Loading...
HomeMy WebLinkAboutSA 14; WALTHER; Satellite Antenna Permit (SA)AI ! U~I at ... i' BtDA VISTA ~ ~ III IOIM.!8 GENERAL PLAN IISIDINTIAL RL LOW DENSITY (0·1. S) RI.M LOW· MEDIUM DENSITY (0·4) RM MEDIUM DENSITY (4·8) RMH MEDIUM HIGH DENSITY (8·1~) RH HIGH DENSITY (I~'23) COMMIICIAL Q DR AV > < RRI INTENSIVE REGIONAL RETAIL (eg. Plaza Camino Real) aRE EXTENSIVE REGIONAL RETAIL (eg. Car Country Carlsbad) RS REGIONAL SERVICE C COMML'NITY COMMERCIAL N NEIGHBORHOOD COMMERCIAL TS TRAVEL SERVICES COMMERCIAL o PROFESSIONAL RELATED CBD CENTRAL BL'SINESS DISTRICT PI PLANNEDINDL'STRIAL G GOVERNMENT FACIUTIES U PL'BUC L'TIUTIES RC RECREATION COMMERCIAL SCHOOU E ELEMENTARY ) )t:NIOR HIGH H HIGH SCHOOL P PRIVATE OS OPEN SPACE NRR NON RESIDENTIAL RESERVE ! 8 -.. !..AS FLORES 0 -.. VISTA \IY CYNTHIA ! !il i KNO\Il..E8 AV L.N ZONING IISIDINTIAL p·c PLANNED COMMUNITY ZONE R·A RESIDENTIAL AGRlCL1.Tt:RAL ZONE R·E RL'RAL RESIDENTIAL ESTATE ZONE R·I ONE· FAMILY RESIDEl'o'TIAL ZONE R·2 TWO· FAMILY RESIDENTIAL ZONE R· 3 :IICLTlPLE fAMILY RESIDENTIAL ZONE R·3L UMITED Mnn-fAMILY RESIOENTIAL ZONE RO·M RESIDENTIAL DENSl1Y-MULTIPLE ZONE RO·H RESIOENTIAL DENSITY· HIGH ZONE RMHP RESIOENTIAL MOBILE HOME PARK ZONE R·P RESIDENTIAL PROFESSIONAL ZONE RT RESIDENTIAL TOL'RIST ZONE RW RESIDENTIAL WATERWAY ZONE COMMIICIAL o OmCEZONE C·I NEIGHBORHOOD COMMERCL4J. ZONE C'2 GENERAL COMMERCIAL ZONE C·T COMMERCIAL·TOLlUST ZONE C·M HEAVYCOMMERClAL·UMITED INDUSTRIAL ZONE M INDUSTRIAL ZONE P·M PLANNED INDUSTRIAL ZONE OTHII f·P FLOODPLAIN OVERLAY ZONE L'C UMITEO CONTROL OS OPEN SPACE P·U PUBUC L'TIUTY ZONE v\fAL THER i -:: t-at § ~ City of Carlsbad SA-14 <n » x 0 ,., C> 0 (") 0 c:: :z: -l -< » <n tn m <n <n 0 :>0 - U1 a> -g c> N ~ ~ '6° "Oil ' ,,--------8 CHANGES g BLKI OLD INEWlvRI CUT ~ 141,42 q~50 '9 2057 ~' /4-5¥.2 70 2.2"~ClC. Vl ~ 47 HWl(a '70 4e[j3 ~ 'f>lek.vP.53 73 171'9 -i ~ PJcJ(·JlP 5.4 73 4107 :g 28 55-58 7g, /C!itJ o . ~ ~'2~ t'i9 7~ 3172 (" /3:23 (pO 771 '3<>02 o :z l~gY 6/ 7'1 3141 ~ I I I I I I I r-. ;.)~o ~ .r;."7/J'tV ~ -(" .. F @ o "Lt.. .!J\ 1.... \II \Ii -"11;; c. I ... ~;~. ~I r! ,", ~ ,.-1' rt",ti 1 ns . ~t-1' ' /,t;Y: @"'IA@ '~H "" ... ~ OJ ~ : ,11 ~ .... Z. ,:tI.I" ~ 2ZS' .. ,~." ®~~ ~ 0 ® '" 0·01'03"£ 3'.,0' r' , .;. \]I' .t:. -0 P~W. ~O (J) 0 t I -• 8) ~I~ en OI"! ~, .111 W :::0 • o ~ ~®' ~ . NUl » ~~ (, ~ '! r ~~. N,. ('l ~., PI ......... «Dial 7.41 50-"'2:"3-"'" s~c 31 ~ 1/-50-5 J..IWY OP ~ . , , ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~-~-~i----------------.; "".$4,..,,,..'1 484. ?S • ••..• • /98 d ~ ~~ ~f:?" -. /!/.()·O,2'w ® dt:rO~'W ~ ~@ ~ l ~ o "O,.,,"\IV ~ , "@) g ,:. <.D :., :i \1f •• , •• ,. , ..e,s4.85 ••.. , , . , , • 'l- ~ ~ ~ . :! ~;..:;;..:~~-~ 14 ~ . ~'~ .... /),,0 2" •••• _~. ,., S' ~, 1tI: 10, ---....... : .,. ,'.,. ~ ~ S j. 02," r e.' • (t~ l"11· .. ... ., t'") U ~·"··l -, ,,- W '''C\ 4',,' .: • '-- I .. " .'. t ~ : : \I " oz "'C UlO r'TI 0( W(J) $1'1:( (]I I » ... :tJ i () cQ ,Ol Ul: ..." ~ 0 WI ..." ~ I ~ 0>' -0 ~ ~ z N 0 . ~ i- e @ • ( • " f AI , { , , ... -, r~. I _____ f. j ____________ 0-. ________ ._, k ff Cfl()oL- <-C/lAIIVL /jl/I( !3 tc £' I[IA· L/ /.5 --_ ... _---_ .... _---------.. -... _--_ .. _--_ .. __ ... " ... ' ,,".,. 1\10 T TO 5C.AL-E~ , ,. 1.,,- I e I '-'~ I __ .. __ 1 " --------'-1 /' I' j / I __ -________ --= ____ I / !--------! ~ I ~-,----I, I", i i '\ ---' I I:.~-\, (.~~ '\. I, j, ---. '\ .---- j.' ---'--~i·--~i '---·1 I, ,,\ t "'?,I!: ' ' . ! :~'.. '-. J 1 l ____ J ! I!