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Home My WebLink AboutRP 08-49; Le Passage French Bistro; Redevelopment Permits (RP)PLEASE CHECK ALL THAT IVf ADMINISTRATIVE PERMIT PERMIT APPLICATION 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. _v 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. I I COASTAL DEVELOPMENT PERMIT Q 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 permit 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 I I Sign Permit I I Sign Program I I Sidewalk Tables/Chairs I I Outdoor Displays I I Other PROJECT TITLE: Brief description of project: 3rief description of project: ^ ^ Property Location: APN(s): Street Address Owner's Name Address Telephone Number Address Applicant's Name, Telephone Number - ^Q^H THE AREA BELOW IS TO BE COMPLETED BY CITY STAFF RECEIPT OF APPLICATION Oate Application Received. FEES FOR APPLICATION PROCESSING: (List type of fee and amount) Application Received bv >^J7/W' ^/iVJ^ Permit Numtjer Assigned. GEN" TARLSBAD REDEVELOPMENT AGEN( ADMINISTRATIVE PERMIT APPLICATION & DISCLOSURE STATEMENT 1. APPLICATION APPLIED FOR: (CHECK BOXES) • 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. 2. LOCATION OF PROJECT Bordering Streets: North: South: East: West: Assessor Parcel No.:. Legal Description: Within Coastal Zone: Within Appealable Area of Coastal Zone: Land Use District within Village: • • Yes Yes • 1 O 4 • 7 • • • • • No No • • • ^RLSBAD REDEVELOPMENT AGENQ^ ADMINISTRATWPERMIT APPLICATION & DISCLOSuR STATEMENT 3. DESCRIPTION OF PROJECT Prni.ntName: V^. ^(^£g^(y> ^VfS^.fH Please provide a complete description ofthe project proposed for approval under this application. Provide any details necessary to adequately explain the scope and/or operation of the proposed project. You may attach additional pages to this application if necessary to explain the project: "^\oAc ^-^TtjeJ:, \y^r<izxB Vae^ V^^f-V\^ ^ ^J^^o\^e^-^Vf\c^^t. T\^e -*?K-o<\t. area ^ SuAVe VVV\\\ •is^o^Hv^ ^diro^o S3(;>acje,;^ \\m\\^ -Hi 4. AUTHORIZATION TO INSPECT PROPERTY In the process of reviewing this application it may be necessary for members of City Staff, Design Review Board Members, or City Council members to inspect and enter the property that is the subject of this application. 1/we consent to entry onto the subject property for this purpose. Name: Date: Signature: Applicant • or Owner • JARLSBAD REDEVELOPMENT AGENI ADMINISTRATIVE PERMIT APPLICATION & DISCLOSURE STATEMENT 1 Daytime Telephone No.:. List the Names and Addresses of all persons having an ownership interest in the property involved: If any person identified above is a corporation or partnership, list the names and addresses of all individuals (J)\k owning more than 10% of the shares in the corporation or owning any partnership interest in the partnership: ^ T> If any person identified above is a non-profit 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 trust: Have you had more than $250 worth of business transacted with any member of City Staff, Boards, Commissions, Committees, and/or Council within the past twelve (12) months? • Yes • No If yes, please indicate person(s): Certification Statement I Certify that I am the Legal Owner of the subject property for this application and that all of the above information is true and correct to the best of my knowledge. This application is submitted with my consent and I agree to accept and abide by any conditions placed on the subject property, including use of buildings, as a result of approval of this application. Siqnature Date: —•.www '.w. 4, I i,HUU%JU.ilOjL way U6 Lflura Keyer AhUNb /QU (tou PAGE 02/02 r CARLSBAD REOEVELOPIUldNT A<^ENCV AOMtNISTRATIVE PBRMIT APPLICATION &|aSCLOSURB STATEMENT PROPERTY OWl^ER INFORMATION/CERTIFICATION ORMATION/CBRTIFICATION DayHmeTeteplwne No.: '^\'4\ I 0^ 7/W S^O-S*/ 9«^^ l^t the Names snd Addnessds cf all persona hatfing ^ ovwiensLip intarBSt in fhe property InvoiVed: ff any person idesit'fiecl above f$ a GOrponHion or partnorsNp. gwning more than 10% of the shares in the eorporalon or IMt owntliig If any person Mantffied aixsve is a nort-piufit organizalion or g peison serving as an offiesr or director of the non-pfoHt orj ths names snd addresses of all (ntfviduals, any partnershtp Imemst in the partnership: tfiist, list the names and addrasses of any gmiz^tion or as trustee or beneficiary of the tmst Havis you had mors than S260 worth of business tmnsactecl wfl i any member Of Ctty Staff, Boaixte. Commissions, Committiaas, and^ Coundl within the past twelw a (12) months? • Yes • No If yes. plesBa indicate person<s);^ Cwtlfication Statement I Certif that I am the Legal Owner of tie subject propeity for thib application and that alt of (he above tnformdtbn Is true and oorreot to the best ef my knowiedge. Thli cppiicatien ie submitted vi«Hh my consent and I agma to accept and.abtde by any eondHlons placed on tni subject properly, ineiuding usa of buiidings,: BS a rasult of appji6val of this ap0lioatk>n. Signatureif^ Dtte:^;A)/7y n ^RLSBAD REDEVELOPMENT AG£r>A ADMINISTRATWE PERMIT APPLICATION & DISCLOSIJRE STATEMENT 6. APPLICANT INFORMATION/CERTIFICATION ^ N.n,.. Ve. ^(^y. frm-h teVro - Uur(L v o UP/T Mailing Address:. Daytime Telephone No.:. List the Names and Addresses of all persons having a financial interest in the application: If any person identified above is a corporation or partnership, list the names and addresses of all individuals owning more than 10% ofthe shares in the corporation crowning any partnership interest in. the partnership: If any person identified above is a non-profit 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 trust: 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? • Yes B) No If yes, please indicate person(s):. Certification Statement I Certify that I am the Legal Owner's representative and that all of the above information is true and correct to the best ofNaiy fmov^fedge. I have been authorized by the legal owner of the subject property to submit this application a|ga\adiea to accept and abide by any condifions placed on the subject property, including use of buildings, )^\j:el^l| ^{ ^provf^^of this application. Signature ^^\^\\)\\ | ^ Date:. (RLSBAD REDEVELOPMENT AGEN( ADMINISTRATIVE PERMIT APPLICATION & DISCLOSURE STATEMENT The remainder of this a^pjlcation shall be completed by Gity'rStafT: . J^ y- ^ • > 7. RECEIPT OF APPLICATION Date Application Received: fjf 0? Application Received bv: A. Permit No. Assigned2_ 8. FEES FOR APPLICATION PROCESSING The following fees shall apply to this application; list type of fee and amount: $400.00 - Administrative Redevelopment Permit Total Fee(s) required for this application: Date Fee(s) collected by City Staff:. Receipt No.: 9. ACTION ON THE APPLICATION The following action has been taken by the Housing and Redevelopment Director on this application: • Approved subject to conformance with plans submitted as part of application, dated . • Approved, with conditions. See conditions noted below. • Denied. Reason Housing and Redevelopment Director Signature: CD Director Initials: Date: 10. CONDITIONS OF APPROVAL (IF APPLICABLE)