HomeMy WebLinkAboutRP 91-02; PERL FAMILY TRUST; Redevelopment Permits (RP) (6)cmr OF CARLSBAD
LAND USE REVIEW APPLICATION FOR PAGE 1 OF 2
1) APPLICATIONS APPLIED FOR: (CHECK BOXES)
(FOR DEPT
USE ONLY)
• Master Plan
• Specific Plan
Q Precise Development Plan
• Tentative Tract Map
• Planned Development Permit
Q Non-Residential Planned Development
Q Condominium Pennit
• Special Use Permit
[g^ Redevelopment Permit
• Tentative Parcel Map
• Administrative Variance
• General Plan Amendment
• Local Coastal Plan Amendment
• Site Development Plan
• Zone Change
[2 Conditional Use Permit
• Hillside Development Permit
• Environmental Impact Assessment
• Variance
• Planned Industrial Permit
• Coastal Development Permit
[~] Plaiuung Commission Determination
• List any other applications not specificed
CFOR DEPT
USE ONLY^,
2) LOCATION OF PROJECT: ON THE SIDE OF KK7/XIPI-SOM S-T
BETWEEN
(NORTH. SOUTH EAST. WEST)
AND
(NAME OF STREET)
(NAME OF STREET)
3) BRIEF LEGAL DESCRIPTION:
(NAME OF STREET)
4) ASSESSOR PARCEL NO(S).
5) LOCAL FACIUTIES
MANAGEMENT ZONE
8) EXISTING ZONING
11) PROPOSED NUMBER OF
RESIDENTLU UNITS 4
6) EXISTING GENERAL PLAN
DESIGNATION
9) PROPOSED ZONING
12) PROPOSED NUMBER
OF LOTS
C DP 7) PROPOSED GENERAL PLAN CBD
' DESIGNATION '
10) GROSS SITE
ACREAGE
13) TiTE OF SUBDIVISION
.Z4-
(RESIDENTIAL
COMMERCL\L
INDUSTRL^L)
14) NUMBER OF EXISTING RESIDENTLU UNffS A-
15) PROPOSED INDUSTRLVL
OFFICE/SQUARE FOOTAGE TTTT 16) PROPOSED COMMERCIAL
SQUARE FOOTAGE \-!<PO.
NOTE: A P1U3P0SE0 PROJECT REQUIRING THAT lAlLTIPfJB AIWCAT^
REQUIRING THAT ONLSr QIC APPUCATION BE Fn£D MUST BE SUBiimZ^ FRM00016 8/90
6)
CITY OF CARLSBAD
LAND USE REVIEW APPUCATION FORM PAGE 2 OF 2
17) PERCENTAGE OF PROPOSED PROJECT IN OPEN SPACE
18) PROPOSED SEWER USAGE IN EQUIVALENT DWELUNG UNITS
19) PROPOSED INCREASE IN AVERAGE DAILY TRAFFIC
KJ.A.
20) PROJECT NAME:
21) BRIEF DESCRIPTION OF PROJECT:
22) IN THE PROCESS OF REVIEWING THIS APPUCATION IT MAY BE NECESSARY FOR MEMBERS OF CITY STAFF,
PLANNING COMMJSSIONERS. B^SIGjyfc REVIEW BOARD MEMBERS. OR CITY COUNCIL MEMBERS TO INSPECT .VND
ENTER THE PROPERT/ THAl/iaTHI^UBJECT OF THIS APPUCATION. I/WE CONSENT TO ENTRY FOR THIS
PURPOSE ^-^i^V^ V^-^LXy
SIGNAtt^E
23) OWNER 24) APPUCANT
NAME (PRINT OR TYPE) US^M pfet^ L, (jfZO:>T£B)
peKL pAKJOiLY moi>r.
NAME (PRINT OR TYPE)
MAIUNG ADDRESS MAIUNG ADDRESS
CITY AND STATE ZIP TELEPHONE CITY AND ST.STE ZIP TELEPHONE
D.
I CERTIPT THAT I AM THE LEGAL OWNER
AND THAT AiX THE ABOVE INFORMATION
IS TRUE AND CORRECT TO THE BEST OF
MY KNOWUDCE.
SIGNAT DATE ^ n
I CERTIFY THAT I AM THE LEGAL OWNER'S REPRESENTATIVE AND
THAT AU THE ABOVE INFORMATION IS TRUE AND CORRECT TO THE
BEST OF MY KNOWLEDGE.
/f »DATE
6^1^ £'/-^/
FOR CITY USE ONLY
FEE COMPUTATION:
APPLICATION TYPE
TOTAL FEE REQUIRED
DATE FEE PAID
FEE REQUIRED
f fo>00
3 -79' 9/
DATE ^fM? Afppq\p:?^i^(g|!(|p
RECEIVED BY:
RECEIPT NO.
99
City of Carlsba
Pianning Departirrientl
DISCLOSURE STATEMENT
APPUCANfT'S STATEMENT OF' DISCLOSURE OF CERTAIN OWNERSHIP INTERESTS ON ALL APPUCATIONS WHICH WILL REQUIRE
DISCRETIONARY ACTION ON THE PART OF THE CRY COUNCIL. OR ANY APPOINTED BOARD, COMMISSION OR COMMFTTEE.
(Please Print)
The following information must be disclosed:
1. Applicant
List the names and addresses of ali persons having a financial interest in the application.
Owner
Ust the names and addresses of all persons having any ownership interest in the property involved.
3. If any person identified pursuant to (1) or (2) above is a corporation or partnership, list the names anc
addresses of all 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 and
addresses of any person sen/ing as officer or director of the non-profit organization or as trustee or beneficiary
of the trust.
FRM00013 8/90
2075 Las Palmas Drive • Carlsbad. California 92009-4859 • (619) 438-1161
Disclosure Statement
(Over)
Page 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 ]^ If yes, please indicate person(s)
Person is defined as: 'Any individual, firm, copartnership, jointventure. association, social club, fraternal organization, corporation, estate, trust,
receiver, syndicate, thit and any other county, crty and county, city municipality, district or other polttical subdivision, or any other group or
combination acting as a unit.'
(NOTE: Attach additionai pages as necessary.)
Print or type name of owner
Signature of applicant/date
Print or type name of appl oTappiicanT
FRM00013 8/90