HomeMy WebLinkAboutMCA 10-02; DRP CODE AMENDMENTS; Engineering Application-.~ <~r ~?'; \<>. • .~ CITY OF
CARLSBAD
~AND USE REVIEW
APPLICATION
P-1
evelopment Services
Planning Division
1635 Faraday Avenue
(760) 602-4610
www.carlsbadca.gov
APPLICATIONS APPLIED FOR: (CHECK BOXES)
Development Permits
o Administrative Permit
o Coastal Development Permit (*) 0 Minor
o Conditional Use Permit (*) o Minor 0 Extension o Environmental Impact Assessment
o Habitat Management Permit
o Hillside Development Permit (*)
D Planned Development Permit
o Minor
o Residential D Non-Residential
o Planned Industrial Permit
D Planning Commission Determination
o ·Site Development Plan
o Special Use Permit
D Tentative Tract Map
D Variance D Administrative
(FOR DEPT. USE ONLy) Legislative Permits (FOR DEPt. USE ONLy)
o General Plan Amendment
o Local Coastal Program Amendment (*)
o Master Plan o Amendment
! I ~.
I o Specific Plan D Amendment
o Zone Change (*)
o Zone Code Amendment .
List other applications not specified
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(*) = eligible for 25% d~scount
NOTE: A PROPOSED PROJECT REQUIRING MULTIPLE APPLICATIONS MUST BE SUBMITTED PRIOR TO 3:30 P.M. A PROPOSED PROJECT REQUIRING ONLY ONE
APPLICATION MUST BE SUBMITTED PRIOR TO 4:00 P.M. .
ASSESSOR PARCEL NO(S).:
PROJECT NAMJ)RP CiJth-.'7'r'"T:!~;:I;;-;;fT'ir-htt71-7r-'------:-7'----:-:------'-:~----
BRIEF LEGAL DESCRIPTION:
~?TREET ADDRESS
LOCATION OF PROJECT: Ci~-u4dt
ON THE: SIDE OF
(NORTH, SOUTH, EAST, WEST) (NAME OF STREET)
BElWEEN AND
(NAME OF STREET) (NAME OF STREET)
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fA c f1 / ()' 0 7.--
Revised 07/10 l W
OWNER NAME (Print): ~~~~~~mL~~~~
MAILING ADDRESS:
~~~~~~~~~~------
CITY, STATE, ZIP:
TELEPHONE:
EMAIL ADDRESS:
APPLICANT'S REPRESENTATIVE (Print):
MAILING ADDR~SS:
CITY, STATE, ZIP:
TELEPHONE:
EMAIL ADDRESS:
I CERTIFY THAT I AM THE LEGAL REPRESENTATIVE OF THE
APPLICANT AND THAT ALL THE ABOVE INFORMATION IS TRUE AND
CORRECT TO THE BEST OF MY KNOWLEDGE.
SIGNATURE
APPLICANT NAME (Print): ~ dZ (!)4!¥fIV
MAILING ADDRESS: ---------------------------CITY, STATE~ ZIP:
TELEPHONE:
EMAIL ADDRESS:
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
{'
IN THE PROCESS OF REVIEWING THIS APPLICATION IT MAY BE NECESSARY FOR MEMBERS OF CITY STAFF, PLANNING
COMMISSIONERS 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.
NOTICE OF RESTRICTION: PROPERTY OWNER ACKNOWLEDGES AND CONSENTS TO A NOTICE OF RESTRICTION BEING
RECORDED ON THE TITLE TO HIS PROPERTY IF CONDITIONED FOR THE APPLICANT. NOTICE OF RESTRICTIONS RUN WITH
THE LAND AND BIND ANY SUCCESSORS IN INTEREST.
PROPERTY OWNER SIGNATURE
FOR CITY USE ONLY
DATE STAMP APPLICATION RECEIVED
RECEIVED BY:
P-1 Page 2 of 5 Revised 07/10 .