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Home My WebLink AboutRP 99-06; Giblin's Sign; Redevelopment Permits (RP)vRLSBAD REDEVELOPMENT AGENC PERMIT APPLICATION PLEASE CHECK ALL THAT APPLY: Q ADMINISTRATIVE PERMIT I I New construction of building(s) or addition(s) to the building footprint which have a building permit valuation which is equal to or less than $60,000. I I Interior or exterior improvements to existing structures which result in an intensity of use. I I Provisional land uses, where a minor or major redevelopment permit is not required. I I Changes in permitted land uses which result in site changes, increased ADT, increased parking requirements, or result in compatibility issues/problems. I I Signs for existing businesses or faciiities. P~| Repair or maintenance activities which are not exempt from obtaining a permit. • • COASTAL DEVELOPMENT PERMIT MAJOR REDEVELOPMENT PERMIT I I New construction of building(s) or addition(s) to the building footprint which have a building permit valuation which is greater than $150,000. I I Variances for projects within this category. • MINOR REDEVELOPMENT PERMIT I I New construction of building(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. I I Variances for projects within this category. 1^ Variances for projects which would otherwise be exempt or be eligible for an administrative permit. MISCELLANEOUS REDEVELOPMENT PERMIT I I A-Frame Sign I I Sign Permit I I Sign Program I I Sidewalk Tables/Chairs I I Outdoor Displays • Other PROJECT TITLE: Brief description of proiect 7 Brief description of project ^ y3y.-^^ l^iC^ t.,:;:^ c^^-;;^^^' 4, \3^*JUj^ CK A^-t^-^^^^-><^ cL^G^<^^ Property Location: APN(s): 2,05- !>0\ 'OS Street Address io'AO'lX (j?VQ>yA iX^^irvV)^ Owner's Name fVl.dL |H.t^rpky (Qg 0 Address C30 & RA^iPlO Ao C Telephone Number Applicant's Name H,^ \hLu itjp 0^\5 fc^ y Address nuy ^M^-^ Telephone Number '•y^^ 3-3^.*^ •HE AREA BELOW IS TO BE.COMPLETED BY.CITY.STAFF FEES FOR APPLICATION PROCESSING: (List type of fee and amount) RECEIPT OF APPLICATION Date Application Received 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 USE ONLY) • Administrative Pernnit - 2nd Dwelling Unit • Planned Industrial Permit • Administrative Variance • Planning Commission Determination • Coastal Development Permit • Precise Development Plan • Conditional Use Permit • Redevelopment Permit • Condominium Permit • Site Development Plan • Environmental Impact Assessment • Special Use Permit • General Plan Amendment • Specific Plan • Hillside Development Permit • Tontativo Porcel Mop 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) 3) 4) ASSESSOR PARCEL NO(S) PROJECT NAME: BRIEF DESCRIPTION OF PROJECT: V Kft I ft^S Cfc \ r> Ag> >STt W Og" 6) OWNER NAME (Print or Type) 6) APPLICANT NAME (Print or Type) MAILING ADDRESS MAILING ADDRESS CITY AND STATE TELEPHONE CITY AND STATE TELEPHONE 9 Poo? ITj^Zsi 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 1 AM THE LEGAL REPRESENTATIVE OF THE OWNER AND THAT ALL THE ABOVE INFORMATION IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE. DATE / ' 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 PAGE 1 OF 2 8) LOCATION OF PROJECT: ON THE ^TW.S£N STREET ADDRESS SIDE OF (NORTH, SOUTH, EAST, WEST) (NAME OF STREET) AND (NAME OF STREET) (NAME OF STREET) 9) LOCAL FACILITIES MANAGEMENT ZONE 10) PROPOSED NUMBER OF LOTS ^l^ 13) TYPE OF SUBDIVISION 1 6) 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 ^l<\ k\ /"/\| 20) EXISTING GENERAL ' '-^ PLAN 12) PROPOSED NUMBER OF RESIDENTIAL UNITS 15) PROPOSED COMM SQUARE FOOTAGE 18) PROPOSED SEWER USAGE IN EDU 21) PROPOSED GENERAL PLAN DESIGNATION tcs/rv 23) PROPOSED ZONING 24) IN THE PROCESS OF REVIEWING THIS APPLICATION IT MAY BE NECESSARY FOR MEMBERS OF CITY STAFF, PLANNING COMMISSIONERS, DESIGN REVIEW BOARD MEMEBERS OR CITY COUNCIL MEMBERS TO INSPECT AND ENTER THE PROPERTY THAT IS THE SUBJECT OF THIS APPLICATION. 1/WE CONSENT TO ENTRY FOR THIS PURPOSE SIGNATURE FOR CITY USE ONLY FEE COMPUTATION APPLICATION TYPE TOTAL FEE REQUIRED FEE REQUIRED RECEIVED HAY 2 1 1999 ~ CITY OF CARLSBAD PLANNING DEPr DATE STAMP APPLICATION RECEIVED DATE FEE PAID RECEIPT NO. Rooo ,^^15 Form 16 PAGE 2 OF 2 City of Carlsbad Planning Department DISCLOSURE STATEMENT Applicant s statement or disclosure of certain ownersliip interests on all applications which vvill require discretionary action on the part of the City Council or any appointed Board, Commission or Comminee. The following information MUST be disclosed at tlie time of application submittal. Your project cannot be reviewed until this information is completed. Please print. Note: Person is defmed as "Any individual, firm, co-partnership, joint venture, association, social club, fraternal organization, corporation, estate, trust, receiver, syndicate, in this and any other county, city and count>\ 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 (N/A) IN THE SPACE BELOVi^. If a publiclv-owned corporation, include the names, titles, and addresses of the corporate officers. (A separate page may be attached if necessarv.) Person |V\ f (j&fvAe^l fVj tAA^^ Corp/Part. Title Address Jitle ^Address 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 ownership (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% ofthe 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.) Person_ Title Address Corp/Part_ Title Address 2075 Las Palmas Dr. • Carlsbad, CA 92009-1576 • (760) 438-1161 • FAX (760) 438-0894 ^ NON-PROFIT OR<SilVIZATION OR TRUST If any person identified pursuant to (1) or (2) above is a nonprofit 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. Non Profit/Trust Non Profit/Trust Title Title Address Address 4. Have you had more than $250 worth of business transacted with any member of Cit\ staff. Boards, Commissions, Committees and/or Council within the past twelve (12) months? I I Yes 1)1(^1^0 If yes, please indicate 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 applicant/date Print or type name of owner Print or type name of applicant Signature of owner/applicant's agent if applicable/date Cl Print or type name of owner/applicant's agent H:ADMIN\COUNTER\DISCLOSURE STATEMENT 5/98 Rage 2 of 2 PROJECT DESCRIPTION/EXPLANATfON PROJECT NAME: SvQi^n \/cyy\CKK^CQ APPLICANT NAME: C. 'g^hlSLV^oVlOb.K V\i^^\ MiW^pWl^, aC^\^c^ Please describe fully the proposed project. Include any details necessary to aaequateiy 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. R«v. 4/91 ProjDw.trm