~' 'r'-~~-~~l~,r i CT~~ ; -------I -"I : 1=t=J I ' ! I J' -. ' ~: ;~----0 "-. ----I I: ,<,c ; L ~i r-,'J II r--'., i ~ ~l I' ------, I ::0,; -,i ~ ! -iii 1,---" -'. j< :' i ---, I I,,::, i-' I ;' l i " .: i i I __ ~ ___ , ( -' , -' ! 1-- ! "-:,'-' ):/ I .' , ,- / / . " / :: " // »:/ I I. / I I 1 " I I o ------( 1 ~j If"\ ~ \:) \lJ "l'''--~ 'Z.... <Z: '..J \t.. IJ} '\) 2. Qc l--'( ":J ~ ~ ~ I LAND USE P.LANNING APPLICATION PrOJect " ' AIlt1INISTRATIVE ACl'ICNS REQUEST cg Administrative Variance o Planned Industrial Penni t G3 Satellite ~tenpae Permit .. Legal Descr~pt~on (canplete) Zone General Plan (),rmer arne (Print or Type) alllng Address j;;;"CO ;(3U6!'NA-V/JT/t i-,vAY Clty and State ZlP Telep ne I " t Ex~stl A{:pllcant Name (Print or Type) , 5A.M.E' MallU19 Address sA-/-1.% Clty an:l State C t</.R t '/ hA cl <r ;AOO~" t; 3 ~ '3'f)f. 7;X9' 0/55'.) If ).1/.: r Slte ~creage O~'Y Zip I CERTIfY 'mAT I AM '!HE LEGAL ~R AND I CERTIFY '!HAT, I ,AM '!HE ClVNER IS REPRESENrAT THAT ALL '!HE AOOVE INroRMATICN IS 'ffiIJE AND '!HAT ALL '!HE AOOVE INFORMATICN IS TRJE AND cx)RREX.."'T 'IO '!HE BEST OF MY KNCMLEI:X;E. AND cx)RRECT '10 'lllE BEST OF MY ~. SIGNATURE SIGNATURE DM'E Date AW ~catl.on Rec .5 LAND USE P,LANNING APPLICATION PrOJect AJ:Xo1INISTRATIVE ACI'ICNS REQUEST cg, Administrative Variance CJ Planned Industrial Permit ~ Sateilite. Antennae Permit Legal Descr~ptlon (canplete) . ,LYAhc-.F Zone General Plan Owrier arne (Print or 'rype L ANCil?l.5"1A/ L. WA t. rhtfflf! alllng Address / ;},({O»Ue/v/t V/5TA iAYAy Clty State . C/-fJ??5hAC( ZlP Telep ne 0/ ;J..CJO Y If 3 ~ '3?f~?J Asses AWlicant Name (Print or Type) 5A;VI.E Malll1'):J Address 5,4 /'1.Jt: Clty am State 54.fJjtC Slte Acreage O~'I Zip I CERl'IFY ':mAT I .AM '11iE rEGAL cw-reR AND I CERl'IFY '!HAT I .AM '!HE CWNER' S REPRESENTAT THAT ALL 'mE AOOVE INFORMATICN IS TRUE AND '!HAT ALL 'mE AOOVE INFORMATICN IS TruE AND CDRREel' 'IO 'IHE BEST OF MY I<NCMLEOOE. AND CDRRECT 'IO 'ItlE BEST OF MY I<NCMLEDGE. ~TE SIGNATURE ~TE [J -/-ff7 I. SPECIFIC RE9~I"EMENTS Planned Industrial Permit 1. Application Form 2. General Requirement Items four (4) copies of items A-C items E-G, J & K 3. Fee: $100.00 Administrative Variance 1. Application Form 2. General Requirement Items: four (4) copies of items A and C(if applicable) items 0, F - I 3. Variance Supplemental Sheet 4. Fee: $100.00 Single Family $330.00 Other Satellite Antennae Permit 1. Application Form 2. General Requirement Items: two, (2) copies of items A - C item G Additional Information Cross-section showing adjacent property and existing streets. * NOTE -SATELLITE ON COMMERCIAL BUILDING REQUIRES A BUILDING PERMIT 3. Fee: $ 25.00 II. GENERAL REQUIREMENTS A. Site Plan: Shall include the following information: Name and address of applicant, engineer and/or architect, etc. All easements Dimensioned locations of: access, both pedestrian and vehicular, showi~g service areas and points of ingress and egress offst,reet parking and loading areas showing location, number and typical dimension of spaces, and wheel stops t,· ,~ . distances between buildings and/or structures building setbacks (front, rear and sides} location, height, and materials of walls and fences location of freestanding signs all driveways to scale on properties adjacent and across the street, for a distance of 100 feet beyond the limits of subject site existing curbs, gutters, sidewalks and existing paving widths within 100 feet on properties adjacent and across the street typical stre~t section any existing median islands within 100 feet of