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Home My WebLink AboutRP 03-07; Diaz Residence; Redevelopment Permits (RP)CARLSBAD REDEVELOPMENT AGENCY PERMIT APPLICATION PLEASE CHECK ALL THAT APPLY: Q ADMINISTRATIVE PERIVIIT I I 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. I I Interior or exterior improvements to existing structures which result in an intensity of use. I I Provisional land uses, where a minor or major redevelopment permit is not required. I I Changes in permitted land uses which result in site changes, increased ADT, increased parking requirements, or result in compatibility issues/problems. I I Signs for existing businesses or facilities. I I Repair or maintenance activities which are not exempt from obtaining a permit. • • COASTAL DEVELOPMENT PERMIT MAJOR 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 $150,000. I I Variances for projects within this category. MINOR REDEVELOPMENT PERMIT - ^ New construction of building(s) or addition(s) to the building footprint which have a building pennit valuation which is greater than $60,000 but less than $150,000. Variances for projects within this category. Variances for projects which would otherwise be exempt or be eligible for an administrative permit. • • • MISCELLANEOUS REDEVELOPMENT PERMIT I I A-Frame Sign Sign Permit I I Sign Program I I Sidewalk Tables/Chairs I I Outdoor Displays • Other PROJECT TITLE: "T^^^^t^^g'^f —bh^^tt^" b^Cv7 \^VWV(A (^iVcN/^ Brief description of proiect^ description of pi'oject: A A ^ - Property Location: APNfs): "^^'C><^l'/^'00 Street Address 52]A?> Rcfc>&QJ€\V SV-- Owner's Name l7A^t^ 1^- tPf/t- Address 7:^A/u^^^A0^<A^, T'Z-O^f Telephone Number - 4 75' - ^"2^^ Applicant's Name_ Address/:^^^ PoHt^/C/\-Oo /lO <=jrc " r^' Telephone Number S^^"" ^7%^^ O ^ ^:%-THE AREA BELOW ISTO BE COMPLETED BYClTY^'STAffEl FEES FOR APPLICATION PROCESSING: (List type of fee and amount) ^ 4.\,230^-VoVo\ W RECEIPT OF APPLICATION Date Application Received M-\^-03 Application Received by Lor \ "\^QSe-r>€3'\e,\ r\ Permit Number Assigned RP 0"7 CITY OF CARLSBAD LAND USE REVIEW APPLICATION 1) APPLICATIONS APPLIED FOR: (CHECK BOXES) (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 • Tontativo 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) 4) ASSESSOR PARCEL NO(S).: PROJECT NAME: BRIEF DESCRIPTION OF PROJECT: A fP "3 At^rt^tHO)!^ Ot^i-T d^*^ 5) OWNER NAME (Print or Type) 6) APPLICANT NAME (Print or Type) MAILING ADDRESS MAILING ADDRESS CITY AND STATE ZIP TELEPHONE CITY AND STATE ZIP TELEPHONE 1 CERTIFY THAT 1 AM THE LEGAL OWNER AND THAT ALL THE ABOVE INFOMATION IS TRU& AND CORRECT TO THE BEST OF MY KNOWLEDGE. fj 1 CERTIFY THAT 1 AM THE LEGAL REPRESENTATIVE OF THE OWNER AND THAT ALL THE ABOVE INFORMATION IS TRUE AND CORRECT TO THE^ESTjOF MY KNOWLEDGE. AAAiA\ -^Hi SIGNATURE (A DXTE ' SIGNATURE DATE 7) BRIEF LEGAL DESCRIPTION A^P? jAAi^ ^^^,7r^, ^^/^ 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. 8) LOCATION OF PROJECT: Forna 16 PAGE 1 OF 2 ON THE BETWEEN (NORTH, SOUTH, EAST, WEST) STREET ABgRESS SIDE OF I^TAf^ llec5C\/CM^ -T^T (NAME OF STREET) AND I (Ar^(C (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 23) PROPOSED ZONING 0 (NAME OF STREET) 12) PROPOSED NUMBER OF RESIDENTIAL UNITS 15) PROPOSEDCOMM SQUARE FOOTAGE 18) PROPOSED SEWER USAGE IN EDU 21) PROPOSED GENERAL PLAN DESIGNATION o 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 ENJFl^OR THIS PURPOSE FOR CITY USE ONLY FEE COMPUTATION APPLICATION TYPE TOTAL FEE REQUIRED FEE REQUIRED bAvOOf V^^fcO. V^vtAv'V DATE ST BEC0VED APR 142003 WiaW«ElVED RECEIVED BY: DATE FEE PAID RECEIPT NO. Form 16 PAGE 2 OF 2 PROJECT DESCRIPTION/EXPLANATION PROJECT NAME: y^Q ^/Ty/fe r l^j) j?/ f/oA APPLICANT NAME: PA^/\Pk- ne^^^U-JQ^ 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 ProjDeac.frm Citv of Carlsbad Housing & Redevelopment 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 Conunittee. 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. APPLICANT (Not the applicant's agent) Provide the COMPLETE, LEGAL names and addresses of ALL persons having a fmancial 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 publiclv-owned corporadon. include the names, titles, and addresses of the corporate officers. (A separate page may be attached if necessary.) Person Corp/Part Title Tide Address^3^Z>-y c> ^iC^tC^f- Address ^/^/H^ \/^A 0 2. 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 publiclv- owned corporation, include the names, titles, and addresses of the corporate officers. (A separate page may be attached if necessary.) Person Corp/Part Title O^^lAU Title Address Address 2965 Roosevelt St., Ste. B • Carlsbad, CA 92008-2389 • (760) 434-2810/2811 • FAX (760) 720-2037 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?- I I Yes IJAC^o If yes, please indicate person(s): NOTE: Attach addidonal sheets if necessary. I certify that all the above information is true and correct to the best of my jaiowledge. Wo Signature of owner/(!rate ^ Print or type name of owner Signature of applicant/date 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