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Home My WebLink AboutPIP 00-04A; Carlsbad Airport Center Lot 24; Planned Industrial Permit (PIP)CITY OF CARLSBAD LAND USE REVIEW APPLICATION APPLICATIONS APPLIED FOR: (CHECK BOXES) Administrative Permit - 2nd Dwelling Unit Administrative Variance Coastal Development Permit Conditional Use Permit Condominium Permit Environmental Impact Assessment General Pian Amendment Hillside Development Permit Local Coastal Plan Amendment Master Plan Non-Residential Planned Development Planned Development Permit (FOR DEPARTMENT Planned Industrial Permit o 0 o 0 0 Planning Commission Determination Precise Development Plan Redevelopment Permit Site Development Plan (FOR DEPARTMENT p USE ONLY) Special Use Permit Specific Plan E Obtain from Engineering Department I Tentative Tract Map I Variance I - - - List other applications not Zone Change I 4) BRIEF DESCRIPTION OF PROJECT: gib!! % I 5) OWNER NAME (Print or Type) 6) APPLICANT NAME (Print or Type) I 7) BRIEF LEGAL DESCRIPTION ~~ NOTE: A PROPOSED PROJECT REQUIRING MULTIPLE APPLICATIONS BE FILED, MUST BE SUBMITTED A PROPOSED PROJECT REQUIRING ONLY ONE APPLICATION BE FILED, MUST BE SUBMITTED PRIOR TO 4:OO P.M. Form 16 PAGE 1 OF 2 8) LOCATION OF PROJECT: STREET ADDRESS ON THE 1- (NORTH, SOUTH, EAST, WEST) (NAME OF STREET) 9) LOCAL FACILITIES MANAGEMENT ZONE 71 10) PROPOSED NUMBER OF LOTS RESIDENTIAL UNITS 11) NUMBER OF EXISTING RESIDENTIAL UNITS 12) PROPOSED NUMBER OF 13) TYPE OF SUBDIVISION w] SQUARE FOOTAGE 14) PROPOSED IND OFFICE/ SQUARE FOOTAGE 15) PROPOSED COMM 16) PERCENTAGE OF PROPOSED w] ADT PROJECT IN OPEN SPACE lrsgl 17) PROPOSED INCREASE IN 18) EAE';FEEWER 19) GROSS SITE ACREAGE . 13.131 PLAN 20) EXISTING GENERAL 21) PROPOSED GENERAL PLAN DESIGNATION 22) EXISTING ZONING 23) PROPOSED ZONING 24) 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 SIGNATURE FOR CITY USE ONLY FEE COMPUTATION APPLICATION TYPE FEE REQUIRED TOTAL FEE REQUIRED 71 DATE FEE PAID 7 RECEIVED FEB 13 2002 CITY OF CARLSBAD DATE ~~~~w~~~CE'VED RECEIPT NO. 1 Form 16 PAGE 2 OF 2 PROJECT DESCRIPTIONIEX~~NATlON APPLICANT NAME: wZ%- WILL Please describe fully the proposed project. Include any details necessary tc aaesaate!v expiarn the scope and/or operation of the proposed project. You may also Int:i;=le any background information and suppomng statements regardlng the reasons for. 2: approprtateness of, ?he application. Use an addendum sheet if necessary. Desctiption/Explanation. .. Aw'. -1 - - City of Carlsbad DISCLOSURE STATEMENT Applicant's statement or disclosure of certain ownership interests on all appllcatlons \vhFh \vi11 require' discretionary action on the part of the City Council or any appointed Board. Commission or Commlnee. The following information MUST be disclosed at the time of application submlnal. Your proJect cannot be reviewed until this information is completed. Please print. Note: Person is defined as "Any individual, fm ~o-pa~t~e~hip, joint venture, association, social club, fraternal organization, corporation. estate, trust, receiver, syndicate. in this and any other county. city and county, city municipality, district or other political subdivision or any other pup or combination acting as a unit." Agents may sign thls document; however, the legal name and entity of the applicant and property owner must be provided below. 1. APPLICANT (Not the applicant's agent) Provide the COMPLETE. LEGAL names and addresses of ALL persons having a financial interest in the application. If the applicant includes a comoration or uartnershie. include the names, title, addresses of all individuals owning more than 10% of the shares. IF NO APPLICABLE (N/A) IN THE SPACE BELOW If a publiclv-owned cornoration, include the names, titles, and addresses of the corporate officers. (A separate page may be attached if necessary.) Personh LL * 1 C-Y "I- Corp/Part Title Title Addresskbo 1- Address INDIVIDUALS OWN MORE THAN 10% OF THE SHARES, PLEASE INDICATE NON- ""T cct 9riz2.- +\ 080 2. OWNER ot the owner's agent) Provide the COMPLETE. LEGAL names and addresses of AJ& persons having any ownership interest in the property involved. Also, provide the nature of the legal ownership (i.e, partnership, tenants in common, non-profit, corporation, etc.). If the ownership includes a comoration or uarmershiu, include the names, title, addresses of all individuals owning more than 10% of the shares. IF NO MDIVIDUALS OWN MORE THAN 10% OF THE SHARES, PLEASE INDICATE NON-APPLICABLE (N/A) IN THE SPACE BELOW. If a publiclv- owned comoration, include the names, titles, and addresses of the corporate officers. (A separate page may be attached if necessary.) Title Title .h;O,h;-PROFIT C- ;M?ZATION OR TRVST 4. If any person identified pursuant to (1 ) or (2) above is a nonmofir Organlza1lon or 3 mq. lilt. names and addresses of k!T person serving as an officer or director of the non-profir organization or as trustee or beneficiary of the. Non Profinrust Non Profit.T~~~t Title Title Address Address Have you had more than $250 worth of business transacted with any member of Ciry staff. Boards, Commissions, Committees and/or Council within the past twelve (12) months? 0 Yes WNo If yes, please indicate person(s): NOTE: Attach additional sheets if necessary. I certify that all the above infoxmation is true and correct to the best of my knowledge. Pnnt or type name of owner Print or type name of applicant Signature of ownedapplicant’s agent if applicable/date Print or type name of owner/applicant’s agent H:ADMIN\COUNTER\DISCLOSURE STATEMENT 5/98 Page 2 of 2