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HomeMy WebLinkAboutPCD 97-01; KNOWLES AVENUE MOVE-ON; Planning Commission Determination (PCD)CITY OF CARLSBAD LAND USE REVIEW APPLICATION 1) APPLICATIONS APPLIED FOR: (C I | Administrative Permit - 2nd Dwelling Unit I | Administrative Variance [H Coastal Development Permit O Conditional Use Permit Q Condominium Permit Q Environmental Impact Assessment O General Plan Amendment | | Hillside Development Permit d Local Coastal Plan Amendment O Master Plan Q Non-Residential Planned Development n Planned Development Permit HECK BOXES) (FOR DEPARTMENT USE ONLY) |~| Planned Industrial Permit \A\- Planning Commission / Determination O Precise Development Plan |~1 Redevelopment Permit n Site Development Plan Q Special Use Permit O Specific Plan I | Tentative Porccl Mop Obtain from Engineering Department I | Tentative Tract Map I | Variance Q Zone Change ]~\ List other applications not specified (FOR DEPARTMENT USE ONLY) ^V°l 2) ASSESSOR PARCEL NO(S).: 3) PROJECT NAME: 4) BRIEF DESCRIPTION OF PROJECT: AAave • 5) OWNER NAME (Print or Type) Kossei-t 6) APPLICANT NAME (Print or Type) *-O A -e v~ MAILING ADDRESS MAILING ADDRESS CITY AND STATE ZIP f5e?rCH TELEPHONE CITY AND STATE ZIP TELEPHONE I CERTIFY^FHAT I AM THE LEGAL OWNER AND THAT ALL THE ABOVE INFORMATION IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE. 1 CERTIFYJHAT 1 AM THE LEGAL REPRESENTATIVE OF THE OWN|^-<NpaHAT ALLJWE ABOVE INFORMATION IS TRUE AND COfrffECT/m THE B&8f;efF MY KNOWLEDGE. IGNATURE DATE /SIGNATURE DATE 7) BRIEF LEGAL DESCRIPTION A °r 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 4:00 P.M. Form 16 PAGE 1 OF 2 8)LOCATION OF PROJECT: ON THE BETWEEN J< NOW IBS STREET ADDRESS SIDE OF (NORTH, SOUTH, EAST, WEST) AND (NAME OF STREET) 9) LOCAL FACILITIES MANAGEMENT ZONE 10) PROPOSED NUMBER OF LOTS 1 3) TYPE OF SUBDIVISION 1 6) PERCENTAGE OF PROPOSED PROJECT IN OPEN SPACE 1 9) GROSS SITE ACREAGE 22) EXISTING ZONING 11) NUMBER OF EXISTING RESIDENTIAL UNITS 14) PROPOSED IND OFFICE/ SQUARE FOOTAGE 17) PROPOSED INCREASE IN ADT 20) EXISTING GENERAL PLAN 23) PROPOSED ZONING (NAME OF STREET) (NAME OF STREET) 12) PROPOSED NUMBER OF RESIDENTIAL UNITS 15) PROPOSED COMM SQUARE FOOTAGE 18) PROPOSED SEWER USAGE IN EDU 21) PROPOSED GENERAL PLAN DESIGNATION 24) IN THE PROCESS OF REVIEWING THIS APPLICATION IT MAY BE NECESSARY FOR MEMBERS OF CITY STAFFrPhANNING COMMISSIONERS, DESIGN REVIEW BOARD MEMEBERS OR CITY COUNCIL MEMBERS TO/lNSPgCT AND ENTER THE PROPERTY THAT IS THE SUBJECT OF THIS APPLICATION. I/WE CONSENT ENTRY FOR THISTURPOSE 'SIGNATURED FOR CITY USE ONLY FEE COMPUTATION APPLICATION TYPE en Q^Do TOTAL FEE REQUIRED FEE REQUIRED JAN 3 1997 .... f ©FCARL&! F*n f ft" ?*.'! B !W 1^, P v* !^° Sa)°S"' DATE M^XmE^N RECEIVED RECEIVED BY: DATE FEE PAID RECEIPT NO. Form 16 PAGE 2 OF 2 \City of Carlsbad Planninc] Department DISCLOSURE STATEMENT APPLICANT'S STATEMENT OF DISCLOSURE OF CERTAIN OWNERSHIP INTERESTS ON ALL APPLICATIONS WHICH WILL REQUIRE DISCRETIONARY ACTION ON THE PART OF THE CITY COUNCIL, OR ANY APPOINTED BOARD, COMMISSION OR COMMITTEE. (Please Print) The following information must be disclosed: 1. Applicant jsHhe names and addresses of all persons having a financial interest in the application.ancir.c> 2. Owner UsTthe names ai^d addresses of all persons having any ownership interest in the properl^Tinvolyed. 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 th^partnership. X/A 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. / M/fr 2O75 Las Palmas Drive • Carlsbad, California 92OO9-4859 • (619) 438-1161 (Over) Disclosure Statement Page 2 5. Have you had more than $250 worth of business transacted with any member of City staff, Boards, Commissions, Committees and Council within the past twelve months? Yes No |/ If yes, please indicate person(s) Person is defined as: 'Any individual, firm, copartnership, joint venture, association, social club, fraternal organization, corporation, estate, trust, receiver, syndicate, this and any other county, city and county, city municipality, district or other political subdivision, or any other group or combination acting as a unit.' ach additional pages as necessary.) Signature & Cfoner/date Signature 6f applicant/date Print or type name of owner Print or type name of applicant 1200 CARLSBAD ft CITY OF CARLSBAD LAGE DRIVE CARLSBAD, Cj 434-2867 IFORNIA 92008 REC'D FROM.DATE ACCOUNT NO. '•/ '•''•„'„ i;V?v' RECEIPT NO. 1 o DESCRIPTION Pc.n •'A'/i '-?'-^A f? ;; /- ^ ""W> :: / V ;;/)<,'^ j-^/' /"" ," ' ' • ' :•:•> i.y&J Sif" ;',?i':i sv^'^'vr NOT VALID UNLESS VALIDATED BY TOTAL AMOUNT •*'/:: ; •-.-: -••••' •''-•" ' ' • •"';/v - , :~^y '^ : •' •>.l-;-.V.""' '." .. • '"•:'{ ^ -; ' ;/ •]' • • I Printed on recycled paper.CASH REGISTER ftr *PROJECT NAME: APPLICANT NAME: DESCRIPTlON/EXPLANwiON AAcvfc Please describe fully the proposed project by application type. Include any details necessary to adequately explain the scope and/or operation of the proposed project. You may also include any background information and supporting statements regarding the reasons for, or appropriateness of, the application. Use an addendum sheet if necessary. Description/Explanation:OM of 1-2.04 SF, / STorZy SFD -2- Project Description 10/96 Page 1 of 1 > V.'lt"****• j ._» t*a*fl tt- l£ . . .. <•.-".• firtww OMB .»•** «M« #•> dsor nu .1110-11; 99, WMr Hoflng and PtumMng Syctwn M«itiurn > i ' t Urn*XGn t {IIS. into «(H43 « Due* MdDMd •*% « tvrftn «(*»«*•• MM KB<lS08Mr.) X Iu>vl oo2 NT 5