HomeMy WebLinkAboutLCPA 02-10; Habitat Management Plan; Local Coastal Program Amendment (LCPA) (3).-- A
CITY OF CARLSBAD
LAND USE R~IW APPLICATION ,"
APPLICATIONS APPLIED FOR: (CHECK BOXES)
(FOR DEPARTMENT (FOR DEPARTMENT
USE ONLY)
Administrative Permit - 2nd
Dwelling Unit
Administrative Variance
Coastal Development Permit
Conditional Use Permit
Condominium Permit
Environmental Impact
Assessment
General Plan Amendment
Development Permit
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
0
0
d/Local Coastal Plan Amendment a Master Plan
Non-Residential Planned
0 Planned Development Permit
Development
I-
List other applications not L ' specified
2) ASSESSOR PARCEL NOW.: /A ID& -
4) BRIEF DESCRIPTION OF PROJECT: d4L T>LM 6+ t3rnLIF c, 3) PROJECT NAME: &k0I7iK J1JLpcrJWW PW
~~~~ ~ ~ ~
5) 0-WNER NAME (Print or Type) 6) APPLICANT NAME (Print or Type) I
MAILING ADDRESS MAILING(ADDRESS
CITY AND STATE ZIP TELEPHONE CITY AND STATE ZIP TELEPHONE
I I CERTIFY THAT I AM THE LEGAL REPRESENTATIVE OF THE
OWNER AND THAT ALL THE ABOVE INFORMATION IS TRUE AND
I CERTIFY THAT I AM THE LEGAL OWNER AND THAT ALL THE ABOVE
INFORMATION IS TRUE AND CORRECT TO THE BEST OF MY
KNOWLEDGE.
~
SIGNATU RE I SIGN ATU RE DATE
7) BRIEF LEGAL DESCRIPTION
NOTE:
A PROPOSED PROJECT REQUIRING ONLY ONE APPLICATION BE FILED, MUST BE SUBMITTED PRIOR TO 4:OO P.M.
A PROPOSED PROJECT REQUIRING MULTIPLE APPLICATIONS BE FILED, MUST BE SUBMIITED PRIOR TO 3:30 P.M.
Form 16 PAGE 1 OF 2
LOCATION OF PROJECT: &f/&d Lm@ srcc G.necsm
STREET ADDRESS
ONTHE 71 SIDEOF 9
BETWEEN 71 AND 11 (NORTH, SOUTH, EAST, WEST) (NAME OF STREET)
(NAME OF STREET) (NAME OF STREET)
LOCAL FACILITIES MANAGEMENT ZONE
PROPOSED NUMBER OF LOT 12) PROPOSED NUMBER OF
RESIDENTIAL UNITS
11) NUMBER OF EXISTING
RESIDENTIAL UNITS
TYPE OF SUBDIVISION
PERCENTAGE OF PROPOSED
PROJECT IN OPEN SPACE
GROSS SITE ACREAGE
EXISTING ZONING
r- POSED IND OFFICE/ 15) PROPOSED COMM
SQUARE FOOTAGE
PROPOSED 18) PROPOSED SEWER
ADT USAGE IN EDU
PLAN r121) PLAN pR-; DESIG 1 EXISTING GENERAL
n PROPOSED ZONING
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 APPLICATION. I/WE CONSENT
TO ENTRY FOR THIS PURPOSE
<. , SIGNATURE . .) ‘=-I
FOR CITY USE ONLY
FEE COMPUTATION
APPLICATION TYPE FEE REQUIRED
I I I WECEIlED
NOV 19 2002
ITY OF CARLSBAD I 6%&~f~ffi@fiION - ‘- RECEIVED I
TOTAL FEE REQUIRED 71
RECEIVED BY: b
DATE FEE PAID
Form 16
RECEIPT NO. u
PAGE 2 OF 2