HomeMy WebLinkAboutPCD 94-02; Davis Residence Relocation; Planning Commission Determination (PCD)^f^ carry OF CARLSBAD ^^V
LAND USE REVIEW APPLICATION ^^^ FOR PAGE 1 OF 2
1) APPLICATIONS APPLIED FOR: (CHECK BC
Q Master Plan
Q Specific Plan
Q Precise Development Plan
LI Tentative Tract Map
Q Planned Development Permit
Q Non- Residential Planned Development
Q Condominium Permit
Q Special Use Permit
Q Redevelopment Permit
Q Tentative Parcel Map
n Administrative Variance
)XES)
(FORDEPT
USE ONLY)
Q General Plan Amendment
Q Local Coastal Plan Amendment
n Site Development Plan
Q Zone Change
n Conditional Use Permit
[] Hillside Development Permit
Q Environmental Impact Assessment
Q Variance
Q Planned Industrial Permit
n Coastal Development Permit
>g^J>lanning Commission Determination
Q3 List any other applications not specificed
-]
(TOR DEPT
USE ONLn |
1
1
tfyoZ.
2) LOCATION OF PROJECT: ON THE
BETWEEN
SIDE OF
WEST)(NAME OF STREET)
AND
(NAME OF STREET)
3) BRIEF LEGAL DESCRIPTION:
(NAME OF STREET)
-\ I of ^
4) ASSESSOR PARCEL NO(S).
5) LOCAL FAQIJTIES
MANAGEMENT ZONE
8) EXISTING ZONING
11) PROPOSED NUMBER OF
RESIDENTIAL UNITS
14) NUMBER OF EXISTING RESIDENTIAL UNITS
19(o -
6) EXISTING GENERAL PLAN
DESIGNATION
9) PROPOSED ZONING
12) PROPOSED NUMBER
OF LOTS
[2 L.(M ^ PROPOSED GENERAL PLANU:SB u DESIGNATION
10) GROSS SITE
ACREAGE
13) TYPE OF SUBDIVISION
(RESIDENTIAL
COMMERCIAL
INDUSTRIAL)
IS) PROPOSED INDUSTRIAL
OFFICE/SQUARE FOOTAGE
16) PROPOSED COMMERCIAL
SQUARE FOOTAGE
NOTE: A PROPOSED PROJECT REQUIRING THAT IttCnWt^miCarroW BR FOTO1^ A PROPOSED PBOJECtttBytjnaM-miarcaaa^
CITY OF CARLSBAD
LAND USE REVIEW APPLICATION FORM PAGE 2 OF 2
17) PERCENTAGE OF PROPOSED PROJECT IN OPEN SPACE
18) PROPOSED SEWER USAGE IN EQUIVALENT DWELLING UNITS
19) PROPOSED INCREASE IN AVERAGE DAILY TRAFFIC
20) PROJECT NAME:
21) BRIEF DESCRIPTION OF PROJECT:q l5oo.sc.F4.
"to toe. tfusJe^L,. s»v-W. ubttVv c*.
22) 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
23) OWNER 24) APPLICANT
NAME (PRINT OR TYPE)NAME (PRINT OR TYPE)
MAILING ADDRESS MAILING ADDRESS
CITY AND STATE ZIP TELEPHONE 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.
DATE n
I CERTIFY THAT I AM THE CECAL OWNER1! REPRESENTATIVE AND
THAT ALL THE ABOVE INFORMATION IS TRUE AND CORRECT TO THE
BEST OF MY KNOWLEDGE.
SIGNATURE DATE
FOR CITY USE ONLY
FEE COMPUTATION:
APPLICATION TYPE FEE REQUIRED
TOTAL FEE REQUIRED
DATE FEE PAID
AU8 1 8
RECEIVED BY:
* aw
RECEIPT NO.
XD VI
CITY OF CARLSBAD
1200 CARLSBALTVILLAGE DRIVE CARLSBAD.TALIFORNIA 92008
434-2867
REC'D FROM /''•••X.. A \ U.^,LC^DATE
ACCOUNT NO.
/'i , } t • /
RECEIPT NO. 15260
DESCRIPTION /: .^ ^/26/v4
f.'/j n Q <j /) c\I (. \J / "~? ' (s -~ii
, it .,' •/''
«, '/ / / « ^, *^//' /A,, . <^
A\V,,.,., rt/A^!/,:^ .
NOT VALID UNLESS VALIDATED BY TOTAL
?pn^M^UNTn,i;W
Mf'j '''--
/dO ^
I Printed on recycled paper.CASH REGISTER
DVILL
->/ / •/ VB CITY OF CARLSBAD
1200 CARLSBAD VILLAGE DRIVE CARLSBAD,
434-2867
CAPFFORNIA 92008
REC'D FROM DATE
ACCOUNT NO.
•' ^.XfA/M/7
RECEIPT NO. 15228
DESCRIPTION
,-;,/>? w., (s.fa*»<ui'<, -^Wi^
PL'-J lf-i-/}jL
*•:.(*• <«/. 18/94
NOT VALID UNLESS VALIDATED BY TOTAL
AMOUNT
/2r GC
0001 01 02
C-PRMT ;i;y,o,.
/!( (c
I Printed on recycled paper.
City of CarlsbaH
Planning Department
DISCLOSURE STATEMENT
APPLICANT'S STATEMENT OF DISCLOSURE OF CERTAIN OWNERSHIP INTERESTS ON ALL APPLICATIONS WHICH WILL REQUIRE
CISCRETIONAHY ACTION ON THE PART OF THE crrv COUNCIL OR ANY APPOINTED BOARD. COMMISSION OR COMMOTEE.
{Please Print)
The following information must be disclosed:
1. Applicant
List the names and addresses of all persons having a financial interest in the application.
•*£ oASrV-f Qerfa^I o-
2. Owner
List the, names and^addresses of all persons having any ownership interest in the property involved.
If any person identified pursuant to (1) or (2) above is a corporation or partnership, list the names and
addresses of all individuals owning more than 10% of the shares in the corporation or owning any partnership
interest in the partnership.
If any person identified pursuant to (1) or (2) above is a non-profit organization or a trust, list the names and
addresses of any person serving as officer or director of the non-profit organization or as trustee or beneficiary
of the trust.
FRM00013 8/90
2O75 Las Palmas Drive • Carlsbad. California 92OO9-4859 • (619) 438-1161
Disclosure Statement
(Over)
Page 2
5. Have you had more than $250 worth of business transacted with any member of City staff, Scares
Commissions, Committees and Council within the past twelve months?
Yes No If yes, please indicate person(s)
Person is defined M: 'Any individual, firm, copartnership, joint venture, association, social club, fraternal organization, corporation, estate, trust.
receiver, syndicate, this and any other county, crty and county, city municipality, district or other political subdivision, or any other group or
combination acting as a unit*
(NOTE: Attach additional pages as necessary.)
WUcA Arj~L>u 7/7. i M <-/
/-inati ira rif O\Avnor/Hoto I 'Signature of Owner/date
Print or type name of owner
Signature of
u "7x i
5nnt or type name of applicant
FRM00013 8/90
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MAP 9621 -CARLSBAD TCT NO 77-7