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Home My WebLink AboutHDP 98-17; Beliveau Residence; Hillside Development Permit (HDP)CITY OF CARLSBAD LAND USE REVIEW APPLICATION APPLICATIONS APPLIED FOR: 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 (CHECK BOXES) (FOR DEPARTMENT (FOR DEPARTMENT USE ONLY) Planned Industrial Permit ~~ ~ 2) ASSESSOR PARCEL NOfS).: - I I I 1 0 0 0 0 0 0 0 Planning Commission Determination Precise Development Plan Redevelopment Permit I Site Development Plan Special Use Permit Specific Plan Obtain from Engineering Department Tentative Tract Map Variance Zone Change List other applications not I specified I 3) PROJECT NAME: 4) BRIEF DESCRIPTION OF PROJECT: b* 5cmsJX - hLp pi..ia~~~ CITY AND STATE ZIP TELEPHONE CITY AND STATE ZIP TELEPHONE I CERTIFY THAT I AM THE LEGAL OWNER AND THAT ALL THE ABOVE OWNER INFORMATION IS TRUE AND CORRECT TO THE BEST OF MY I CERTIFY THAT I AM THE LEG REPRESENTATIVE OF THE KNOWLEDGE. SIGNATURE DATE SIGNATURE DATE Form 16 PAGE 1 OF 2 LOCATION OF PROJECT: 412s 5WLM m. STREET ADDRESS ON THE I WEST 5kfLft-JL m SIDE OF (NORTH, SOUTH, EAST, WEST) (NAME OF STREET) BETWEEN AND I M"d&-A"a (NAME OF STREET) (NAME OF STREET) LOCAL FACILITIES MANAGEMENT ZONE PROPOSED NUMBER OF LOTS wl RESIDENTIAL UNITS 1 1) NUMBER OF EXISTING 12) PROPOSED NUMBER OF TYPE OF SUBDIVISION ml 14) PROPOSED IND OFFICE/ 15) PROPOSED COMM SQUARE FOOTAGE SQUARE FOOTAGE PERCENTAGEOFPROPOSED PROJECT IN OPEN SPACE GROSS SITE ACREAGE PLAN 2 ) EXISTING GENERAL I-Qco"\l PLAN DESIGNATION 21) PROPOSED GENERAL EXISTING ZONING ms;) PROPOSED ZONING m IN THE PROCESS OF REVIEWING THIS APPLICATION IT MAY BE NECESSARY FOR MEMBERS OF CITY STAFF, PLANNING COMMISSIONERS, DESIGN REVIEW BOARD MEMEBERS OR CITY COUNCIL MEMBERS T IS THE SUBJECT OF THIS APPLICATION. I/WE CONSENT FOR CITY USE ONLY FEE COMPUTATION APPLICATION TYPE FEE REQUIRED flop 46-17 740 * COP 9% - 71 ?qo a P Fi so9 TOTAL FEE REQUIRED K3de DATE FEE PAID Form 16 c- RECEIPT NO. I 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, fm, 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 entity 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 corporation or uartnership. 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 cor~oration, 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 %26 &l/.e - 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, noniprofit, 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 corporation. include the names, titles. and addresses of the corporate officers. (A separate page may be attached if necessary.) Title Title Address q2s Address 2075 Las Palmas Dr. - Carlsbad, CA 92009-1 576 - (760) 438-11 61 FAX (760) 438-0894 @ -”. .“ -., 3. NON-PROFIT 01- ,ANIZATION OR TRUST If any person identified pursuant to (1) or (2) above is a nonprofit 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 ProfitITrust 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 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. 7 re of owner/datk ~ >- PAL4 2?!?Y/9& Print or type name of owner Print or type name of applicant /- Signature of owner/applicant’s agent if applicable/date Print or type name of owner/applicant’s agent .L ,. . ... . . ..- a,.*# ’ ’ .. . - Y:ADMIN\COUNTER\DISCLOSURE STATEMENT 5/98 Page 2 of 2 ~___ ~ I CITY OF CARLSBAD 1200 CARLSBAD VILLAGE DRIVE CARLSBAD, CnLlFORNlA 92008 -. 434-2867 ACCOUNT NO. DESCRIPTION I AMOUNT NOT VALID UNLESS VALIDATED BY CASH REGISTER TOTAL I PROJECT DESCRIPTION/EXPIANATION Please describe fully the proposed project. Include any details necessary to adequately explain the scope and/or operation of the proposed project: You may also include any background information and supporting statements regarding the reasons' for, or appropriateness of, the application. Use an addendum sheet if necessary. Description/Explanation. R.V. -1 *- EXHIBIT "A" Resource Development Corporation 531 Encinitas Blvd. 4uits 201, Encinitas, CA 92024 Tsl: (619) 942-1106 Fax: (619) 942-2514 Date: RDC Job Number: Engineer's Opinion of Probable Cost 17-Sep-98 98-01 88 Project Description: BELIMAU RESIDENCE Project Location: 4125 Skyline Road, Carlsbad City of Carlsbad Project No: HDP 98-31? Item Reference Quantity Unit Unit Cost Item Cost Grading and Drainage Improvements Onsite Cut and Fill Soils Engineer 75 c.y. $1 0.00 $750.00 Import and Compact Fill Soils Engineer 1540 c.y. $7.50 $1 1,550.00 Landscape Area Drain QUIKSET DB1818 12 ea. $300.00 $3,600.00 PVC Storm Drain (6") JM SDR 35 460 1.f. $34.00 $1 5,640.00 Masonry Retaining Wall Std Dwg C-1 1525 s.f. $26.00 $39,650.00 Subtotal Grading and Drainage Improvements Contingincies (10%) $71,190.00 $7,119.00 Total Grading & Drainage Improvements $78,309.00