HomeMy WebLinkAboutRP 90-01; Arco AM/PM 511; Redevelopment Permits (RP)CITY OF CARLSBAD
LAND USE REVIEW APPLICATION FORM PAGE 1 OF 2
1) APPLICATIONS APPLIED FOR: (CHECK BOXES)
(For Dept. Use Only) (For Dept. Use Only)
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Master Plan
Specific Plan
Precise Development Plan...
Tentative Tract Map
Planned Development Permit
Non-Residential Planned
Development Permit
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Condominium Permit
Special Use Permit
Redevelopment Permit
Tentative Parcel Map
Administrative Variance...
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General Plan Amendment
Site Development Plan
Zone Change
Conditional Use Permit
Hillside Development Permit.
Environmental Impact
Assessment
Variance
Planned Industrial Permit...
Coastal Development Permit..
Planning Commission Deter...
2) LOCATION OF PROJECT: ON THE
BETWEEN 5^.
(NORTH, SOUTH, EAST, WEST)
AND
(NAME OF STREET)
(NAME OF STREET) (NAME OF STREET)
3) BRIEF LEGAL DESCRIPTION:
U /L /^^/
4) ASSESSOR PARCEL NO(S).
5) LOCAL FACILITIES
MANAGEMENT ZONE
6) EXISTING GENERAL
PLAN DESIGNATION
7) PROPOSED GENERAL/^ fxn ^^y^ 1 PLAN DESIGNATION
8) EXISTING ZONING VR 9) PROPOSED ZONING 10) GROSS SITE
ACREAGE
11) PROPOSED NUMBER OF
RESIDENTIAL UNITS N ft 12) PROPOSED NUMBER
OF LOTS
13) TYPE OF
SUBDIVISION
14) NUMBER OF EXISTING RESIDENTIAL UNITS Km
(RESIDENTIAL
COMMERCIAL
INDUSTIRAL)
15) PROPOSED INDUSTRIAL
OFFICE/SQUARE FOOTAGE PROPOSED COMMERCIAL SQUARE FOOTAGE
ARFM0008.DH 4/89
CITY OF CARLSBAD
LAND USE REVIEW APPLICATION FORM PAGE 2 OF 2
17) PERCENTAGE OF PROPOSED PROJECT IN OPEN SPACE TIP
18) PROPOSED SEWER USAGE IN EQUIVALENT DWELLING UNITS
20) PROJECT NAME:
(UIVALENT DWI
19) PROPOSED INCREASE IN AVERAGE DAILY
TRAFFIC
2L %
21)BRIEF DESCRIPTION OF PROJECT:
22) OWNER 23) APPLICANT^^^s^f':^ ^^'/^
NAME (PRINT OR TYPE) "\hAOM>W^ NAME (mM?^^^)^^<^\CcK^6<)
MAIIING ADDRESS ^
Gf), ftc^V Uo(^l
MAILING ADDRESS '
CITY AND STATE ZIP TELEPHONE CITY AND STATE ZIP TELEPHONE
I CERTIFY THAT I AM THE LEGAL OWNER AND THAT
ALL THE ABOVE INFORMATION IS TRUE AND CORRECT
TO THE BEST OF MY KNOWLEDGE.
SIGNATURE DATE
I CERTIFY THAT I AM THE OWNER'S REPRE-
SENTATIVE AND THAT ALL THE ABOVE
INFORMATION IS TRUE AND CORRECT TO
THE BEST OF MY KNOWLEDGE.
SIGNATliRTV ?/ DATE
FOR CITY USE ONLY
FEE COMPUTATION:
APPLICATION TYPE FEE REQUIRED
F/r
TOTAL FEE REQUIRED
^mmmaut...
City of CARLSBAL
DATE
RECEIVED BY:
DATE FEE PAID RECEIPT NO.
ARFM0008.DH 4/8
DISCLOSURE FORM
APPLICANT
AGENT:
MEMBERS
Name (individual, partnership, joint venture, corporation, syndication)
Business Address ^
Telephone Number
Name '
/^^/ ^yj^^t-^
Business Address ^ /
Telephone Number
Name (individual, |i5artner, 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 deveiopment.
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 members 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 will remain true and correct and may be relied upon
as being true and correct until amended.
APPLICANT
BY
g^nt. Owner Partner
IN WITNESS WHEREOF, this agreement is executed in San Diego County, California
as of the date first written above.
DEVELOPER-OWNER:
(name)
7 By: 7-
Executive Vice President
By:
(Title)
CITY OF CARLSBAD, a municipal
corporation of the State of
California
By:
MARTIN ORENYAK
For City Manager
(Title)
ATTEST:
ALETHA L. RAUTENKRANZ, City Clerk
APPROVED AS TO FORM:
VINCENT F. BIONDO, JR.
City Attorney
(Notarial acknowledgement of execution by DEVELOPER-OWNER must be attached.)
REV 3-1-88