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HomeMy WebLinkAboutPUD 00-61H; Lynne Residence Room Addition; Planned Unit Development - Non-Residential (PUD)CITY OF CARLSBAD LAND USE REVIEW APPLICATION 1) APPLICATIONS APPLIED FOR: (CHECKBOXES) (FOR DEPARTMENT USE ONLY) Administrative Permit -Bwelliny imi'C Administrative Variance | I Coastal Development Permit Conditional Use Permit I I Condominium Permit Environmental Impact Assessment General Plan Amendment Hillside Development Permit Local Coastal Plan Amendment Master Plan Non-Residential Planned Development Planned Development Permit (FOR DtPARTN'E\~ USE ONLY &&Z L/—; D D D Planned Industrial Permit Planning Commission Determination Precise Development Plan Redevelopment Permit Site Development Plan Special Use Permit Specific Plan Tentative Porool Map Obtain from Engineering Department Tentative Tract Map Variance Zone Change List other applications not specified 2) ASSESSOR PARCEL NO(S).: 3) PROJECT NAME: 4) BRIEF DESCRIPTION OF PROJECT:(3AJe>'2W/>frO/H /0 5) OWNER NAME (Print or Type) L^ILU fk^ /_y /JAJ-€_, MAILING ADDRESS vIO v^^/^) &fl r-T (^(A n -^_j CITY AND STATE ZIP TELEPHONE ^(JU^/L^fc/tt^jy . ^-/7 Of^-f £"f6q) ^33—3 1 CERT/f=Y THAT 1 AM THE LEGAL OWNER AND THAT ALL THE ABOVE INFORMATIOX~)S TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE. J SIGNATURE ^) DATE 6) APPLICANT NAME (Print or Type) MAILING ADDRESS CITY AND STATE ZIP TELEPHONE i5 1 CERTIFY THAT 1 AM THE LEGAL REPRESENTATIVE OF THE OWNER AND THAT ALL THE ABOVE INFORMATION IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE. SIGNATURE DATE 7) BRIEF LEGAL DESCRIPTION ...•„ 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 Rev. 05/03 ' PAGE 1 OF 2 8) LOCATION OF PROJECT: ON THE BETWEEN STREET ADDRESS SIDE OF (NORTH. SOUTH, EAST, WEST){NAME Or STREET; AND (NAME OF STREET)(NAME Of STREET) 9) LOCAL FACILITIES MANAGEMENT ZONE 10) PROPOSED NUMBER OF LOTS 13) TYPE OF SUBDIVISION 16) PERCENTAGE OF PROPOSED PROJECT IN OPEN SPACE 19) GROSS SITE ACREAGE 22) EXISTING ZONING 11) NUMBER OF EXISTING RESIDENTIAL UNITS 14) PROPOSED IND OFFICE/ SQUARE FOOTAGE 7) PROPOSED INCREASE IN ADT 20) EXISTING GENERAL PLAN 23) PROPOSED ZONING 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 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/ENTR>^FOR THIS PURPOSE SIGTSATJ&Rt FOR CITY USE ONLY FEE COMPUTATION APPLICATION TYPE FEE REQUIRED TO Dfi A D PUD AM* TAL FEE REQUIRED TE FEE PAID ryCTD '[XT)- " *4 1 1 1 o6/ RECEIVED APR * • aw CITY OF CARLSBAD PLANNING DEPT. DATE STAMP APPLICATION RECEIVED RECEIVED B.Y: /"\ RECEIPT NO. Form 16 Rev. 05/03 PAGE 2 OF 2 City of Carlsbad 1635 Faraday Avenue Carlsbad CA 92008 Applicant: LYNNE LAURA Description AD040003 Amount 8864 04/01/04 0002 01 02 250.00 CGP 250- Receipt Number: R0041394 Transaction Date: 04/01/2004 Pay Type Method Description Payment Cash Amount 250.00 Transaction Amount: 250.00 City of Carlsbad 1635 Faraday Avenue Carlsbad CA 92008 Applicant: LYNNE LAURA Description Amount AD040003 4.44 Receipt Number: R0042030 Transaction Date: 04/29/2004 Pay Type Method Description Amount Payment Cash 4.44 Transaction Amount: 4.44 0973 04/29/04 0009 0- ' 02 GP 4=44 PROJECT DESCRIPTION/EXPLANATION PROJECT NAME: APPLICANT NAME:L(La 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: 4 Project Description 10/96 Page 1 of 1 City of Carlsbad Planning Department DISCLOSURE STATEMENT Applicant's statement or 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. The following information MUST be disclosed at the time of application submittal. Your project cannot be reviewed until this information is completed. Please print. Note: Person is defined as "Any individual, firm, co-partnership, 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 group or combination acting as a unit" Agents may sign this document; however, the legal name and entity of the applicant and property owner must be provided below. 1 . 2. 