subject site nearest cros~ streets on both sides with plus or minus distances from subject site location of all bu,ildings within 100 feet of subject prope,rties a vicinity map showing major cross streets a summary table indicating the following information: -site acreage existing zone and land Use proposed land use total building coverage building sq. footage percent landscaping number of parking spaces. sq. footage of open/recreational space (if applicable) cubic, footage of storage· space (if applicable).' p're1imi~ary Landscape Plan (24'" x36") shall include the following info-rmation: 1. Landscape zones per the City of Carlsbad Land- scape GUidelines Manual 2. Typical plant species apd their sizes for each planting zone 3. An estimate of the yearly amount of irrigation (supplemental) water required to maintain each zone 4. Landscape maintenance responsibility (private or common) for all areas 5. Percent of site used for landscaping. Building Elevations and Floor Plans* (24"x36") floor plans with square footages included location and size of storage areas all buildings, structures, walls and/or fences, signs and exterior lights. *NOTE: ALL EXHIBITS MUST BE FOLDED IN A SIZE NOT TO EXCEED 8 1/2" x 11". D. One (1) copy of 8 1/2"xl1" location map (suggested scale 200" -vicinity maps on the site plan are not acceptable). E. Environmental Impact Assessment Form ($175). F. Public Facility Agreement: 2 copies: One (1) notarized original, One (1) reproduced copy. G. Disclosure Statement. H. Pro ert Owners' List and Addressed Starn ed Envelo es a typewr tten 1st 0 t e names an a resses 0 all property owners and occupants within a 300 foot radius of subject property (including the applicant and/or owner). The list shall include the San Diego County Assessor's parcel number from the latest assessment rolls8 2) Two separate sets of legal size (tl0), addressed stamped envelopes (four sets for condominium conversions) of the property owners and occupants within a 300-foot radius of subject property. For any address other than single family residence, apartment or suite number must be included. DO NOT TYPE ASSESSOR'S PARCEL NUMBER ON ENVELOPES AND LEAVE RETURN OF ADDRESS BLANK. 3) For Condominium Conversions, two separate ~ets of legal size (tlO), addressed stamped envelopes of all existing tenants is required. I. 300 Foot Radius Map A map to scale not less than 1" = 200' showing each lot within 300 feet of the exterior boundaries of the subject property. Each of these lots shall be consecutively numbered and correspond with the property owner's· list. The scale of the map may be reduced to a scale acceptable to the Land Use Planning Manager if the required scale is impractical. J. Preliminary Title Report (current within the· last six months). K. Colored Elevation Plan. ~ .. ~' . ", If after the information you have sukmitted has been reviewed, it is determined t.hat fw:ther, information is required, you will be so adviSed_ APPLICANT: A~: ME!oIBERS: joint venture, corporation. syndication) Business Address / ;;-60 '''Bide/lib 0; 4r Lr), Telephone Number Name Telephone NUmber AwjMfQ~ 1..., ~/f/.,t/-· j~tame '(individual, pa%tner, joint .. venture, corporation,. syndication) Business Address Telephone. Number -;;J).ee An JrIC,...l1" tl-ll1"~ 3~siness Address Telephone Nc=ber Home Address Telephpne Number Home Address TelePhone ~ium]:)er (Attach mo:re sheets if necessary) ." -I~le decla:e under penalty of perjury that the information contained in this dis- closure is true and correct and that i~ will remain true and correct and may be- relied upon as being true and correct until amended • .. Applicant . SUPPLe:.