HomeMy WebLinkAboutPRE 2018-0027; KEN GRODY FORD; Preliminary Review (PRE)t ' •
CITY OF CARLSBAD A0 PLICATION FORM FOR PRELIMINARY REVIEW APPLICATION
CITY USE ONLY () fl c
Project Number: 1' f Lt,. /'L.c) l ~ .-0 0 7..-1 Development Number: J)f,J'ZA) l ~ '0 l 6 'T
PROJECT NAME: Ken Grody Ford -----=--------------------------------
Assessor's Parcel Number(s): 2110600700 ------------------------------
Des c r Ip t Ion of proposal (add attachment If necessary):
Demo the existing 2 story dealership and build a new 2 story dealership
Would you like to orally present your proposal to your assigned staff planner/engineer? Yes IX! • No
Please list the staff members you have previously spoken to regarding this project. If none, please so state.
Names unknown
APPLICANT NAME (Print): YSM Design -----------
MAILINGADDRESS: (£)2.(\ \jU\~ :"s,\."-J~
CITY, STATE, ZIP:
TELEPHONE:
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I CERTIFY THAT I AM THE LEGAL OWNER AND THAT ALL THE
ABOVE INFORM IS TRUE AND CORRECT TO TH ST
OF MYKNO DG
SIGN DATE
APPLI Karl Poland
MAILING ADDRESS: 305 N. Coast Hwy, Ste L
CITY, STATE, ZIP: Laguna Beach, CA 92651
TELEPHONE: 949.715.4275
EMAIL ADDRESS: kpoland@YSMDesign.com
MA I LING ADDRESS: 305 N. Coast Hwy, Ste L
CITY, STATE, ZIP: Laguna Beach, CA 92651
TELEPHONE: 949.715.4275 -------------EM A IL ADDRESS: lhutson@YSMDesign.com
I CERTIFY THAT I AM THE LEGAL REPRESENTATIVE OF THE
OWNER AND THAT ALL THE ABOVE INFORMATION IS TRUE
AND CORR T EST OF MY KNOWLEDGE.
'!-e-t?:
DATE
I CERTIFY THAT I AM THE LEGAL REPRESENTATIVE OF THE
APPLICANT AND THAT ALL THE ABOVE INFORMATION IS TRUE AND
~MY KNOWLEDGE.
7'-k-lS:
GNATU E DATE
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Revised 07/17