HomeMy WebLinkAboutPUD 94-03; Poinsettia Shores PA A-1; Planned Unit Development - Non-Residential (PUD) (2)CITY OF CARLSBAD
LAND USE REVIEW APPLICATION FOR PAGE 1 OF 2
1) APPLICATIONS APPLIED FOR: (CHECK BOXES)
(FORDEPT
USE ONLY)
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Master Plan
Specific Plan
Precise Development Plan
Tentative Tract Map
Planned Development Permit
Non- Residential Planned Development
Condominium Permit
Special Use Permit
Redevelopment Permit
Tentative Parcel Map
Administrative Variance
General Plan Amendment
Local Coastal Plan Amendment
Site Development Plan
Zone Change
Conditional Use Permit
Hillside Development Permit
Environmental Impact Assessment
Variance
Planned Industrial Permit
Coastal Development Permit
Planning Commission Determination
List any other applications not specificed
(FOR D£?T
USE ON1Y)
2) LOCATION OF PROJECT: ON THE KJofVTH-SIDE OF
(NORTH, SOUTH EAST, WEST)(NAME OF STREET)
BETWEEN
(NAME OF STREET)
3) BRIEF LEGAL DESCRIPTION:
(NAME OF STREET)
O<=
4) ASSESSOR PARCEL NO(S).
5) LOCAL FACILITIES
MANAGEMENT ZONE
8) EXISTING ZONING
11) PROPOSED NUMBER OF
RESIDENTIAL UNITS
14) NUMBER OF EXISTING RESIDENTIAL UNITS
~ \<-+O-
6) EXISTING GENERAL PLAN
DESIGNATION
9) PROPOSED ZONING
12) PROPOSED NUMBER
OF LOTS
7) PROPOSED GENERAL PLAN
DESIGNATION
13) TYPE OF SUBDIVISION
(RESIDENTIAL
COMMERCIAL
INDUSTRIAL)
IS) PROPOSED INDUSTRIAL
OFFICE/SQUARE FOOTAGE
—- 16) PROPOSED COMMERCIAL
SQUARE FOOTAGE
NOTEr APMPOSTO PKUBCT
REQUDUNaTHAT ONUIIOWAWUCAIWN 88
PROJECT
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CITY OF CARLSBAD
LAND USE REVIEW APPLICATION FORM p 4/r. vvj
17) PERCENTAGE OF PROPOSED PROJECT IN OPEN SPACE
18) PROPOSED SEWER USAGE IN EQUIVALENT DWELLING UNITS
19) PROPOSED INCREASE IN AVERAGE DAILY TRAFFIC
20) PROJECT NAME:A-1
21) BRIEF DESCRIPTION OF PROJECT:N^XVP
22) IN THE PROCESS OF REVIEWING THIS APPLICATION IT MAY BE NECESSARY FOR MEMBERS OF CITY STAFF,
PLANNING COMMlSSKJNERSTpfeSIGN REVIEW BOARD MEMBERS, OR CITY COUNCIL MEMBERS TO INSPECT AND
ENTER THE PROPERT^JW^Tsl/THE SVEUStr, OFJ"HIS APPLICATION. t/WE CONSENT TO ENTRY FOR THIS
PURPOSE f^~^ **\ /T"^^ ^\ /j
SIGNATURE /
231 OWNER 24) APPLICANT
NAME (PRINT OR TYPE)NAME (PRINT OR TYPE)
MAILING ADDRESS MAILING ADDRESS
CITY AND STATE ZIP TELEPHONE CITY AND STATE ZIP TELEPHONE
1 CERTIFY THAT I AM THE LEGAL OWNER
AND THAT ALL THE ABOVE INFORMATION
IS TRUE AND CORRECT TO THE BEST OF
MY KNOWLEDGE.
SIGNATURE DATE
1 CERTIFY THAT 1 AM THE CEGAL OWNER1 REPRESENTATIVE AND
THAT ALL THE ABOVE INFORMATION IS TRUE AND CORRECT TO THE
BEST OF MY KNOWLEDGE.
SIGNATURE DATE
FOR CITY USE ONLY
FEE COMPUTATION:
APPLICATION TYPE
Ci
n
TOTAL FEE REQUIRED
DATE FEE PAID
FEE REQUIRED
t?MO•vw
wo
*
APR 2 9 TO
9"*f f\VS f*&$„ i V^> I It* U U B
RECEIVEDBY:
RECEIPT NO.
OWNER
NAME (PRINT OR TYPE)
Kaiza Poinsettia Corporation
MAILING ADDRESS
7220 Avenida Encinas, Ste. 200
CITY AND STATE ZIP
Carlsbad, CA. 92009
TELEPHONE
(619) 931-9100
I CERTIFY THAT I AM THE LEGAL OWNER
AND THAT ALL THE ABOVE INFORMATION IS
TRUE AND CORRECT TO THE BEST OF MY
KNOWLEDGE.
SIGNATURE DATE
APPLTCANT
NAME (PRINT OR TYPE)
Kaiza Poinsettia Corporation
MAILING ADDRESS
7220 Avenida Encinas, Ste. 200
CITY AND STATE ZIP
Carlsbad, CA. 92009
(619) 931-9100
I CERTIFY THAT I AM THE LEGAL OWNER'S
REPRESENTATIVE AND THAT ALL THE
ABOVE INFORMATION IS TRUE AND
CORRECT TO THE BEST OF MY KNOWLEDGE.
SIGNATURE DATE
£itv of Caf
Planning Department
DISCLOSURE STATEMENT
APPLICANTS STATEMENT OF DISCLOSURE OF CERTAIN OWNERSHIP INTERESTS ON ALL APPLICATIONS WHICH WILL REQUIRE
OlSCnSTiONARY ACTION CN THE PART OF THE CITY COUNCIL, OR ANY APPOINTED BOARD. COMMISSION OR COMMITTEE.
(Please Print)
The following information must be disclosed:
• • Applicant
List the names and addresses of all persons having a financial interest in the application.
Kaiza Poinsettia Corporation ,
7220 Avenida Encinas
Suite 200
cariSDaa, CA
2. Owner
List the names and addresses of ail persons having any ownership interest in the property involved.
Kaiza Poinsettia Corporation
7220 Avenida Encinas
suite 2UU
Larj-soaa, LA
3. If any person identified pursuant to (1) or (2) above is a corporation or partnership, list the names anc
addresses of all individuals owning more than 10% of the shares in the corporation or owning any pannersn:p
interest in the partnership.
Saiga California, Inc.
7220 Avenida
Suite 200
PA. Q?nn.Q
4. If any person identified pursuant to (1) or (2) above is a non-profit organization or a trust, list the names anc
acdresses of any person serving as officer or director of the non-profit organization or as trustee or beneficiary
of the trust.
FRM00013 8/90
2O75 Las Paimas Drive • Carlsoad. California 92009--1859 • (619) d38-ii6i
(Over)
Disclosure Statement Page 2
5. Have you had more than S250 worth of business transacted with any member of City staff. Bear-
Commissions. Committees and Council within the past twelve months?
Yes No If yes, please indicate person(s)
it 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, crty municipality, district or other political subdivision, or any other group or
combination acting as a unrt'
(NOTE: Attach additional pages as necessary.)
Signature of Owner/date / Signature of applicant/date
Print or type name of owner Print or type name of applicant