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HomeMy WebLinkAboutRP 89-06; Carl's Jr. Restaurant; Redevelopment Permits (RP)DISCLOSURE FORM APPLICANT AGENT: MEMBERS CML KARCHER ENTERPRI.qRq Name (IndlviduaL partnership, joint venture, (corporation), syndication) 1200 N. Harbor Blvd., Anaheim, Ch 92803 business Address ~ 714-774-5796 Telephone Numt>er Jim Middleton Name 222 S. Harbor Blvd. #300, Anaheim, CA 92805 Business Address 714-491-43B Telephone Number Name (individual, partner, joint venture, corporation, syndication) Home Address Business Address Telephone Number Telephone Number Name Home Address Business Address Telephone Number Telephone Number (Attach more sheets if necessary) I/We understand that if this project is located in the Coastal Zone, 1/we will apply for Coastal Commission Approval prior to development. I/We acknowledge that 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 meml>ers to inspect and enter the property that is the subject of this application. I/We consent to entry for this purpose. I/We declare under penalty of perjury that the information contained in this disclosure is true and correct and that it wiil remain true and correct and may be relied upon as being true and correct until amended. BY CARL KARCHER ENTEIPRISES APPLICANT 7777 Jim Middleton (Agentl Owner, Partner 0 CITY OF CARLSBAD ^ LAND USE REVIEW APPLICATIQN FQRM PAGE 2 QF 2 17) PERCENTAGE OF PROPOSED PRQJECT IN OPEN SPACE 18) PROPQSED SEWER USAGE IN EQUIVALENT DWELLING UNITS 20) PRQJECT NAME: 88.417o 19) PROPQSED INCREASE IN AVERAGE DAILY TRAFFIC CARL'S JR. RESTAURANT 21)BRIEF DESCRIPTION QF PROJECT: Add 503 S.F. of additional Dining area and 309 S.F. of additional Storage and Toilet Rnom FariliM'eR wi rh site improvements and Trash Enclosure. 22) QWNER 23) APPLICANT c/o Jim Midd .eton NAME (PRINT QR TYPE) Gregory W. Losa NAME (PRINT QR TYPE) carl Karcher lint MAILING ADDRESS 2475 Jefferson St. #401 MAILING ADDRESS 222 S. Harbor Blvd. #300 CITY AND STATE Carlsbad CA ZIP TELEPHONE 92006 818- CITY AND STATE Anaheim, CA ZIP TELEPHONE 92805 714-491-43(110 I CERTIFY THAT I AM THE LEGAL QWNER AND THAT ALL THE ABOVE INFORMATION IS TRUE AND CORRECT TQ THE BEST QF MY KNOWLEDGE. SIGNATURE DATE I CERTIFY THAT I AM THE OWNER'S REPRE-SENTATIVE AND THAT ALL THE ABOVE INFORMATION IS TRUE AND CORRECT TQ THE BEST OF MY KNOWLEDGE. SIGNATURE DATE AA?, ^AXM^ "^'^ ************************************ FQR CITY USE QNLY FEE COMPUTATION: APPLICATION TYPE FEE REQUIRED RECEIVED OCT 17 1989 CITY OF CARLSBAD DATE QflVMfWW^mABBW RECEIVED BY: TOTAL FEE REQUIRED DATE FEE PAID RECEIPT NO. ARFH0008.DH 4/89 DISCLOSURE FORM APPLICANT CARL KARCHKR ENTERPRISES AGENT: Name (individual, partnership, joint venture, (corporation), syndication) 12U0 N. Harbor Blvd., Anaheim, CA 92803 business Address ' ~ 714-774-5796 . Telephone Number Jim Middleton Name 222 S. riarbor Blvd. #300, Anaheim, GA 92805 Business Address 714-491-4319 Telephone Number MEMBERS Name (individual, partner, joint venture, corporation, syndication) Home Address Business Address Telephone Number Telephone Number Name Home Address Business Address Telephone Number Telephone Number (Attach more sheets if necessary) I/We understand that if this project is located in the Coastal Zone, 1/we will apply for Coastal Commission Approval prior to development. I/We acltnowiedge that 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 appiication. I/We consent to entry for this purpose. I/We declare under penalty of perjury that the information contained in this disclosure is true and correct and that it will remain true and correct and may be relied upon as being true and correct until amended. CARL KARCHER ENTERPRISES BY APPLICANT Jim Middleton ^gentl Owner, Partner