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HomeMy WebLinkAboutRP 94-05Ax4; Village Farmers Market; Redevelopment Permits (RP)LSBAD REDEVELOPMENT AGEN PERMIT APPLICATION PLEASE CHECK ALL THAT APPLY: ADMINISTRATIVE PERMIT • • • • • New construction of bulldlng(s) or addition(s) to the building footprint which have a building permit valuation which Is equal to or less than $60,000. Interior or exterior improvements to existing structures which result in an intensity of use. Provisional land uses, where a minor or major redevelopment permit is not required. Changes In permitted land uses which result in site changes, increased ADT, Increased parking requirements, or result in compatibility issues/problems. Signs for existing businesses or facilities. Repair or maintenance activities which are not exempt from obtaining a permit. n COASTAL DEVELOPMENT PERMIT MAJOR REDEVELOPMENT PERMIT I 1 New construction of bulldlng(s) or addition(s) to the building footprint which have a building permit valuation which is greaterthan $150,000. I I Variances for projects within this category. • MINOR REDEVELOPMENT PERMIT • • New construction of buildlng(s) or addition(s) to the building footprint which have a building permit valuation which is greater than $60,000 but less than $150,000. Variances for projects within this category. Variances for projects which would otherwise be exempt or be eligible for an administrative pennit. MISCELLANEOUS REDEVELOPMENT PERMIT A-Frame Sign Sign Pemiit Sign Program Sidewalk Tables/Chairs Outdoor Displays Other ^ PROJECT TITLE: Fa Brief description of project: ^^cKfWe^r XoC:> \^^ ^ .stf^rt ^JeJ* yiAcwKA4^ ^yp ^OA - tfer+iPiei ^Je^tLafS ^UoiJcJi cjt]0Crik UAG.rke?{x. Property Location: pabl.c p^rtC.A^ Ccf-Mici^/c'C <c c'^v €c:csY s.cjc. chf- ^oic i^-f S1 T" Owner's Name d ( ^y Co^C isU r^d Address />0O (LxC Uh^.A jJill^^e Br Telephone Number 1 CJO "^^^ ^ Applicanfs NameC^(^rlSk>^A i/i I c ^1<^/1. Address Telephone Number 76 0 - Yj 9 " ^^^J THE AREA BELOW IS TO BE gaiVIPLETED FEES FOR APPLICATION PROCESSING: (List type of fee and amount) RECEIPT OF APPLICATION Date Application Received ^/V.^ /06 Application Received by_ Permit Number Assigned, CITY OF CARLSBAD ^ LAND USE REVIEW APPLICATION 1) APPLICATIONS APPLIED FOR: (CHECK BOXES) (FOR DEPARTMENT USE ONLY) (FOR DEPARTMENT USEONLY) • Administrative Permit - 2nd Dwelling Unit • Planned Industrial Permit • Administrative Variance • Planning Commission Determination • Coastal Development Permit • Precise Development Plan Ei Conditional Use PeriTiit Redevelopment Permit • Condominium Permit • Site Development Plan • Environmental Impact Assessment • Special Use Permit • General Plan Amendment • Specific Plan • Hillside Development Permit • Tontativo Parcol Map Obtain from Engineering Department • Local Coastal Plan Amendment • Tentative Tract Map • Master Plan • Variance • Non-Residential Planned Development • Zone Change • Planned Development Permit • List other applications not specified 2) ASSESSOR PARCEL NO(S).: 3) PROJECT NAME: "F^c^e^^' UatkA QcbiAkk Frb^^gf 4) BRIEF DESCRIPTION OF PROJECT: €jxt\:\e^ -fpcJiV^ 4- S(fei/f fiW.f l\eA M»>rfc^f. 5) OWNER NAME (Print or Type) MAILING ADDRESS 6) APPLICANT NAME (Print or Type) MAILING ADDRESS CITY AND STATE ZIP TELEPHONE CITY AND STATE ZIP TELEPHONE I CERTIFY THAT I AM THE LEGAL REPRESENTATIVE OF THE 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 LEGAL OWNER AND THAT ALL THE ABOVE INFORMATION IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE. SIGNATURE DATE 7) BRIEF LEGAL DESCRIPTION NOTE: A PROPOSED PROJECT REQUIRING MULTIPLE APPLICATIONS BE FILED, MUST BE SUBMITTED PRIOR TO 3:30 P.M. A PROPOSED PROJECT REQUIRING ONLY ONE APPLICATION BE FILED, MUST BE SUBMITTED PRIOR TO 4:00 P.M, Form 16 Rev. 05/03 PAGE 1 OF 2 8) LOCATION OF PROJECT: ON THE BETWEEN STREET ADDRESS SIDE OF (NORTH, SOUTH. EAST, WEST) (NAME OF STREET) AND 9) (NAME OF STREET) LOCAL FACILITIES MANAGEMENT ZONE (NAME OF STBEET) 10) PROPOSED NUMBER OF LOTS 13) TYPE OF SUBDIVISION 16) PERCENTAGE OF PROPOSED PROJECT IN OPEN SPACE 19) GROSS SITE ACREAGE 22) EXISTING ZONING 11) NUMBER OF EXISTING RESIDENTIAL UNITS 14) PROPOSED IND OFFICE/ SQUARE FOOTAGE 17) PROPOSED INCREASE IN ADT 20) EXISTING GENERAL PLAN 23) PROPOSED ZONING 12) PROPOSED NUMBER OF RESIDENTIAL UNITS 15) PROPOSEDCOMM SQUARE FOOTAGE 18) PROPOSED SEWER USAGE IN EDU 21) PROPOSED GENERAL PLAN DESIGNATION 24) IN THE PROCESS OF REVIEWING THIS APPUCATION 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 SIGNATURE (/ ^ FOR CITY USE ONLY FEE COMPUTATION APPLICATION TYPE FEE REQUIRED DATE STAMP APPLICATION RECEIVED RECEIVED BY: TOTAL FEE REQUIRED DATE FEE PAID RECEIPT NO. PROJECT DESCRIPTION/EXPLANATION PROJECT NAME: F^rMAe^^' WcU-Ke^ fro^^cct APPLICANT NAME: (l^rl<.lf^ (JUUQ^ BU^UC^ KRS6CIC(^'O^ Please (describe fully the proposed project by application type. Include any details necessary to adequately explain the scope and/or operation of the proposed project. You may also include any background Information and supporting statements regarding the reasons for, or appropriateness of, the application. Use an addendum sheet if necessary. Description/Explanation: ^ A^^^^^ /^a^,.