~AL INroRMATION FORM 1) Gross Acre-(or.~~ fc:xJtage, if less than acre) I ~,_a....;c..;..lr-_fL _____ _ 2) ~e __ 12~J ______________ ----------____________ --- 3) GEneral Plan Land Use Designatial il1swillin hilh Q £ Ia I N ,;.e. rn(lh~-<A...-""f-e.-:/(;~("".f'--fh-y-:k-, n-o-;',--(2-yl--;:-Q-a-:£:;;-O:A""-c-- 4) By law a Variance may be appJ:'OYed ally if certaJ.n facts are fCUld to exist. Please read tb!se requiremE!'lts carefully and explain b::w the proposed project. meets each of theee facts. 'Qse aOditiaull. sheets if necessary. a) Expl ai'n Wrr:i thEe are exceptialal or extraordinary circ\.lNltanCes or c:x::ndi1;icns applicable to tha pJ:OpBrty or to t.ba intended use that. do not apply' generally to tha other prOparty Or class' of use in the sam. vicinity anii4£~#:n~~:. b) Explain 1IIhy such variance is necessary for the preservatial and mjCl'.z'ln8lt of a substantial ploperty right:. possessed by other property in the same vici.."lity and zene but which is denied to the property in ql.eStial: JjJ:/fti1fi5!fztJ5!1ufatf%f ;:d-~ ;.~ c} Expla:in why the gJ3'lting of such variance will not be materially detrimental to the public welfare or in jurious to the property or irnprovemtBnts in suet: vicinity and zene in which tb! p~perty is located d) Explain wro] the granting of such variance will not adversely affect the canprehensi ve general plan: . see aboy.( l, • APPLICANT DISCLOSURE FORM In order to assist.·,the members of the Planning Commission and City Council to avoid possible conflicts of interest, all appli- cants are required to complete this disclosure form at the time of submitting their application. When this form has been com- pleted and signed, the information will be relied upon by them in determining i,f a conflict may exist, so please ensure that all of the information is completed and accurate. If at anytime before a final action on your application has been rendered, any of the information required by this disclosure changes, an amendment reflecting this change ~ be filed. If the applicant is an individual, or a partnership (either gen- eral or limited) or a joint venture, please state "the full name, address and phone number of each person or individual (including tru·sts) who own any beneficial interest in the property which is the subject of this application. Should one or more parties to the application be a partnership or joint venture, then please state the full legal name of the partnership or joint venture, its legal address and the name and address of each individual person ~ho is a general and/or limited partner or ·member of the joint venture. Should one or more of the parties be a privately held corporation (10 shareholders or less) or a real estate syndication, then' please indicate the state of incorporation or syndication, corporate number, date of incorporation or syndication, corporate or syndicate address, and the full names and addresses of each individual shareholder or syndicate member. Should the corpor- ation be a publicly held corporation, then state the full name and address of the corporation, the place of its incorporation, number of shareholders, and the name and address of the officers of the corporation. Should you feel that additional information needs to be provided in order to provide a full disclosure, please include it. SUPPLEMENl'AL INFORMATION FORM .. -" I • ~ .' _ , 1) Gross.Peres (or. square footage, if less ~ acre) _'_~_~_C_/r_e.._' _____ _ 2} ~e __ 1R~J _________________________________ ·_:_i_: ______ ___ 4) By law a Variance may be approved cnl.y if certain facts are fCUld to exist. Please read these requirements ~~~y.