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Home My WebLink AboutPUD 08D; COSS RESIDENCE ADDITION; Planned Unit Development - Residential (PUD)e e CITY OF CARLSBAD LAND USE REVIEW APPLICATION 1 ) APPLICA TIONS APPLIED FOR: (CHECK BOXES) (FOR DEPARTMENT fOto~O~ (FOR DEPARTMENT USE ONLY) USE ONLY) D Administrative Permit -2nd D Planned Industrial Permit Dwelling Unit D Administrative Variance D Planning Commission Determination D Coastal Development Permit D Precise Development Plan D Conditional Use Permit D Redevelopment Permit D Condominium Permit D Site Development Plan D Environmental Impact D Special Use Permit Assessment D General Plan Amendment D Specific Plan D Hillside Development Permit D +eA'l:8'1:i'lfe P8Feei M8(3 Obtain from Engineering Department D Local Coastal Plan Amendment D Tentative Tract Map D Master Plan D Variance D Non-Residential Planned D Zone Change ~ Development Planned Development Permit PL{ D 8(\5) D List other applications not S"&T:r DVI b 12:> A 1 specified '--/ 2) ASSESSOR PARCEL NO(S).: ~1=~~~3~~~p~Z_~~~~~~~~~~~~~~~~~~~~~ 3) PROJECT NAME: Gze:otz.,h~ tf tJlAW tAss ;fo1>17/tJ.t 4) BRIEF DESCRIPTION OF PROJECT: ~M Ih:>OrrIClA/ ~----~~~~~,------------------------------------- 5) OWNER NAME (Print or Type) 6) APPLICANT NAME (Print or Type) ~ b IJ/f5l. <;:oN MAILING ADDRESS MAILING ADDRESS CITY AND STATE ZIP TELEPHONE CITY AND STATE ZIP TELEPHONE 7) HE LEGAL OWNER AND THAT ALL THE ABOVE AND CORRECT TO THE BEST OF MY EGAL REPRESENTATIVE OF THE OVE INFORMATION IS TRUE AND DATE 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 PAGE 1 OF 2 8) e e LOCATION OF PROJECT: 2t!5z(}" :rO./Z&$/ liEU ~y &A#584--D C4. ~ ~ STRE'ET ADDRESS ON THE 1 r-~-:-O-e.-7.-'tI-Z-r~--T------'1 SIDE OF r-I Fo-e-e-S-T-V-I-~-W-t.J-:-A-""'----' (NORTH, SOUTH, EAST, WEST) (NAME OF STREET) BETWEEN 1 Fc>ie.e$T ':pAeK. LtJ. (NAME OF STREET) AND 9) LOCAL FACILITIES MANAGEMENT ZONE r 10) PROPOSED NUMBER OF LOTS 1 ~111) NUMBER OF EXISTING 11/1 12) RESIDENTIAL UNITS 13) TYPE OF SUBDIVISION 1/1 14) PROPOSED IND OFFICEI 0 15) SQUARE FOOTAGE 16) PERCENTAGE OF PROPOSED 1/1 17 ) PROPOSED INCREASE IN ~ 18) PROJECT IN OPEN SPACE ADT 19) GROSS SITE ACREAGE 0 20) EXISTING GENERAL, [l;] 21) PLAN t tfl 22) EXISTING ZONING I ()e-123) PROPOSED ZONING [B (NAME OF STREET) PROPOSED NUMBER OF RESIDENTIAL UNITS PROPOSED COMM SQUARE FOOTAGE PROPOSED SEWER USAGE IN EDU PROPOSED GENERAL PLAN DESIGNATION [2] [] [QJ Il([f~ I 24) IN THE PROCESS OF REVIEWING THIS APPLICATION IT MAY BE NECESSARY FOR MEMBERS OF CITY STAFF, PLANNING COMMISSIONERS, DESIGN REVIEW BOARD MEMEBERS OR CITY COUNCIL MEMBERS TO INSP NO ENTER THE PROPERTY THAT IS THE SUBJECT OF THIS APPLICATION. I/WE CONSENT TO E R 0 THIS PURPOSE FEE COMPUTATION APPLICATION TYPE FEE REQUIRED MAR 0 6 1997 RECEIVED BY: TOTAL FEE REQUIRED -;:. SD. 00 DATE FEE PAID RECEIPT NO. I "Y!2 tlL-. Form 16 PAGE 2 OF 2 PROJECT DESCRIPTION/EXPLANATION PROJECT NAME: Please describe fully the proposed project. 