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HomeMy WebLinkAboutRP 99-11A; Extended Stay America; Redevelopment Permits (RP) (5)NOY-17-00 FR 17 FM HOUSIHG h ED. FAX 7607202037 F. CARLSBAD REDEVELOPMENT AGENCY PERMIT APPLtCATION PLEASE CHECK ALL THAT APPLY: • ADMINISTRATIVE PERMIT • n New construction of buiWlngCs) or addjlian{s) to the building footpript which have a building permit vaiuation whfch is equal to or less than $60,000, n Interior or exterior improvements to existing structures which result in an intensity of use. ri Provisional land uses, wfiere a mnor or major redeveloprrient permit te not recfurred. Q] Changes In permitted land uses which result in site changes, increased ADT. Q increased parkif^g requirements, or result in comipatlbiiity issues/problems. Signs for existing businesses or faciiities. Repair or maintenance activities which are not exempt from ol>taining a permit COASTAL DEVELOPMENT PERMIT MAJOR REDEVELOPMENT PERMIT (AH«M)Ke /t) New construction of buildfng(s) or addition(s) to the building footprint which have a building permit valuation whfch is greaterthan $150,000- Variances fbr projects within this category. Q MINOR REDEVELOPMENT PERMiT • • • New construction of buiiding{s) or addition(5) to the building footprint whfch have a building permit valuation which is greater lhan $60,000 but less than $150,000. Variances for projects within this category. Variances for projects which would olhewlse be exempt or be eligible for an administrative permit MISCELLANEOUS REDEVELOPMENT PERMIT I I A-Frame Sign Pl Sign Permit rn Program rn Sidewalk Tables/Chairs n Outdoor Displays S other PROJECT TITLE: EvteH&eD 5tAy HHeA\C/\ Brief description ofproject: ^-^SltfiM Properly Location: lots. I Ml tA4«»i^^ 0(li>te StreetAddf^ss \02i^. loS6. CiLAfH) j^VgiJuC .^A<^^8Ab Owner's Name Address 1113 COCUHftjA ^^Utt ^ JAt^i 4)ig<^0, CA'-if- ^ziai Telephone Number ^(yti) 3,^^^4100 FEES FOR APPUCATION PROCESSING (List type of fee and amount) Applicanes Name ^6^>^ice.S , |K/C > Address ,^A^4 Di&<o^CA^t^. lata? Telephone Number (j^S^j t^t^-* IH77 RECEIPT OF APPLICATION Date Application Received \W2.o/0D Application Received bv LQ\rC BosAJryc^^^y^ Permit Number Assigned RP^^rOll IK lOY-17-00 MI 3:08 HOUSING h IED. FAI 7607202037 P. 4 81 LOCATION OF PRQJECT: tQ ^51 IOj 1 i^h^^fik HiNt't (0^^1056 <,{LAtJr) , STREET AODRESS ON THE ' ' (NORTH, SOUTH, EAST, WEST) BETWEEN SIDE OF r^-s f/^eev^ {NAME OF STRSET) AND PUA^Ht/A O^TlVfi (NAME OF STRE&Tl 91 LOCAL FACILITIES MANAQEMENT ZONE 10) PROPOSED NUMBER OF LOTS 13) TYPE OF SUBDIVISION 16) PERCENTAGE OF PROPOSED PftOJECT IN OPEN SPACE 19) CROSS SITE ACREAGE 22) EXISTING ZONING 24) IN THE STAFF, TO INS TO ENTJ SIGNATL*l I FOR CITV USE ONLY FEE COMPUTATION APPLICATION TYPE 11) NUMBER OF EXISTING RESIDENTIAL UNITS 14} PROPOSED INO OFFICE/ SQUARE FOOTAGE 17) PROPOSED INCREASE IN AOT 20) EXISTING GENERAL PLAN 23) PROPOSED ZONING iNAME OF STREETI 12) PROPOSED NUIVIBER Oi^ RESIDENTIAL UNITS 15) PROPOSED COMM SQUARE FOOTAGE 18) PROPOSED SEWER USAGE IN EOU 21) PROPOSED GENERAL PLAN DESIGNATION V/l REVIEWING THIS APPLICATION IT MAY BE NECESSARY FOR MEMBERS OF CITY OMMISSIONERS. OESIGN REVIEW BOARD MEMEBERS OR CITY COUNCIL MEMBERS OPERTY THAT IS THE SUBJECT OF THIS APPLICATION. I/WE CONSEWT FEE REQUIRED DATE STAMP APPLICATION RECEIVED RECEIVED BY: TOTAL FEE REQUIRED DATE FEE PAtD RECEIPT NO. Form 16 PAGE 2 OF 2 NOT-17-00 MI 3: HOUSING