~ <~"b:M. u..proposed project meets each of these facts. qse additicnal"·s"heet.s'··if necessary. a) Explain wtt:I thEe are ~~ .. ,~. ,~~~_~~ or cx:nditicns applicable to the property or to the~"intended~"uS8 that do not awly' gmet:ally to thr! ~ prPpert.y ~ ,clasS.' of, use in tile' sam. 'V~9:ini;tY and zale: . ,'.;, -' "" ~. ,-~ _:" -" "', ~':;l",,;, ' b) Explain Wtr:/ such variance is necessary for', tb:ip~~ticn and enjoyment of a substantial property right ~~ by other property in the same vici."'lityand zene but'which fs~den.ied, tQ tne-~proPer:ty in cpesticn: ~lt;Rjp;i;tz!!!J!fu:'ii<!::/;1iY; ::~. c) Explain why the granting of such variance will not be materially detrimental to the public \Ielfare or i.t:lj~ous to"the property or improvements in such vicinity' and' zale in 'which the p~perty is located I ' -- d) Explain w"r~i the gr~t.ing 0; such ~ariance "Jill not adversely affect tha canpre1"elsi ve general plan: . see aj){)y.( 2075 LAS PALMAS DRIVE CARLSBAD, CA 92009·4859 General Information QCitp of QCarlsbab DEVELOPMENT PROCESSING SERVICES DIVISION VARIANCE INFORMATION SHEET TELEPHONE (619) 438·1161 This information sheet explains how your variance application will be processed, what charges you must pay, and what plans you must submit. If you have any questions after you have read this information, call the Development proceSSing Division at 438-1161. How Your Application Will Be Processed The steps involved in reviewing your variance application are described below. Steps in Process la. Submittal of application, plans, and fees at public counter in Development Processing Division. 1 b. DPS planner checks submittal for completeness. I f incomplete, application will not be accepted for filing. lc. If complete, case number assigned, file made and case assigned to planner for review. 2a. Variance application sent to Planning Department. 2b. Planner assigned. 3. Variances are heard by the Planning Commission. If no further revisions are needed, planner prepares staff report; puts case on agenda; sends out public notice; report is typed, duplicated, and mailed. If your request is granted, you will receive resolution of approval with conditions on project and stamped set of plans. No building permits can be issued until after the appeal period (15 days). Appeal If your case is denied by the Planning Commission, you may appeal this decision to the City Council. You must submit a letter explaining the reasons for the appeal and a fee of $275 to the City Council within ten (10) calendar days from the date of the decision. • City of Carlsbad 2075 Las Palmas Drive ~Carlsbad, CA 92009 (619) 438-1161 Single Family Variance Other Variances $150.00 $420.00 PLANNING DEPARTMENT VARIANCE APPLICATION Complete Description of Project (attach additional sheets if necessary) Location of Project Legal Description (complete) Local Facility Management Zone Assessors Parcel Number Zone General Plan Existing Land Use Proposed Zone Proposed General Plan Site Acreage Owner Applicant Name (Print or Type) Name (Print or Type) Mailing Address Mailing Address City and State Zip Telephone City and State Zip Telephone I CERTIFY THAT I AM THE LEGAL OWNER I CERTIFY THAT I AM THE OWNER'S AND THAT ALL THE ABOVE INFORMATION