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. 5//?tD ;t?oo~ 4-/)/.)/PCPt//ca7C;71/:::S'-D.n./ '70)e"~ &.e &:x-tST/~ ~qj'6" /Ip/,/l.e'J(. 18' xl7 Jc -'203'1 -57Ct'?t:..o &7~e7rc:..., ;Ree;JM /$ NUT 6ioed4 Bey~ ~7;?~7 O~ iJ:K.IS7/N'? /-/oqS'U-C!d-.$'"/d>S-y~, A?-So /A/?Um&a t?4Je tJH B%t-S7/4~ 2>~ m ~7;;; /'...vJ7~ NtS:W ClA/e-~;lA'G HJz-IST. "~4- f3..u~t.4) fz, &-7'4 /4 t7/./-/lhJ.-t16-, ,dt-V U47~/l-16 # 4.h/Z-S ;:6 U""7C4/ tiZlsT. Rev. 4/91 ProjOllc,frm , Cit of Carlsbad -------------.~---------- DISCLOSURE STATEMENT APPLICANT'S STATEMENT OF DISCLOSURE OR CERTAIN OWNERSHIP INTERESTS ON ALL APPLICATIONS WHICH WILL REQUIRE DISCRETIONARY ACTION ON THE PART OF THE CITY COUNCIL OR ANY APPOINTED BOARD, COMMISSION OR COMMITTEE (Please Print) The following information must be disclosed: 1. Applicant List the names and addresses of all persons having a financial interest in the application. 2. Owner List the names and addressees of all person having any ownership interest in the property involved. ~tr Mo ..I/4t/r ~~$ 3. If any person identified pursuant to (1) or (2) above is a corporation or partnership, list the names and 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 and addresses of any person serving as officer or director of the non-profit organization or as trustee or beneficiary of the trust. DISCLOS.FRM 2/96 PAGE lof2 2075 Las Palmas Drive • Carlsbad, California 92009-1576 • (619) 438-1161 • Disclosure Statement (Over) Page 2 5. Have you had more than $250.00 worth of business transacted with any member of City staff. Boards, CommissioJ}s, 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 other 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) Si Signature of applicant/date Print or type name of applicant DISCLOS.FRM 2/96 PAGE 1 of2 ":':1,,",.1 1~::1~,,~~{ ,',1"; ",\~l ~l:"rl;., ¥, I··--;_,~" _...-... \ ,'"'1-, :f!,· ,1',";,17 :,"'~ \-::F~ .. o,I • .""-_~ ~:-.,~,,-:: ... ~,~ "to"'" j;",'<f..:'.I:,/t'.;~.,~, ,.._1" ~-,) :' :, ""', , , t _ ~ ;,. ... :. '>' ':. ,! ,'. CJ(¥ ~ jf2~C~ARLSBA~LLAG~lb~I~~,CA~~:t:aAD, eLiFORNIA 92008 ACCOUNT NO. ClJ~ ~ (d1i+ ~, " , RECEIPT f1,IO. 37242 * Printed on recycled paper. 434-2867 DESCRIPTION Pl)O q f 1\) • \ NOT VALID UNLESS VALIDATED BY CASH REGISTER AMOUNT i1 ,--a .4) () /Y . ~(\Q7 iL'l /r..: ... o~ I\fV'A A~ "'''' .. -'. ~.-" * • 'dlC~_ \toAo. \/."- C-PRi1T ~OnOO I I I I I I I I I I I I TOTAL ~I$' d 50 I oD )