Loading...
HomeMy WebLinkAboutRP 02-26; Carlsbad Animal Hospital Addition; Redevelopment Permits (RP)4 CARLSBAD REDEVELOPMENT AGENCY PERMIT APPLICATION PLEASE CHECK ALL THAT APPLY: ADMINISTRATIVE PERMIT • • • • • New construction of building(s) or addition(s) to the building footprint which have a building permit valuation which is equal to or less than $60,000. Interior or exterior improvements to existing structures which result in an intensity of use. Provisional land uses, where a minor or major redevelopment permit is not required. Changes in permitted land uses which result in site changes, increased ADT, increased parking requirements, or result in compatibility issues/problems. Signs for existing businesses or facilities. Repair or maintenance activities which are not exempt from obtaining a permit. • • COASTAL DEVELOPMENT PERMIT MAJOR REDEVELOPMENT PERMIT New constmction of building(s) or addition(s) to the building footprint which have a building permit valuation which is greaterthan $150,000. I I Variances for projects within this category. • • MINOR REDEVELOPMENT PERMIT I I New construction of building(s) or addition(s) to the building footprint which have a building permit valuation which is greater than $60,000 but less than $150,000. I I Variances for projects within this category. I I Variances for projects which would otherwise be exempt or be eligible for an administrative permit MISCELLANEOUS REDEVELOPMENT PERMIT I I A-Frame Sign I I Sign Permit I I Sign Program I I Sidewalk Tables/Chairs Outdoor Displays • Other PROJECT TITLE: OT/VTL O t^^^ PcvvUW^ l^YNvW\ l\^iVn> \ Brief description of proiect .f^<]PJi ^P^-^PcT) t^\\U1/\1 U/^==^rT7W » description of project (::.^^A^g>M3 ^K11^4AL- HOSf^lTM. gx\f5nkkb /<iaiMi/cL HcePiTAu e^'FT^ Property Location: Street Address Owner's Name Address ^.73^ ^TATg ^"020=^ Telephone Number_ Applicant's Name Address 1/071 ^l^^^KVFG^^ . Telephone Number IlpO - A '^Q " CPfcf\ ;i^Ef>yaEA?BEEpVV^ISfi:0iBEf6©MeL?EIFEI FEES FOR APPLICATION PROCESSING: (List type of fee and amount) RECEIPT OF APPLICATION Date Application Received M • 2.2. • 0 2. Application Received bv L. RO^VN^\B^ Y\ Permit Number Assigned KV^OX ' ZU ON THE BETWEEN STREET ADDRES SIDE OF (NORTH, SOUTH, EAST, WEST) (NAME OF STREET) AND (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 17) PROPOSED INCREASE IN ADT 20) EXISTING GENERAL PLAN (NAME OF STREET) 12) PROPOSED NUMBER OF RESIDENTIAL UNITS 15) PROPOSEDCOMM SQUARE FOOTAGE 18) PROPOSED SEWER USAGE IN EDU 21) PROPOSED GENERAL PLAN DESIGNATION VP 23) PROPOSED ZONING ^9Z 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 ENTRY FOR THIS PURPOSE SIGNATURE ^ ~ ' FOR CITY USE ONLY FEE COMPUTATION APPLICATION TYPE FEE REQUIRED TOTAL FEE REQUIRED RECEIVED APR 2 % xm DATE STAMP APPLICATION RECEIVED RECEIVED BY: DATE FEE PAID RECEIPT NO. Form 16 PAGE 2 OF 2 CITY OF CARLSBAD LAMUSE REVIEW APPUCATION 1) APPLICATIONS APPLIED FOR: (CHECIWDXES) W (FOR DEPARTMENT USE ONLY) (FOR DEPARTMENT USE ONLY) • Administrative Permit - 2nd Dwelling Unit • Planned Industrial Permit • Administrative Variance • Planning Commission Determination • Coastal Development Permit • Precise Development Plan • Conditional Use Permit Redevelopment Permit • Condominium Permit • Site Development Plan • Environmental Impact Assessment • Special Use Permit • General Plan Amendment • Specific Plan • Hillside Development Permit • Tentative Parcol Map Obtain from Engineering Department • Local Coastal Plan Amendment • Tentative Tract Map • Master Plan • Variance • Non-Residential Planned Development • Zone Change • Planned Development Permit • List other applications not specified 2) 3) ASSESSOR PARCEL NO(S).: PROJECTNAME: CS^Cgt^j^AD AckUK4AL H^t^SPfTM . 4) BRIEF DESCRIPTION OF PROJECT: "2,4^ ^ • FT APDITI^U-TO BCJ^^/^/A 5) OWNER NAME (Print or Type) 6) APPLICANT NAME (Print or Type) MAILING ADDRESS MAILING ADDRESS CITY AND STATE ZIP TELEPHONE CAc^EAD, G^. Q20C3 72Cj. CITY AND STATE ZIP TELEPHONE 1 CERTIFY THAT 1 AM THE LEGAL OWNER AND THAT ALL THE ABOVE INFORMATION IS TRUE AND CORRECT T9 THE BEST OF MY 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 SIcifJATURE // DATE 7) BRIEF LEGAL DESCRIPTION /^T ^ ^ (7 2 2 ^ MAP PAtS£ l3^feg<DC4 40TE: A PROPOSED PROJECT REQUIRINQ lilULTIPLE APPUCATIONS BE PILED, MUST BE SUBMITTED PRIOR TO 3:30 P.M. \ PROPOSED PROJECT REQUIRINQ ONLY QNE APPUCATION BE RLED, MUST BE SUBMITTED PRIOR TO 4K)0 P M. 8) LOCATION OF PROJECT: Form 16 •2 75'^ ^TM^ ei^^ PAGE 1 OF 2 PROJECT DESCRIPTION/EXPLANATION PROJECT NAME: APPLICANT NAME: ^i^:AUklA K\^^fT= 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. Rev. 4/91 ProiDeic.frm Citv of Carlsbad RIonning Department DISCLOSURE STATEMENT APOLICANT-S STATc.ME.NT OP DISCLOSURE OF CERTAIN OWNERSHIP INTE.^^ESTS ON ALL APPLICATIONS WHICH WILL PcQUiPS GiSCRETiONARY ACTION ON THE PART OF THE CfTY COUNCIL. OR ANY APPOINTED BOARD. COMMISSION CP CCMMfrTEE. (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. AP^^ zo^L. ~ ^~y^ ^ 2. Owner 4. List the names and addresses of all persons having any ownership interest in the property involved. 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. . If any person Identifled pursuant fo (1) or (2) above is a non-profit organization or a trust, list the names and addresses of any person sen/ing as officer or director of the non-profit organization or as trustee or beneficiary of the trust. FRM00013 8/90 2075 Las Palmas Drive • Carlsbad, California 92009-4859 • (619) 438-1161 Disclosure Statemerrt (Over) Page 2 Yes NO J54^ If yes. please indicate person(s)_ P^rjond«f.n«d Any .ndmdu.l. firm, copartnership, jointventure, <«eoci«tion social cluh receiver, syndicate, th.e and any other county, crty and county c»tv munZ^M^Z\u?r T^^ 1^^^^^ combination acting ae a unrt' ^' ^ '"""•«'P«"ty. <»'»tnct or other political jubdivieion. or any other group o (NOTE: Attach additional pages as necessary.) Signature or Owrier/cjaie' Print or type name of owner ^rAnm fill A-'f^-^^ Signature of appllcant/ddi Print or type name of applicant FRM00013 8/90