h SED. FAX 7607202037 \ 3 1) APPLICATIONS APPLIED FOR: (CHECKBOXES) CITY OF CARLSBAD LAND USE REVIEW APPLICATION • Administrative Permit - 2nd Dwellmg Unit D Administrative Variance O Coastal Development Permit Q Conditional Use Permit [~| CondQm.inium Permit n Environmental Impact Assessment • General Ran Amendment D Hillside Development Permit Q Local Coastal Plan Amendment Q Master Plan Q Non-Rosidenilal Planned Devalopment • Planned Deveiopment Permit iFOR DEPARTMENT USE ONLY> Q Planned Industrial Permit Q Planning Commission Determination n Precise Development Plan JSi Redevaiopment Permit . (AMdNDMfifJt) O Site Development Plan Q Special Uss Permft Q Specific Plan Q -Tontativo Poroel-Map Ot>taln from EnginAenng OG pa rtment n Tentative Tract Map Q Variance O Zone Change Q List other applications not specified IFOfl DEPAfiTMENT USE OKLY) 2) ASSESSOR PARCEL NO{S}. 3] PROJECT NAME; 4) BRIEF DESCRIPTION OF PROJECT: l'*<ST6fL>^^ |04,>|loOM ByrttittcQ STA7 ^Or&L 5) OWl^ER NAME (Print or Type) S^f^Dtt W. 5i4Afl*jlty e) APPLICANT NAME (Print or Type) EJA >5e.^vic£5^INIC. MAILING ADDRESS 1133 COLHMBIA 3T«e£t ^lOS MAILING ADDRESS lU-js ee^Aoo D4iv<£ CITY AND STATE ZIP TELEPHONE CITY AND STATE ZIP TELEPHONE i CERTIFY THAT 1 AM THE ICQAL OWNER AND THAT ALL THE ABOVE INFORMATION IS TRUE AND CORR£CT TO THE 8ESt OF MV KNOWLEOee. 1 c OVfi ccjf :pfy jhb^' THE IEGAL REPRESENTATIVe OF THE ^Efl '^'*nyfeT ALL THE ABOVE INFORMATION IS TRUE AND filQl 5pOj™ BEST OP^M>f-mcWLBDi3E. SIGNATURE DATE SIG wATU^lfe ^"4-^ DATE 7) BRIEF LEGAL DESCRIPTION LOTS IS, 113.0, 34* Of OF TMCt 117. NOtE: A PROPOSED PROJECT REQUIRING MULTIPIE APPLICATIONS m FILED, MUST BE SUBMITTED PRIOR TO 3:30 P.M. A PROPOSED PROJECT REQUIRING ONLY ONE APaiCATlON BE FILED, MUST BE SUBMITTED PRIOR TO 4:00 P,M. Form 16 PAGE 1 OF 2 NOY-17-00 PRI 3:08 PM HOUSIKG ^ ED. FAI NO, 7607202037 P.6 SliyLofjCarlsbad Rlarininc] Oepartment DISCLOSURE STATEMENT 'Please Print) The following information must be disclosed: 1. Appficant 3. ^t^&^<S yrVv^yg^^l IGA" ^Tf!^^ ^^""^ ^ application. 1450 i^ASoihs hu4b •^i&o ""'^ ^ — ft. (/A«*Pg^OAuef FL6ftij)A 33361" ~^ " — Owner ^5A^t6r TA^IAT^ ^" ^^'^^"^ ^^"""^ ''"^ ownership interest in the propeoy involved. 1133 <:g<>^>*e*A 5T ^ I&5 — * — . —^ 5A>I Oifcigo^ CA °i;^lOt ' —~" —~—— i?d?^.iTnT.,r^H!!"H'^ r'"^-''' ^^'^^^ ^ corporaiion or partnership, list (he hames and Nerelt in the ''''"'"^ '"'''^ ^^"^ °' ^ corporation or owning any partnership Ju^tiCtY -TAA^i»/7 gi^MPAiiv^ — — ~ ~— A-fTACMeo A»^>^uAL^^6iT^ . ' LwlL^^'""^? identified pursuant io (1) or (2) above is a non-profit organization or a trusL iist the names and addresses Of any person serving as officer or director of the non-profit organization or as trustee or beneficiary FRMG0013 8/90 2075 Las Palmas Drive • Carlsbad, Califcirr^ia 92009-4859 • (6l9> 438-1161 FROM : ESfilNC ROV i- )u n\ I'M FPX NC. : 8586131495 NO^A 20 2000 li:i8ft« Pl Dicclosura Statement fO^trj Page ? 5 Have you nad rr^oft ifl.n 5250 w«ri» of &usin«<8 tnnaactftd yr<tn arv rnemftor of CUv staff p Comm,s«iOTs Conimittees and CouncH within th« past twaiv« mqnm«? oi tijy staff Sca cj Y«a — 2f . M yea, plaasv inoicate p«son(j)^ SsaSSX «4rM«tfM: -Afy .n«iwi«v»i. firm, c9••nr•rl^.lp. i«<n(v*^'«. uMSiaaan. mittemh. {ntmtfMmttMaM'Lt».^ mmiM^M^ (NOIg. Attaen adOitMsnai pagaa as neca&ury.) '^AAtura 9f Owner/data Pfinr or typa nama of owner « Print Of type nante cf «pp<ie«nt F1tM00013 IV90