HomeMy WebLinkAboutHMP 05-04; Shelley Property; Habitat Management Permit (HMP) (4)Od.c... ,,) \., CITY OF CARLSBAD ,, ·;:_;') LI~~D USE REVIEW APPLICATION ~ -· 1) APPLICATIONS APPLIED FOR: (CHECK BOXES)
(FOR DEPARTMENT (FOR DEPARTMENT
USE ONLY) USE ONLY)
D Administrative Permit -2nd D Planned Industrial Permit
Dwelling Unit
D Administrative Variance D Planning Commission
Determination
D Coastal Development Permit D Precise Development Plan
D Conditional Use Permit D Redevelopment Permit
D Condominium Permit D Site Development Plan
[XJ Environmental Impact D Special Use Permit
Assessment
D General Plan Amendment D Specific Plan
tZl Hillside Development Permit tit)P bd-o'i D =FeA'I:eti•ve PeFeel Me13
Obtain from Engineering Department
D Local Coastal Plan Amendment lZ1 Tentative Tract Map Cl ~-~7
D Master Plan D Variance
D Non-Residential Planned D Zone Change
Development
tzL fZ] Planned Development Permit ?Vt:> 0;). .. df List other applications not HW)Pf or-ot.j specified
2) ASSESSOR PARCEL NO(S).: 21. ~-0~(-tD / O'l---~~----~----4--------------------------------------
3) PROJECT NAME: _$~-H..;....::f::....L_L._£:_Y_...:..p_J2._o....:....(J=e'-t.z:....:..:T'_,_~----------::-------
4) BRIEF DESCRIPTION OF PROJECT: 4-q (2.-l Sl Util--E FA-14-1tl..'T' LoTS ju ~tiS"
5) OWNER NAME (Print or Type)
"DA~\. t:L-""\. .::; H-E.L-£..£. 't
MAILING ADDRESS
P. & . f3ox 'Z ~ o 1g-s-
CITY AND STATE ZIP
~pet rJrtlt-S ; C/lt. q U>z.;
t '2-CJf'f£t.J S'PAc::..t \..o-t'S'" o f.-) B l · ~ ¢elL~
6) APPLICANT NAME (Print or Type) t-At>t..Vt'\ CES"l4/V ~(LDUP1 1 ~c
?-D~tt-\ C. L-A"t~Wt '1
MAILING ADDRESS
10 3 P~L..O)f.ffTYL. At i..PO~t--1 'Rb .it: '?Oo
TELEPHONE CITY AND STATE ZIP TELEPHONE
7 'o 4-$8 -~u~ ftf-15q-?-'lbY CAt2L-S~ 1 CA.C?Wo<=t
7-Z2-r. • DATE
I CERTIFY THAT I AM THE LEGAL REPRESENTATIVE OF THE
OWNER AND THAT ALL THE ABOVE INFORMATION IS TRUE AND
CORRECT TO THE BEST OF MY KNOWLEDGE.
~~ 7/~11) 2-
SIGNATURE DATE
7) BRIEF LEGAL DESCRIPT rD~;· ~ ~1--Lt>'T G.-~tt-\o L~S EJ.JC.IU1~S' -PE.~ 111M 8cf:.~
-Flt..~o (p/?..1/lfqtf i)c~i c: J -r'
NOTE: A PROPOSED PROJECT REQUIRING MUlTIPLE APPliCATIONS BE FILED, MUST BE SUBMITTED PRIOR TO 3:30P.M.
A PROPOSED PROJECT FlEQUIRING ONLY ONE APPLICATION BE FILED, MUST BE SUBMITTED PRIOR TO 4:00P.M.
Form 16 PAGE 1 OF 2
l--lOOS"
,.
.~)
'~"~
8) LOCATION OF PROJECT:
STREET ADDRESS
ON THE SIDE OF I ~AI..)c..*o ~~m F'~ ~
(NORTH, SOUTH, EAST, WEST)
I ,4-"t>J~,;:.t ... Y\" -tu fpCtJI.~D
(NAME OF STREET)
(NAME OF STREET)
(NAME OF STREET)
9) LOCAL FACILITIES MANAGEMENT ZONE \ \ 1..---------'
10) PROPOSED NUMBER OF LOTS ~'11) NUMBER OF EXISTING 012) PROPOSED NUMBER OF
RESIDENTIAL UNITS RESIDENTIAL UNITS
13) TYPE OF SUBDIVISION ,~ .. \ 114) PROPOSED IND OFFICE/ B 15) PROPOSED CQMM
SQUARE FOOTAGE SQUARE FOOTAGE
16) PERCENTAGE OF PROPOSED I£P.Sf~ ,, 7) PROPOSED INCREASE IN j4£lo 118) PROPOSED SEWER
PROJECT IN OPEN SPACE ADT USAGE IN EDU
19) GROSS SITE ACREAGE 1~\ ~,,20) EXISTING GENERAL ~ 21) PROPOSED GENERAL
PLAN PLAN DESIGNATION
22) EXISTING ZONING ~23) PROPOSED ZONING ~ ()0 0
[ill
EJ
[ill
~ s
24} 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 APPL!CATiqN. !!WE CONSENT
TO OR THIS PURPO ( lt.> t'T~ 2.4-f+or.J(L N trtk.,;: Pl-EASE)
FOR CITY USE ONLY
FEE COMPUTATION.
APPLICATION .TYPE
C.T Od.-~I
HDP cd-DR
A.>D C>~-~4
E"l:A
TOTAL FEE REQUIRED
DATE FEE PAID
Form 16
FEE REQUIRED
LD> ~1>D.
~ ~~7 .~~
-s I ..:;; l>t>
1l~
AUG 0 1 2002
CITY OF CARLSBAD
PLANNING DEPT.
DATE STAMP APPLICATION RECEIVED
RECEIVED BY:
RECEIPT NO.
PAGE 2 OF 2