*^ ^ l^'^^f^ Project Descriptton 10/96 ^^9© "> 1 City of Carlsbad Housing & Redevelopment Department DISCLOSURE STATEMENT Applicant's statement or disclosure of certain ownership interests on all applications which will require discretionary action on the part of the City Council or any appointed Board, Commission or Committee. The following information MUST be disclosed at the time of application submittal. Your project caimot be reviewed until this information is completed. Please print. Note: Person is defined as "Any individuaL firm, co-partnership, joint venture, association, social club, firatemal organization, corporation, estate, trust, receiver, syndicate, in 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" Agents may sign this document; however, the legal name and entity of the applicant and property owner must be provided below. 1. APPLICANT (Not the applicant's agent) Provide the COMPLETE. LEGAL names and addresses of ALL persons having a financial interest in the application. If the applicant includes a corporation or partnership, include the names, title, addresses of all individuals owning more than 10% of the shares. IF NO INDIVIDUALS OWN MORE THAN 10% OF THE SHARES, PLEASE INDICATE NON- APPLICABLE 0^/A) IN THE SPACE BELOW If a publiclv-owned corporation, include the names, titles, and addresses of the corporate officers. (A separate page may be attached if necessary.) Person Cykr^si^y C^dUnKiiK Title fiu-i^ rA ' XHarke^f' )VlgA<»^f>f Address 2. OWNER (Not the owner's agent) Provide the COMPLETE, LEGAL names and addresses of ALL persons having any ownership interest in the property involved. Also, provide the nature of the legal ovmership (i.e, partnership, tenants in common, non-profit, corporation, etc.). If the ownership includes a corporation or partnership, include the names, title, addresses of all individuals owning more than 10% of the shares. IF NO INDIVIDUALS OWN MORE THAN 10% OF THE SHARES, PLEASE INDICATE NON-APPLICABLE (N/A) IN THE SPACE BELOW. If a publiclv- owned corporation, include the names, titles, and addresses of the corporate officers. (A separate page may be attached if necessary.) Corp/Part ^.^rl.S Igg// ViKo^r BuS. I^Stl Title yirtA-FA)f;f d)rgo.K;^.atrA^ Address gg^^A/ig.^ ; Person. Title Address Corp/Part/^^>rf t f>^;.i Oilld^^ Eus. ff^Sa, Title flJd^ wPtiif:4 Qr^^ ; ?ja/kd Address a^O?-ft SfeLf<: 2965 Roosevelt St., Ste. B • Carlsbad, CA 92008-2389 • (760) 434-2810/2811 • FAX (760) 720-2037 ^ 3. NON-PROFIT ORGANIZATION OR TRUST If any person identified pursuant to (1) or (2) above is a nonprofit orgamzation or a trust list the names and addresses of ANY person serving as an officer or director of the non-profit organization or as trustee or beneficiary of the. Non Profit/Trust Non Profit/Trust Tide X>CegtAf:s;e Oirrr*;^^ Title ; Address ;3^r?7-l^ Sfnd^ Address 4. Have you had more than $250 worth of business transacted with any member of City staff. Boards, Commissions, Committees and/or Council within the past twelve (12) months? I I Yes , S No If yes, please mdicate person(s): NOTE: Attach additional sheets if necessary. I certify that all the above information is true and correct to the best of my knowledge. Signature of owner/date' ^ Signature of aij^lio&t/date ^ Print or type name of owner 7 Print or type na^e of applicant Signature of owner/applicant's ageni Print or type name of owner/appficant's agent H:ADMIN\COUNTER\DISCLOSURE STATEMENT 5/98 Page 2 Of 2 Carlsbad Village Farmers' Market sponsored by the Carlsbad Village Business Association Grand Avenue Businesses R Exit 1 2 3 XXXXXXXXXXYH 4 :xxxxxxxxxxy^ 5 6 7 8 o - ----- - o 9 <4 \v/ 11 o Walkway ^ s c W a 1 in 11 12 13 14 15 16 17 V e I Exit 18 1 k w ;\ Vendor Vehicles Vendor Vehicles Vendor Vehicles Vendor Vehicles Vendor Vehicles Vendor Vehicles Vendor Vehicles Vendor Vehicles t y 19 20 21 22 23 24 25 26 S w; 11 t f VvalKway w-t f I',xit 27 28 Exit 29 30 31 32 33 i Public Parking Lot (55 spaces) - Carlsbad Village Drive N W E S s/r£ Village Farmer's Market RP94-05(A)x3