REPRESENTATIVE AND THAT ALL IS TRUE AND CORRECT TO THE BEST OF THE ABOVE INFORMATION IS TRUE MY KNOWLEDGE. AND CORRECT TO THE BEST OF MY KNOWLEDGE. SIGNATURE DATE SIGNATURE DATE Date Application Rec'd Received By Fees Received Receipt No. PROJECT NUMBER (S) SPECIFIC REQUIREMENTS 1. Completed Variance Justification Form. 2. Fifteen (15) copies of a site plan (2411 x 3611 folded to 8t ll x 1111) which shall include the following information: Name and address of applicant, engineer and lor architect, etc. All easements Dimensioned locations of: access, both pedestrian and vehicular, showing service areas and points of ingress and egress, offstreet parking and loading areas showing location, number and typical dimension of spaces, and wheel stops. distances between buildings and/or structures building setbacks (front, rear and sides) location, height, and materials of walls and fences location of freestanding signs a summary table indicating the following information (if applicable to the variance): site acreage existing zone and land use proposed land use total building coverage building square footage percent landscaping number of parking spaces square footage of open/recreational space (if applicable) cubic footage of storage space (if applicable). 3. If the variance application involves a variance in height, provide fifteen (15) copies of (2411 x 36 11 folded to 81;11 x 1111) building elevations to show all buildings, structures, walls and/or fences, signs and exterior lights. 4.' One (1) copy of 8tll x 1111 site plan. 5. One (1) copy of 8tll x 1111 location map (suggested scale 200 11 -vicinity maps on the site plan are not acceptable). 6. Disclosure Statement. 7. Property Owners' List and Addressed Stamped Envelopes (Metered Must Be Undated) a typewritten list of the names and addresses of all property owners and occupants within a 300 foot radius of subject property (including the applicant and lor owner). The list shall include the San Diego County Assessor's parcel number from the latest assessment rolls. Two separate sets of mailing labels of the property owners and occupants within a 300 foot radius of subject property. For any address other than single family residence, apartment or suite number must be included. DO NOT TYPE ASSESSOR'S PARCEL NUMBER ON LABELS. Applicant must submit separate check to cover cost of postage. 8. 300 Foot Radius Map A map to scale not less than 111 = 200' showing each lot yvithin 300 feet of the exterior boundaries of the subject property. Each of these lots shall be consecutively numbered and correspond with the property owner's list. The scale of the map may be reduced to a scale acceptable to the Land Use Planning Manager if the required scale is impractical. 9. Preliminary Title Report (current within the last six months). 10. Colored Site Plan and Elevation Plan (Not required with first submittal). It is the Applicant's responsibility to bring one copy of a colored site plan and one copy of a colored elevation to the Land Use Planning Office by Noon eight (8) days prior to the Planning Commission meeting. JUSTIFICATION FOR VARIANCE By law a Variance may be approved only if certain facts are found to exist. Please read these requirements carefully and explain how the proposed project meets each of these facts. Use additional sheets if necessary. 