HomeMy WebLinkAboutRP 06-01; Laguna Condominiums; Redevelopment Permits (RP)§1 RLSBAD REDEVELOPMENT AGEN
PERMIT APPLICATION
§•
PLEASE CHECK ALL THAT APPLY:
n 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 tand uses which
resuit in site changes, increased ADT,
increased parking requirements, or result in
compatibiiity issues/problems.
Signs for existing businesses or facilities.
Repair or maintenance activities whtoh are
not exempt from obtaining a pennit.
COASTAL DEVELOPMENT PERMIT
MAJOR REDEVELOPMENT PERMIT
New construction of building(s) or
addition(s) to the buiiding footprint which
have a building pemnit valuation which is
greater than $150,000.
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 permit valuation which is
greater than $60,000 but less than
$150,000.
Variances for projects within this category.
Variances for projects whioh would
otherwise be exempt or be eligible for an
administrative pennit.
MISCELLANEOUS REDEVELOPMENT PERMIT
A-Frame Sign
Sign Pemnit
Sign Program
Sidewalk Tables/Chairs
Outdoor Displays
Other
PROJECT TITLE:
Brief
Property Location: .
APN(s):''l0^-|(0-4^^-03-|)6- StreelAddress 7'3S" ^(g-OMA 1^
Owner's Name
Address lA^IDK Vfi^'
Telephone Number ll^h * 7^^* /8
THE AFlEA BiLQW IS TQ
FEES FOR APPUCATION PROCESSING:
(List type of fee and amount)
Appiicanfs Name. f^fWT VOUCH
Address (^75 1//» Ol^A/T. Pfi-
Telephone Number \^^A
RECEIPT OF APPLICATION
Date Application Received ^ //^^/O^
Application Received by_
Permit Number Assigned.
CITY OF CARLSBAD
LAND USE REVIEW APPLICATION
1) APPLICATIONS APPLIED FOR: (CHECK BOXES)
(FOR DEPARTMENT
USE ONLY)
(FOR DEPARTMENT
USEONLY)
• Administrative Permit - 2nd
Dwelling Unit • Planned Industrial Permit
• Administrative Variance • Planning Commission
Determination
• Coastal Development Permit • Precise Deveiopment Pian
• Conditional Use Permit • Redevelopment Pennit
• Condominium Permit • Site Development Pian
• Environmental Impact
Assessment • Special Use Permit
• General Plan Amendment • Specific Plan
• Hillside Development Permit • Tontativo Parcel Map
Obtain from Engineering Department
• Local Coastal Plan Amendment Tentative Tract Map
• Master Plan • Variance
• Non-Residential Planned
Development •
0
Zone Change
• Planned Development Permit
•
0 List other applications not
specified tiAiafL Pm/atP*
3) PROJECT NAME:
4) BRIEF DESCRIPTION OF PROJECT: ^ rGtcmtilMlOH^. o/ ffflj^K^y^ ^Af^<^
5) OWNER NAME (Prinf 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
INFORMATION IS TRUE AND CORRECT TO THE BEST OF MY
KNOWLEDGE.
1 CERTIFY THAT 1 AM THE LEGAL REPRESENTATIVE OF THE
OWNER AND THAT ALL THE ABOVE INFORMATION IS TRUE AND
CORR&TJO THE BE^T OF^Y KNOWLEDGE.
SIGNATURE J ^ DATE SIGNATURE DATE
7) BRIEF LEGAL DESCRIPTION IR^CK^ efi^U^ 4(>^f ^^\XB LAK)P5 • MAP 1112-
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
STREET ADDRESS
(NORTH. SOUTH. EAST. WEST)
(NAME OF STREET)
SIDE OF r LNhOhoh VflNB'
(NAME OF STREET)
AND
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) EXISTINQ ZONING
3\
11) NUMBER OF EXISTING
RESIDENTIAL UNITS
14) PROPOSED IND OFFICE/
SQUARE FOOTAGE
17) PROPOSED INCREASE
IN ADT
20) EXISTING GENERAL
PLAN
23) PROPOSED ZONING
MA
30
his
(NAME OF STREET)
12) PROPOSED NUMBER
OF RESIDENTIAL UNITS
15) PROPOSEDCOMM
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 rn^NTPY FQR THIS PURPOSE
SIGNATURE
FOR CITY USE ONLY
FEE COMPUTATION
APPLICATION TYPE FEE REQUIRED
TOTAL FEE REQUIRED
DATE STAi
RECEIVEO
JAN 1 2006
CITY OFCARISBAD
RECEIVED BY:
DATE FEE PAID RECEIPT NO.
-to D«,, AR/fl'^ PAGE 2 OF 2
PROJECT DESCRIPTION/EXPLANATION
PROJECT NAME: LA60iOA N>IC?M:^
APPLICANT NAME: I^^O&^gf^ 1?0M^
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: 7^ ^ ^ p^vea0^^ f^rr
M^ucf^mt^ N p/^i(^ 3 cF jm j^&s\/scfM9<^ •aoce'.
tow ^/VVp^ f^/Q/JCf (sAP^^. co/i/mri:^ A
f^lL'-f NsH^ 00 rm /2>{ /^efi£ ^Tl^.
Project Description 10/96 Pagelofi
Citv of Carlsbad
Housing & Redevelopment Department
DISCLOSURE STATEMENT
Applicant's statement or disclosure of certam 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 undl 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 coimty, city and county, city
municipality, district or other poUtical subdivision or any oth^ group or combination acting as a unit"
Agents may sign this document; however, the legal name and entity of tbe applicaat and property owner must be
provided below.
I. 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, tide, 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
necessaryO
Person NoWv-l \ [clx
Title (Ou^w^rS h<^t€^\
Corp/Part.
Title
Address ^^75 ul ^ COrck^. Address
OWNER (Not die 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 ail 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 2^V^W>^t Corp/Part
Titie Ou>\/^y-S Titie
Address L•^3^fXA 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 organization 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 Titie
Address Address
4. 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 \^ 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 applicant/date
^oL]A IX^hli
Printer 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