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Home My WebLink AboutHDP 98-25; La Costa Greens; Hillside Development Permit (HDP)CITY OFCARLSBAD A LAND USE REVIEW APPLICATION APPLICATIONS APPLIED FOR: (CHECK BOXES) 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 0 0 E Planned Industrial Permit Planning Commission Determination Precise Development Plan Redevelopment Permit Site Development Plan Special Use Permit Specific Plan Obtain from Engineering Department Tentative Tract Map Variance Zone Change List other amlications not ' (FOR DEPARTMENT c/a I 0 specified .. I 1 2) ASSESSOR PARCEL NO(S).: 216-310-09 & 10 3) PROJECT NAME: La Costa Greens 4) BRIEF DESCRIPTION OF PROJECT: 5 Lot, Single Family Planned Development 5) OWNER NAME (Print or Type) LEGACY DEVELOPMENT, LLC 6) APPLICANT NAME (Print or Type) LEGACY DEVELOPMENT. LLC MAILING ADDRESS 2614 Unicornia Street MAILING ADDRESS 2614 Unicornia Street CITY AND STATE ZIP TELEPHONE La Costa, CA 92029 (760) 930-9399 I CERTIFY THAT I AM THE LEGAL OWNER AND THAT ALL THE ABOVE INFORMATION IS TRUE AND CORRECT TO THE BEST OF MY CITY AND STATE ZIP TELEPHONE I La Costa, CA 92008 (760) 930-9399 I CERTIFY THAT I AM THE LEGAL REPRESENTATIVE OF THE OWNER AND THAT ALL THE ABOVE INFORMATION IS TRUE AND >' /2- 3c?-FJ SIGN/ATUk grk &ethalsA&,,...BATE 7) BRIEF LEGAL DESCRIPTION Lots 9 & 10 of Map NO. 6708, County of San Diego, State of Ca 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 SUBMllTED PRIOR TO 4:OO P.M. Form 16 LOCATION OF PROJECT: STREET ADDRESS ON THE I North I SIDE OF La Costa Avenue (NORTH, SOUTH, EAST, WEST) (NAME OF STREET) , BETWEEN I El Camino Real (NAME OF STREET) AND I Viej o Castilla Way (NAME OF STREET) LOCAL FACILITIES MANAGEMEFJT ZONE 6 PROPOSED NUMBER OF LOTS TYPE OF SUBDIVISION PERCENTAGE OF PROPOSED PROJECT IN OPEN SPACE GROSS SITE ACREAGE 22) EXISTING ZONING 24) RESIDENTIAL UNITS 11) NUMBER OF EXISTING Fl 12) PROPOSED NUMBER OF RESIDENTIAL UNITS I] SQUARE FOOTAGE S . F. 14) PROPOSED IND OFFICE/ Fl 1 5) PROPOSED COMM SQUARE FOOTAGE ADT 17) PROPOSED INCREASE IN Fl 18) “G“E:FEEWER PLAN 20) EXISTING GENERAL /RaI 21) PROPOSED GENERAL PLAN DESIGNATION PI 23) PROPOSED ZONING pT( 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 TO INSPECT AND ENTER THE PROPERTY THAT IS THE SUBJECT OF THIS APPLICATION. I/WE CONSENT TO ENTRY FOR THIS PURPOSE FOR CITY USE ONLY FEE COMPUTATION APPLICATION TYPE FEE REQUIRED TOTAL FEE REQUIRED 1 /5(,Y67*sU I DATE FEE PAID Form 16 RECEIVED BY: ’ RECEIPT NO. PAGE 2 OF 2 ~ .. CITY OF CARLSBAD P j " ,''V 1200 CARLSBAD VILLAGE DRIVE CARLSBAD, CALIFORNIA 92008 ! I, i \. 434-2867 ACCOUNT NO. DESCRIPTION I I I I NOT VALID UNLESS VALIDATED BY CASH REGISTER DISCLOSURE STATEMENT , Applicant's statement or disclosure of certain ownership interests on all applications which will require discretiona? 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-parmenhip, 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 propem 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 coruoration or uartnership. 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 (NIA) 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 PersonflT k \I Title fi~mA(,- Title flcmk~ - z J €efp/Pan&,, .u &Ad I, + Address 9 4/ 4 ,Md)r.L.4A/IL~ Sf- Address /// dLwd~ / E,&d.. - &dS&d A 9;20;.4 L4 UULL4, 4 ga33Y 7 -. OWNER mot 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 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.) Person Corp/Part "/e c 4 z A& +E / Title Title Address Address I - - .. J. NON-PROFIT ORGANIZATION OR TRUST If any person identified pursuant to (I) or' (2) above is a nonurofit organization or a trllst. list the names and addresses of ANY person serving a~ an officer or director of the non-profit organization or as trustee or beneficiary of the. Non Profiflrust N/A. Non Profiflrust Title Title Address Address 4. Have you had more than $250 worth of business transacted with any member of C.it!. staff. ' s. Committees and/or Council within the past twelve (12) months? Yes 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. J&"< fl8UGLf mcwT 41c' /e ; >--/fl Y -Y Sipndure of $w&/date Signature of applicantldate /z k rr &d f ,-L4 LS. Print or type name of owner Print or type name of applicant Signature of owner/appiicant's agent if applicable/date Prilit or type name of owner/applicant's agent H:ADMIN\COUNTER\DISCLOSURE STATEMENT 5/98 Page 2 of 2