1) Explain why there are exceptional or extraordinary circumstances or conditions applicable to the property or to the intended use that do not apply generally to the other property or class of use in the same vicinity and zone: 2) . Explain why such variance is necessary for the preservation and eJ')joyment of a substantial property right possessed by other property in the same vicinity and zone but which is denied to the property in question: 3) Explain why the granting of such variance will not be materially detrimental to the public welfare or injurious to the property or improvements in such vicinity and zone in which the property is located: 4) Explain why the granting of such variance will not adversely affect the comprehensive plan: APPLICANT DISCLOSURE FORM In order to assist the members of the Planning Commission and City Council to avoid possible conflicts of interest, all applicants are required to complete this ·disclosure form at the time of submitting their application. When this form has been completed and signed, the information will be relied upon by them in determining if a conflict may exist, so please ensure that all of the information is completed and accurate. If at anytime before a final action on your application has been rendered, any of the information required by this disclosure changes, an amendment reflecting this change must be filed. If the applicant is an individual, or a partnership (either general or limited) or a joint venture, please state the full name, address and phone number of each person or individual (including trusts) who own any b.eneficial interest in the property which is the subject of this application. Should one or more parties to the application be a partnership or joint venture, then please state the full legal name of the partnership or joint venture, its legal address and the name and address of each individual person who is a general and/or limited partner or member of the joint venture. Should one or more of the parties be a privately held corporation (10 shareholders or less) or a real estate syndication, then please indicate the state of incorporation or syndication, corporate number, date of incorporation or syndication, corporate or syndicate address, and the full names and addresses of each individual shareholder or syndicate member. Should the corporation be a publicly held corporation, then state the full name and address of the corporation, the place of its incorporation, number of shareholders, and the name and address of the officers of the corporation. Should you feel that additional information needs to be provided in order to provide a full disclosure, please include it. \ APPLICANT: AGENT: MEMBERS: DISCLOSURE FORM Name (individual, partnership, joint venture, corporation, syndication) Business Address Telephone Number Name Business Address Telephone Number Name (individual, partner, joint venture, corporation, syndication) Business Address Telephone Number Name Business Address Telephone Number Home Address Telephone Number Home Address Telephone Number (Attach more sheets if necessary) I/We understand that if this project is located in the Coastal Zone, I/we will apply for Coastal Commission Approval prior to development. I/We acknowledge that in the process of reviewing this application, it may be necessary for members of City Staff, Planning Commi"ssioners, 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. I/We declare under penalty of perjury that the information contained in this disclosure is true and correct and that it will remain true and correct and may be relied upon as being true and correct until amended. APPLICANT BY Agent, Owner, Partner