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HomeMy WebLinkAboutRP 97-05; Hoenig Residence; Redevelopment Permits (RP)1. • • • • • ARLSBAD REDEVELOPMENT AGE' ^Y ADMINISTRATIVE PERMIT APPLICATION & DISCLOt,JRE STATEMENT APPLICATION APPLIED FOR: (CHECK BOXES) New Construction of building(s) or addition(s) to the buiiding 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 resuit in site changes, increased APT, 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. 2. LOCATION OF PROJECT Address: Bordering Streets: North: South: East: West: ^3^- "^(0(08 Assessor Parcel No.: ^ ^ 1> " //O-OSf - QQ Legal Description:, CcL\\^ns^n\o^, (V\o^ Kl^. HZx^ Within Coastal Zone: Within Appealable Area of Coastal Zone: • • Yes Yes ET^ No No Land Use District within Viiiage: • 1 • 4 • 7 • • • 3 • 6 • 9 ARLSBAD REDEVELOPMENT AGF Y ADMINISTRATIVE PERMIT APPLICATION & DISCLObURE STATEMENT 3. DESCRIPTION OF PROJECT Project Name:_ Please provide a complete description of the project proposed for approval under this application. Provide any details necessary to adequately explain the scope and/or operation of the proposed project. You may attach additional pages to this appiication if necessary to explain the project: 4. AUTHORIZATION TO INSPECT PROPERTY In the process of reviewing this application it may be necessary for members of City Staff, Design Review Board Members, or City Council members to inspect and enter the property that is the subject of this application. 1/we consent to entry onto the subject property for this purpose. "^^{^ Ur^^i^ Date: [ l9^ Name: Signature-.V-^L^^^t/t^ ( o-<X,xvO Applicant • or Owner H ARLSBAD REDEVELOPMENT AGE Y ADMINISTRATIVE PERMIT APPLICATION & DISCLOSURE STATEMENT 5. PROPERTY OWNER INFORMATION/CERTIFICATION ^ e4k I^CM id Name: Mailing Address:. P.O. g>o>^ Daytime Telephone No.:_ List the Names and Addresses of ali persons having an ownership interest in the property involved: If any person identified above is a corporation or partnership, list the names and addresses of all individuals owning more than 10% ofthe shares in the corporation or owning any partnership interest in the partnership: If any person identified above is a non-profit organization 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 trust: 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? • Yes CS^No If yes, please indicate person(s): Certification Statement I Certify that I am the Legal Owner of the subject property for this application and that all of the above infomiation is true and correct to the best of my knowledge. This application is submitted with my consent and I agree to accept and abide by any conditions placed on the subject property, inciuding use of buildings, as a result of approval off this application. Signature. XRLSBAD REDEVELOPMENT AGEr Y ADMINISTRATIVE PERMIT APPLICATION & DISCLOSURE STATEMENT 6. APPLICANT INFORMATION/CERTIFICATION ^.^<^ O^j^^ Name: Mailing Address:. Daytime Telephone No.:. List the Names and Addresses of all persons having a financial interest in the appiication: if any person identified above is a corporation or partnership, iist the names and addresses of ail individuals owning more than 10% of the shares in the corporation or owning any partnership interest in the partnership: If any person identified above is a non-profit organization 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 trust: 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? • Yes • No If yes, please indicate person(s): Certification Statement I Certify that I am the Legal Owner's representative and that ail of the above information is true and correct to the best of my knowiedge. I have been authorized by the legal owner of the subject property to submit this application and I agree to accept and abide by any conditions placed on the subject property, including use of buildings, as a result of approval of this appiication. Signature Date: \RLSBAD REDEVELOPMENT AGEh' ' ADMINISTRATIVE PERMIT APPLICATION & DISCLOSuRE STATEMENT CITY OF CARlSBi^O Jon 19 3uoPH'97 7. RECEIPT OF APPLICATION Date Application Received: ^ -'1>0'-? 7 Application Received bv: \J'^tjJ^ Permit No. Assioned: {^PfT-^S^ 8. FEES FOR APPLICATION PROCESSING The following fees shall apply to this application; list type of fee and amount: $220.00 Environmenlul RuviUW $150.00 - Administrative Redevelopment Permit $ 50.00 • Public Fooilitico FGO Agreement $500.00 • Noticing Dopooit Total Fee(s) required for this application:. 00^ Date Fee(s) collected b Receipt No.:_32_2 >^ Cify Staff:, 9. ACTION ON THE APPLICATION The following action has been taken by the Housing and Redevelopment Director on this application: • Approved subject to conformance with plans submitted as part of application, dated • Approved, with conditions. See conditions noted beiow. • Denied. Reason' Housing and Redevelopment Director Signature: CD Director Initials: Date: 10. CONDITIONS OF APPROVAL (IF APPLICABLE) ) ^ 7 CITY OF CARLSBAD ^'200 CARLSBAD i^lLLAGE DRIVE CARLSBAD, UMLIFORNIA 92008 434-2867 REC'D FROM. DATE (: ACCOUNT NO. DESCRIPTION AMOUNT •"••O C-PRHT 15' 1 1 RECEIPTNO. B0B93 NOT VAUD UNLESS VALIDATED BY TOTAL 1 Printed on recycled paper. CASH REGISTER