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HomeMy WebLinkAboutRP 91-04; Arco AM/PM Gas Station & Minimart; Redevelopment Permits (RP)4 CITY OF CARLSBAD LAND USE REVIEW APPUCATION FOR PAGE 1 OF 2 1) APPLICATIONS APPLIED FOR: (CHECK BOXES) (FOR DEPT USE ONLY) (FOR DEPT USE ONLY) ! • Master Plan • General Plan Amendment 1 • Specific Plan • Local Coastal Plan Amendment • Precise Development Plan • Site Development Plan • Tentative Tract Map • Zone Change • Planned Development Permit • Conditional Use Permit • Non-Residential Planned Development • Hillside Development Permit • Condominium Permit • Environmental Impact Assessment • Special Use Permit • Variance Redevelopment Permit • Planned Industrial Permit • Tentative Parcel Map • Coastal Development Permit • Administrative Variance • Planning Comniiission Determination • List any other applications not specificed 2) LOCATION OF PROJECT: ON THE North SIDE OF Elm (NORTH, SOUTH EAST, WEST) (NAME OF STREET) BETWEEN Harding AND Interstate 5 (NAME OF STREET) 3) BRIEF LEGAL DESCRIPTION: (NAME OF STREET) Lots 1, 2, 3 Block 67 Map 535 4) ASSESSOR PARCEL N0(S). 5) LOCAL FACIUTIES MANAGEMENT ZONE 8) EXISTING ZONING 11) PROPOSED NUMBER OF RESIDENTLU UNITS 2033550500 6) EXISTING GENERAL PLAN DESIGNATION 9) PROPOSED ZONING 12) PROPOSED NUMBER OF LOTS 7) PROPOSED GENERAL PLAN DESIGNATION 10) GROSS SITE ACREAGE 13) T^E OF SUBDIVISION 14012 sq Jit COM (RESIDENTLU COMMERCIAL INDUSTRJAL) 14) NUMBER OF EXISTING RESIDENTIAL UNITS 15) PROPOSED INDUSTRIAL OFFICE/SQUARE FOOTAGE 16) PROPOSED COMMERCL\L SQUARE FOOTAGE 2057 NOTE: A PROPOSED PROJECT REQtAIUNG THftf IfiAJIPf^ ARiUCAITON^ BE FO^ MUST BE SUBMITTED PRIOR TO 3:3a PJI; A PROPOSED PROJECT REQUIRING IHAT ONtY Q»eAPPUCAT!OK BE nLBDM^ FRMOOOl 6 8/90 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 20) PROJECT NAME: 80% 2 EDU None Arco am/pm Mini Mart 21) BRIEF DESCRIPTION OF PROJECT: Arco am/pm Mini Mart with gas facilities 22) IN THE PROCESS OF REVIEWING THIS APPLICATION IT MAY BE NECESSARY FOR MEMBERS OF CITY STAFF, PLANNING COMMISSIONERS, DESIGN REVIEW BOARD MEMBERS, OR CITV' COUNCIL MEMBERS TO INSPECT AND ENTER THE PROPERTY THAT THE SUBJECT OF THIS APPLICATION. l/WE CONSENT TO ENTRY FOR THIS PURPOSE PCTTM^ 7). JYly9^2^ SIGNATURE 23) OWNER 24) APPLICANT NAME (PRINT OR V{?E) William E. Thompson NAME (PRINT OR TYPE) Desert Petroleum, Inc MAIUNG ADDRESS P.O. Box 1601 MAIUNG ADDRESS P.O. Box 1601 CIT^ AND STATE ZIP Oxnard, CA 93032 TELEPHONE (805)644-6784 CITY AND STATE ZIP Oxnard, CA 93032 TELEPHONE (805)644-6784 I CERTIFY THAT I AM THE LEGAL OWNER AND THAT ALL THE ABOVE INFORMATION IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE. I CERTIFY THAT I AM THE LEGAL OWNER'S REPRESENTATIVE AND THAT ALL THE ABOVE INFORMATION IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE. SIGNATURE DATE FEE COMPUTATION: APPLICATION T^E Received FEE REQUIRED \l>/o,ov i^i/\ MAY 17199) CITY QF CARLSBAD RECEIVED BY: TOTAL FEE REQUIRED DATE FEE PAID RECEIPT NO. *City of Cikrisbad 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 financiai interest in the application. Desert Petroleum. Inc. P.O. Box 1601 Oxnard, CA 93032 2. Owner Ust the names and addresses of ali persons having any ownership interest in the property involved. William E. Thompson P.O. Box 1601 Oxnard, CA 93032 If any person identified pursuant to (1) or (2) above is a corporation or partnership, list the names an addresses of aii individuals owning more than 10% of the shares in the corporation or owning any partnership interest in the partnership. William E. Thompson P.O. Box 1601 Oxnard, CA 93032 If any person identified pursuant to (1) or (2) above is a non-profit organization or a trust, list the names ar addresses of any person serving as officer or director of the non-profit organization or as trustee or beneficiar Of the trust. (Over) f 4 Disclosure Statemerrt Page 2 5. Have you had more than $250 worth of business transacted with any member of City staff, Boarcjs Commissions, Committees and Councii within the past twelve months? Yes No _X If y®s, please indicate person(s) Person is defined as: *Any individual, firm, copartnership, joint venture, association, social club, fraternal organization, corporation, estate, trust, receiver, syndicate, this and any other county, city and county, city municipality, district or other political sutxiivision, or any other group or combination acting as a unit.' {NOTE: Attach additional pages as necessary.) ignature of Owner/date Signature of appiicant/date William E. Thompson Print or type name of owner Desert Petroleum, Inc. Print or type name of applicant