HomeMy WebLinkAboutPRE 2019-0012; MUHE ADDITION; Preliminary Review (PRE)CITY OF CARLSBAD APPLICATION FORM FOR PRELIMINARY REVIEW APPLICATION
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Project Number: 1> ~,e '2-o I 9 -() o I v Development Number: b~ v 1A:J I J -o I z.
PROJecT NAME: f{)u\'\( Aw rr,Ot'-(
Assessor's Pan:el Number(s): ......... ,=s-=s __ -__._,_B~l)_-____ i./_o_o_t> _______________ _
Descrtptton of pn,posal (add attachment If neceuary): Ape,~... liP S"a Sf 6: t' no:, ff: ef'ffU:AZ. ,45
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Would you llke to orally present your proposal to your anlgned staff planner/engineer? @ 8 No
Please list the staff members you haVe previously spoken to regarding this project. If none, please so state.
OWNER NAME (Print): CLJ 'f'iT M vtl~
MAIUNGAooRess: 'llJJ r~ ~"f
CITY,STATE,ZIP; ~f..~~40 CA
TELEPHONE: c:--=j(=-G-c,..;..J-j .... 2."""9.'.----.,--"l-l_l ___ _
EMAIL ADDRESS: C<..,~rli ~~~,41\,. ,(.o,,,..,
"Owner'• elgneture indicafM pennlnlon to conduct a prellmin.ty review for a development proposal.
I CERTIFY THAT I AM THE LEGAL OWNER AND THAT ALL THE
ABOVE INFQRMATI IS TRUE AND CORRECT TO 'THE BEST
OF MY KNOW ,,,,'i ;1
j i /! -'\...,o/ ,,, ,v
APPLICANT NAME (Print): rl'f Mv~(
MAILING AOORESS: 2~"13 "l""6f'i::e§e-"" <:°r
CITY, STATE, ZIP: _C4_<J_t. __ =----!!:, ... ,._C.., ......... _____ _
TELEPHONE: (7<,02._!'l'J;:8\1\~
EMAIL ADDRESS: U-\fl"("1"'v~b f_ !) ~\1.-• '·'°'""'
I CERTIFY THAT I AM THE LEGAL REPRESENTATIVE OF THE
OWN~AN·~···T.ALL TH.· E ABOVE INFORMATION IS TR. UE
ANO ~ ,. TH::e.:: MY KNOWliDQE. / ' ' .LJ:__ !'/Jr. R'• ~IGNbi~e ' / £, ·~,_ oitl / fp/J Y
APPLtCANrs REPRESENTATIVE (Print): .....,.A_L'{.,...l .... rl ...... ~....;.,;,:;S~"A,_~ ... ~~----------------
MAILING ADDRESS: pt,, $t12: \"1.,\1..
CITY, STATE, ZIP: ~b ,GA l\1.Df!
TELEPHONE: (J1,2) 1.">4'-~"1""S'7-
EMAIL ADDRESS: {:?""""".f,'4AH<;oll'i... t,~ . t.J.w'tf'> ~\.>tjJ)\ fl N-A~ l iA i-. f rn;,.r-< . ~ vA
I CERTIFY THAT I AM IBE LE<W. REPRESENTATIVE OF IBE
APPLICANT ANO THAT ALL THE ABOVE INFORMATION IS TRUE ANO
~T TO THE BEST OF MY KNOWLEDGE.
;) ~ le/J,J,1
SIGNATURE M
FEE REQUIRED/DATE FEE PAID: _;st"f---'2--'--'-t ....,'5 ___ 1 ------------d-~-~1-i~-!-. -29-1-9 __
RECEIVED BY: $:Av~ C l ""µ -;-t CITYARLSBAD
PLANNING DIVISION
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