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HomeMy WebLinkAboutLCPA 96-03A; Poinsettia Properties; Local Coastal Program Amendment (LCPA)CITY OF CARLSBAD LAND USE REVIEW APPLlCnrr ON APPLICATIONS APPLIED FOR: (CHECK BOXES) Administrative Permit - 2nd Dwelling Unit Administrative Variance Coastal Development Conditional Use Permit Condominium Permit Environmental Assessment \ P Local Coastal Plan Am drnent ? I CP4' 46& Master Plan \I t Non-Residential Planned Development Planned DeveloDment Permit 0 Planned Industria 0 Special Use Per (7 Zonechange 0 List other applications not (FOR DEPARTMENT USE ONLY) I 4) BRIEF DESCRIPTION OF PROJECT: LCP 5) OWNER NAME (Print or Type) v MAILING ADDRESS CITY AND STATE ZIP TELEPHONE I CERTIFY THAT I AM THE LEGAL OWNER AND THAT ALL THE ABOVE INFORMATION IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE. I SIGNATURE DATE 6) APPLICANT NAME (Print or Type) MAILING @Des - n Ja.@m-u d4. CITY AND STATE ZIP TELEPHONE 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. SIGNATURE DATE 7) BRIEF LEGAL DESCRIPTION NOTE: A PROPOSED PROJECT REQUIRING MULTIPLE APPLICATIONS BE FILED, MUST BE SUBMITTED PRIOR TO 3:30 P.M. ,& A PROPOSED PROJECT REQUIRING ONLY ONE APPLICATION BE FILED, MUST BE SUBMITTED PRIOR TO 4:OO P.M. 5" w Form 16 PAGE 1 OF 2 LOCATION OF PROJECT: STREET ADDRESS ON THE mv& SIDE OF #$e& BETWEEN -1 AND 1 (NAME OF STREET) (NAME OF STREET) LOCAL FACILITIES MANAGEMENT ZONE 2a 11) NUMBER OF EXISTING RESIDENTIAL UNITS PROPOSED NUMBER OF LOTS m 14) TYPE OF SUBDIVISION PERCENTAGE OF PROPOSED PROJECT IN OPEN SPACE GROSS SITE ACREAGE 20) EXISTING ZONING PROPOSED IND OFFICE/ SQUARE FOOTAGE PROPOSED INCREASE IN ADT EXISTING GENERAL PLAN 23) PROPOSED ZONING I'I PROPOSED NUMBER OF RESIDENTIAL UNITS I PROPOSED COMM SQUARE FOOTAGE PROPOSED SEWER USAGE IN EDU PROPOSED GENERAL PLAN DESIGNATION 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 - SIGNATURE FOR CITY USE ONLY FEE COMPUTATION SP A TOTAL FEE REQUIRED 1- DATE FEE PAID Form 16 1 DATE STAMP APPLICATION RECEIVED RECEIVED BY: RECEIPT NO. l-----l PAGE 2 OF 2