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Home My WebLink AboutPCD/GPC 91-01; Carlsbad Boulevard Seawall; Planning Comm Determ/Gen Plan Consis (PCD/GPC)CTTY OF CARLSBAD LAND USE REVIEW APPLICATION FOR PAGE 1 OF 2 1) APPLICATIONS APPLIED FOR: (CHECK BOXES) (FORDEPT USE ONLY) Master Plan Specific Plan Precise Development Plan Tentative Tract Map Planned Development Permit Non-Residential Planned Development Condominium Permit Special Use Permit Redevelopment Permit Tentarive Parcel Map Administrative Variance General Plan Amendment Local Coastal Plan Amendment Site Development Plan Zone Change Conditional Use Permit Hillside Development Permit Environmental Impact Assessment Variance Planned Industrial Permit Coastal Development Permit Planning Commission Determination List any other applications not specificed (TOR DEPT USE ONLY) 2) LOCATION OF PROJECT: ON THE SIDE OF (NORTH, SOUTH EAST, WEST)(NAME OF STREET) -BETWEEN AND (NAME OF STREET)'^.Y 7 3) BRIEF LEGAL DESCRIPTION: (NAME OF STREET) 4) ASSESSOR PARCEL NO(S). 5) LOCAL FACILITIES MANAGEMENT ZONE 8) EXISTING ZONING 11) PROPOSED NUMBER OF RESIDENTIAL UNITS 14) NUMBER OF EXISTING RESIDENTIAL UNITS 6) EXISTING GENERAL PLAN DESIGNATION 9) PROPOSED ZONING 12) PROPOSED NUMBER OF LOTS OPOSED GENERAL PLAN 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 WST^nRBW THAT MULTOU APWCWTOW HR FILED - FRM00016 8/9O 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 DAJLY TRAFFIC 20) PROJECT NAME: 21) BRIEF DESCRIPTION OF PROJECT:S \ 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 S SIGNATURE 23) OWNER 24) APPLICANT NAME (PRINT OR TYPE)NAME (PRINT OR TYPE) /-V-"^V C. \ f Ay<_ fO» a-F C^WH MAJUNG ADDRESS MAILING ADDRESS Cn . 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 OORKECT TO THE BEST OF MY KNOWLEDGE. SIGNATURE DATE I CERTIFY THAT I AM THE LEGAL OWNER'! 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 TOTAL FEE REQUIRED DATE FEE PAID FEE REQUIRED DATE STAMP APPLICATION RECEIVED RECEIVED BY: RECEIPT NO. CITY OF CARLSBAD LAND USE REVIEW APPLICATION FORM PAGE 1 OF 2 1) APPLICATIONS APPLIED FOR: (CHECK BOXES) (For Dept.Use Only)(For Dept. Use Only) D D D D D D Master Plan Specific Plan Precise Development Plan.. Tentative Tract Map. Planned Development Permit Non-Residential Planned Development Permit •—' Condominium Permit '—' Special Use Permit '—' Redevelopment Permit L-' Tentative Parcel Map 1—' Administrative Variance D D D D General Plan Amendment Site Development Plan Zone Change Conditional Use Permit Hillside Development Permit. Environmental ImpactAssessmentn n n n Variance Planned Industrial Permit... Coastal Development Permit.. Planning Commission Deter... 90 2) LOCATION OF PROJECT: ON THE SIDE OF BETWEEN (NORTH, SOUTH, EAST, WEST) AND (NAME OF STREET) (NAME OF STREET) 3) BRIEF LEGAL DESCRIPTION: (NAME OF STREET) 4) ASSESSOR PARCEL NO(S).— C=> [ — I ^o(— 33 5) LOCAL FACILITIES MANAGEMENT ZONE 8) EXISTING ZONING 6) EXISTING GENERAL PLAN DESIGNATION 7) PROPOSED GENERALPLAN DESIGNATION PROPOSED ZONING 10) GROSS SITE ACREAGE 11) PROPOSED NUMBER OF RESIDENTIAL UNITS 12) PROPOSED NUMBER OF LOTS 13) TYPE OF SUBDIVISION 14) NUMBER OF EXISTING RESIDENTIAL UNITS A//A- (RESIDENTIAL COMMERCIAL INDUSTIRAL) 15) PROPOSED INDUSTRIAL OFFICE/SQUARE FOOTAGE 16) PROPOSED COMMERCIAL SQUARE FOOTAGE ARFM0008.DH 4/89 CITY OF CARLSBAD LAND USE .REVIEW APPLICATION FORM PAGE 2 OF 2 17) PERCENTAGE OF PROPOSED PROJECT IN OPEN SPACE ntfir 18) PROPOSED SEWER USAGE IN EQUIVALENT DWELLING UNITS 19) PROPOSED INCREASE IN AVERAGE DAILY TRAFFIC 20) PROJECT NAME:Cfi(t,L6&fr$ &l\/0 f$JZ> TeCT\o 21)BRIEF DESCRIPTION OF PROJECT:ft * o. e. 22) OWNER NAME (PRINT OR TYPE) CfTj or ^#7^/60? 