HomeMy WebLinkAboutCD 15-04; Quarry Creek; Administrative Permits (ADMIN)CITY OF CARLSBAD APPLICATION FORM FOR CONSISTENCY DETERMINATION APPLICATION
CITYUSE(!NLY •···. · ...•.•..•.. I-S->·.· q · ..
Project Nuq1ber: •· Q D I · 0 ... ··• . . . .
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PROJECT NAME: Quarry Creek Master Plan
Assessor's Parcel Number(s): 167-040-11
Description of proposal (add attachment if necessary): . -~, . . . ....
. -• Eliminate street "C"
Would you like to orally present your proposal to your assigned staff planner/engineer? Yes D No D
Please list the staff members you have previously spoken to regarding this project. If none, please so state.
Van Lynch
OWNER NAME (Print): McMillin QC2 LLC APPLICANT NAME (Print): Quarry Creek Investors LLC
MAILING ADDRESS: 2750 Womble Rd MAILING ADDRESS: 2750 Womble Rd
CITY, STATE. ZIP: San Diego CA 92106 CITY, STATE, ZIP: San Diego CA 92106
TELEPHONE: 619-794-1252 TELEPHONE: 619-794-1~ 1 Z-~2
EMAIL ADDRESS: ~tiCh<. \\@1\V\GJ...-li-\\ ih.· L<>"t EMAIL ADDRESS: ~u@mcmillin.com
*Owner's signature indicates permission to conduct a preliminary ct·rl"1 i +-d1 e \ I
review for a development proposal.
IN THE PROCESS OF REVIEWING THIS APPLICATION IT MAY BE I CERTIFY THAT I AM THE LEGAL REPRESENTATIVE OF THE
NECESSARY FOR MEMBERS OF CITY STAFF TO INSPECT AND OWNER AND THAT ALL THE ABOVE INFORMATION IS TRUE
ENTER TI-lE PROPERTY THAT IS THE SUBJECT OF THIS AND CORRECT TO THE BEST OF MY KNOWLEDGE.
APPl-ICATION. IIWE CONSENT TO ENTRY FOR THIS PURPOSE. I
CERTIFY THAT I AM THE LEGAL OWNER AND THAT ALL THE
ABOVE INFORMATION IS TRUE AND CORRECT TO THE BEST OF
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STGI\rA URE -SIGNATURE 1/ DATE DATE
APPLICANTS REPRESENTATIVE (Print):
MAILING ADDRESS:
CITY, STATE, ZIP:
TELEPHONE:
EMAIL ADDRESS:
I CERTIFY THAT I AM THE LEGAL REPRESENTATIVE OF THE APPLICANT AND THAT ALL THE ABOVE INFORMATION IS TRUE AND
CORR:s TO THE B;'ST OF MY KNOWLEDGE.
·1 cY'--1\JI~ d~i·{s--
SIGNATURE DATE
FEE REQUIRED/DATE FEE PAID: ·J-1 L~ I 1 c:;
RECEIVED BY: ~ 0£1±/Y\ ,--
P-16 Page 2 of 2 Revised 09/14