HomeMy WebLinkAboutRP 88-05; Halverson Family Trust; Redevelopment Permits (RP)V City of Carlsbod
207S Las P.^:iii5?s Dnve
Carlsbad, CA 92009
* (619) 438- HGI
No Fc
F^LANNING DEPARTMENT
MINOi^ REDEVELOPMENT PERMBT
Complete DescrEption of Project (attach additional sheets if necessary)
Exterior mdifications to existing structures converting a duplex
and detached garage to professional office space. Extensive site
j beautification will be included.
jLocaticn of Project
3050 Madison Avenue. Carlsbad
Countv of San Dieqo, State of California, Map No. 535 and 775
Local Facility Management Zone
1
Assessors Parcel Number
203-351-03
Zone
VR
General Plan
CBD
Existing Land Use
Residential
Proposed Zone
VR
Proposed General Plan
CBD
Site Acreage
.16ac 7,000 sq. ft.
Owner Applicant
Name (Print or Type)
Melvin B. Halverson/Halverson Family
Name (Print or Type)
Trust Scott Schwartz
Mailing Address
P.O. Box 192
Mailing Address
2919 Ivy Street #2
City and State Zip Telephone
Del Mar, CA 92014 792-0377
City and State Zip Telephone
San Diego, CA 92104 '555'^R^<2?
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 AM4HE OWNER'S
REPRESENTATIVE AND THAT ALL
THE ABOVE INFORMATION IS TRUE
AND CORRECT TO THE BEST OF
MY KNOWLEDGE.
SICNATURE DATE SIGNATl^E#^ ^ DATE
Date Application Rec'd Received By Fees Received Receipt No.
PROJECT NUMBER (S) ffi-f^ (DF
Received
AUG 8 1988
CITY OF CARLSBAD
DEVELOP. PROC. £ERV o«;
•Citv of Cfeirlsbad
DISCLOSURE STATEMENT
APPUCANTS STATEMENT OF DISCLOSURE OF CERTAIN OWNERSHIP INTERESTS ON ALL APPUCATIONS
WHICH WILL REQUIRE DISCRETIONARY ACTION ON THE PART OF THE CITY COUNCIL OR ANY APPOINTED
BOARD, COMMISSION OR COMMITTEE.
(Please Print)
The following information must be disclosed:
1. Applicant
Ust the names and addresses of all persons having a financial interest in the application.
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Owner
Ust the names and addresses of all persons having any ownership interest in the property involved.
A.^ t.f -r-
3. If any person identified pursuant to (1) or (2) above is a corporation or partnership, list the names anc
addresses of ail individuals owning more than 10% of the shares in the corporation or owning any partnership
interest in the partnership
If any person identified pursuant to (1) or (2) above is a non-profit organization or a trust, list the names anc
addresses of any person sen/ing as officer or director of the non-profit organization or as trustee or beneficiary
of the trust. ^ /
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fOver)
Disclosure Statement p^^^ 2
5. Have you had more than $250 worth of business transacted with any member of City staff, Boards
Commissions, Committees and Council within the past twelve months?
Yes No _X It yes, please indicate person(s) ^
Person is defined as: 'Any individual, firm, copartnership, joint venture, association, social club, fraternal
organization, corporatkxi, estate, trust, receiver, syndicate, 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.'
(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
There have been no changes in the Halverson Family Trust since May 29,1987.
Melvin B. Halverson, Trustee
-f
Barbara J. Halverson, Trustee
THE HALVERSON FAMILY TRUST
ESTABLISHED
MELVIN B. HALVERSON AND BARBARA J. HALVERSON, TRUSTEES
Executed on
California.
1987, at
TRUSTORS TRUSTEES:
MELVIN B. HALVERSON MELVIN B. HALVERSON
BARBARA j/./HALVERSON BARBARA J. HALVERSON
APPROVED AS TO FORM:
W. BAILEY SMITH
Attorney for Trustors
STATE OF CALIFORNIA)
COUNTY OF L.P-fV'v-^)
)SS.
ON
Notary
J 1987, before
Public In and for said County
appeared MELVIN B. HALVERSON and BARBARA
me to be the persons (or proved to
me, the undersigned, a
and State, personally
J. HALVERSON, known to
me on the basis of
satisfactory evidence) whose names are subscribed to the within
instrument and acknowledged to me that they executed the same.
WITNESS my hand and official seal.
OFFCtALSeAL
W. BAILEY SMITH
NOTAffV PUBLIC • CALIFCMNtA
WWCIPAL OFFICe IN
ORANGECOUNTY
My Commission £xp. 2.1919
Notary Public i/n and
County and State
f3F sa
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