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 corporation or partnership, include the names, title, addresses of all individuals owning more than 10% of the shares. IF NO INDIVIDUALS OWN MORE THAN 10% OF THE SHARES, PLEASE INDICATE NON- APPLICABLE (N/A) IN THE SPACE BELOW If a publicly-owned corporation, include the names, titles, and addresses of the corporate officers. (A separate page may be attached if necessary.) Person Title Corp/Part Title Address $ 1°Address OWNER (Not the owner's agent) Provide the COMPLETE, LEGAL names and addresses of ALL 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 corporation or partnership, include the names, title, addresses of all individuals owning more than 10% of the shares. IF NO INDIVIDUALS OWN MORE THAN 10% OF THE SHARES, PLEASE INDICATE NON-APPLICABLE (N/A) IN THE SPACE BELOW. If a publicly- owned corporation, include the names, titles, and addresses of the corporate officers. (A separate page may be attached if necessary.) Person Title o Corp/Part_ Title Address Address 1635 Faraday Avenue • Carlsbad, CA 92008-7314 • (760) 6O2-46OO • FAX (760) 602-8559 NON-PROFIT ORGANIZATION OR TRUST If any person identified pursuant to (1) or (2) above is a nonprofit oreanization or a trust, list the names and addresses of ANY person serving as an officer or director of the non-profit organization or as trustee or beneficiary of the. Non Profit/Trust Non Profit/Trust Title Title Address Address Have you had more than $250 worth of business transacted with any member of City staff, Boards, Commissions, Committees and/or Council within the past twelve (12) months? Yes No If yes, please indicate person(s):. NOTE: Attach additional sheets if necessary. I certify that all the above information is true and correct to the best of my knowledge. Signature of owner/date Signature of applicant/date Print or type name of owner Print or type name of applicant Signature of owner/applicant'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 iiooi05/20/2004 THU 14:50 FAX 7606324910 Laura Lynne MAY-2D-2004 THU 03:52 PM CJ^OF CARSLBAD FAX NO, 76^02 8558 P. 02/02 3. NON-PROFIT ORGANIZATION OR TRUST ^ If any person identified pursuant to (1) or (2) above is a nonprofit organization or a trust, list rhe names and addresses of ANY person serving as an officer or director of the non-profit organization or as trustee or beneficiary of the. Non Profit/Trust Non Profit/Trust Title Title. Address . Address. Have you had more than $250 worth of business transacted with any member of City staff, Boards, Commissions, Committees and/or Council within the past twelve (12} months? [ j Yes I J No If yes, please indicate person(s):. NOTE; Attach additional sheets if necessary, I certify that all the above information is true and correct to the best of my knowledge. * Signature of owner/date Signature of applicant/date nn-C Print or type name of owner Print or type name of applicant Signature of owner/applicant's agent if applicable/date Print or type name of owner/applicant's agent H:AOM|N\COUNTErt\PISCLOSUHE STATEMENT 5/88 Page 2 Of 2 HA POINTE HOMEOWNERS ASSOCIATION (ft:A:R4 NAME:UAURA LYNNE PROPERTY ADDRESS: 81 o SPINDRIFT LANE PHONE NUMBER: 43-1-6850 A.A.R# LOT# DATE; 1/25/04 Describe the proposed improvements ADDING A SECOND FLOOR, CONSISTING OF ONE BEDROOM AND ONE BATHROOM Approvals Names: ;NE1QHBQRS3ARRRQVAI- Addresses: sos SPINDRIFT LANE (WEST) 81Z SPINDRIFT LANE (EAST) 809 BLUEWATER (SOUTH/SPLIT) 8M 1. DESCRIPTION OF THE IMPROVEMENTS. 2. LOCATION OF RESIDENCE & IMPROVEMENT ON A PLOT PLAN WITH ALL DIMENSIONS SHOWING PROPERTY LINES. ALSO, INDICATE WHAT IS EXISTING AND WHAT IS NEW. 3. CONSTRUCTION DETAILS OF STRUCTURE, IF APPLICABLE. 4. SPECIFICATION OF MATERIAL TO BE USED AND PAINT COLORS. SAMPLE MUST BE PROVIDED. 5. ENTER CARLSBAD CITY PERMIT NUMBER(S) FOR PLUMBING, ELECTRICAL, MECHANICAL AND / OR STRUCTURAL CHANGES AS REQUIRED BY ALL APPLICABLE BUILDING CODES. L The Committee will determine if the improvements are appropriate and will judge changes on aesthetics and technical details as governed by CC&R's. If the Committee can not agree, they will bring this request before the board for a decision. APPROVED APPROVED ' APPROVED APPROVED DISAPPROVED DISAPPROVED DISAPPROVED DISAPPROVED CONDITIONS OF APPROVAL OR REASONS FOR DISAPPROVAL Architectural Committee Chairperson Completion Verified by: Date. Date: IT