counry. city municipaliy, distric: or ~:kr
political subdivision or any other goup or combination actin, 0 as a unit." I I I
(VOTE: Attach additional pages as necessary)
D. L. Clemens/Vice President
Sfgnatuie of bmer/date
Scott Medansky/Assis\tant Secretary
Print or type .. name of-owner "
Marvin H. Sippfle and Lucia C. Sipple,
Marvin H. SipphEL I/n M.q
Print or type name of owner
Lucia C. Sip*, 1 f"
Print or type name of owner
~~ Signature of applicanvdate
D. L. Clemens/Vice President
Print or type name of applicant
DISCLOS.FRM 2/96 PAGE 1 of 2
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