HomeMy WebLinkAboutCD 2022-0027; ACTIVE MOTIF; Consistency Determination (CD)CITY OF CARLSBAD APPLICATION FORM FOR CONSISTENCY DETERMINATION APPLICATION
CITY USE ONLY • Development Number: ~JI? ,-,"rJ ..-0\// _
Original Project Number: \?\ P q 7-Ob Consistency Determination Number: C.02o2.2.:-rKf2;l
PROJECT NAME: ACTIVE MOTIF
Assessor's Parcel Number(s) and APN: 212-092-ls-0011914 PALOMAR OAK WAY, 1so CARSLBAD, CA 9200s Address: ~: 2d Z.09/2,.~~0()
Description of proposal (add attachment if necessary):
THE l~SI AI I AIIO~ OE A ~EW GE~E8AIO8 E~CI OSI l8E EO8 A~ EXISil~G IE~A~I O8IGl~AI ' BUILDING TILT UP. NEW ENCLOSURE TO BE CMU BUT PAINTED TO MATCH ADJACENT
BUILDING . "& Would you like to orally present your proposal to your assigned staff planner/engineer? Yes No
□
Please list the staff members you have previously spoken to regarding this project. If none, please so state.
OWNER NAME (Print): Str11ct1 ires O□ Ibe Gree□ I I C APPLICANT NAME (Print): BEN SIEDSCHLAG
MAILING ADDRESS: 1914 Palomar Oaks Way, #150 MAILING ADDRESS: 1914 PALOMAR OAKS WAY
CITY, STATE, ZIP: Carlsbad CA 92008 CITY, STATE, ZIP: CARLSBAD, CA 92008
TELEPHONE: 760-431-1263, x201 TELEPHONE: 760-431 -1263
EMAIL ADDRESS: hbott@activemotif.com EMAIL ADDRESS: BSIEDSCHLAG@ACTIVEMOTIF.COM
*Owner's signature indicates permission to conduct a preliminary
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 THE PROPERTY THAT IS THE SUBJECT OF THIS AND CORRECT TO THE BEST OF MY KNOWLEDGE.
APPLICATION. I/WE 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 MY
KNOWLEDGE. j
8-24-2022 !3~s~ 8-24-2022 s-.. ~ L..t
SIGNATURE f DATE SIGNATURE -----DATE
APPLICANT'S REPRESENTATIVE (Print): HOPE KIEL
MAILING ADDRESS: 3911 SORRENTO VALLEY BLVD, SUITE 120
CITY, STATE, ZIP: SAN DIEGO CA 92121
TELEPHONE: 760-215-0115
EMAIL ADDRESS: HKIEL@WAREMALCOMB.COM
I CERTIFY THAT I AM THE LEGAL REPRESENTATIVE OF THE APPLICANT AND THAT ALL THE ABOVE INFORMATION IS TRUE AND
CORRECT TO THE BEST OF MY KNOWLEDGE.
l-t~ /,v-{ 2022-08-25 . ,._ ~D SIGNATURE DATE
FEE REQUIRED/DATE FEE PAID: Sq\t SEP O c; ZUll
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RECEIVED BY: EJ..u.,,~v J. V (A_ \ev...zj ie,\ ~ {
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P-16 Page 2 of2 Revised 3/22
To Whom It May Concern:
I, Joseph Fernandez confirm that I am the president and owner of Structures on the Green, LLC and am
therefore authorized to sign on behalf of the LLC.
Sincerely,
Joseph Fernandez
Structures on the Green, LLC.
1914 Palomar Oaks Way
Carlsbad, CA
92008
SEP O 6 2022
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