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. SIGNATURE DATE 23) APPLICANT NAME (PRINT OR TYPE) ^/fof 67 MAILING ADDRESS CITY AND STATE ZIP TELEPHONE I CERTIFY THAT I AM THE OWNER'S SENTATIVE AND THAT ALL THE ABOVE INFORMATION IS TRUE AND CORRECT THE BEST OF MY KNOWLEDGE. SIGNATURE DATE REPRE- TO FOR CITY USE ONLY FEE COMPUTATION: APPLICATION TYPE FEE REQUIRED DATE STAMP APPLICATION RECEIVED RECEIVED BY: TOTAL FEE REQUIRED DATE FEE PAID RECEIPT NO. ARFM0008.DH 4/89 DISCLOSURE STATEMENT APPUCANTS 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 COMMfTTEE. (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. fl\TV OF 2, Owner List the names and addresses of all persons having any ownership interest in the property involved. " T>. CV. •£• 3. If any person identified pursuant to (1) or (2) above is a corporation or partnership, list the names ar addresses of all individuals owning more than 10% of the shares in the corporation or owning any partners,- interest in the partnership. 4. If any person identified pursuant to (1) or (2) above is a non-profit organization or a trust, list the names ar addresses of any person serving as officer or director of the non-profit organization or as trustee or beneficiar of the trust. (Over) Disclosure Statement Page 2 5. Have you had more than $250 worth of business transacted with any member of City staff, Boar: Commissions, Committees and Council within the past twelve months? Yes No tx II yes, please indicate person(s) Person is defined as: 'Any individual, firm, copartnership, joint venture, association, socia! dub, fratsrnsi 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.) Signature of ite Signature" of apfilicanVdata Print or type name of owner Print or type name of applicant of_Cterlsbad DISCLOSURE STATEMENT APPUCANTS 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 List the names and addresses of ai! persons having a financial interest in the application. oF CAne.L-q.fr ftp 2. Owner List the names and addresses of all persons having any ownership interest in the property involved. 3. If any person identified pursuant to (1) or (2) above is a corporation or partnership, list the names an: addresses of all individuals owning more than 10% of the shares in the corporation or owning any partnership interest in the partnership. 4. If any person identified pursuant to (1) or (2) above is a non-profit organization or a trust, list the names an; addresses of any person serving as officer or director of the non-profit organization or as trustee or beneficiar of the trust. (Over) Disclosure Statement Page 2 5. Have you had more than $250 worth of business transacted with any member of City staff, Boarc- 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 othsr county, city 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.) Signature of Owner/date Signature of applicant/date / O' / & "Jfs Print or type name of owner Print or type name of applicant