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Home My WebLink AboutCUP 93-01AX1; PRIME AUTO CENTER; Conditional Use Permit (CUP)-FAX NO. 76011os2 JUN-17-2003 TUE 04:55 PM CA.AD ENGlNEERING CITY OF CARLSBAD LAND USE REVIEW APPLICATION 1) APPLICATIONS APPLIED FOR: (CHECK BOXES) 0 Administrative Permit • 2nd Dwelling Unit D Administrative Variance (FOR DEPARTMENT US£ ONLYI D □ 0 Coastal Development Permit ~ ~ Conditional Use Permit □ i=-tU_P ~~~ ..---§ 0 Condominium Permit 0 Environmental Impact Assessment D General Plan Amendment 0 Hillside Development Permit 0 Local Coastal Plan Amendment 0 Master Plan 0 Non-Residential Planned Development 0 PIBnned Development Permit (2). ASSESSOR PARCEL NO(SI.: 3) PROJECT NAME: 1-------~ -------- 4) BRIEF DESCRIPTION OF PROJECT: ( 51 bwNER NAME (Print or Type) 5-J,>-- T CITY AND STATE ZIP TflEPHONE '-71 "'I 5~➔o-a F LLE )t'TD N" C,4-,(' f -q~~ l CERTll'Y THAT I AM THE L£GAL OWNER AND THAT ALL THE ABOVE INFORMATION IS TRUE AND CORRECT TO THE aesT OF MY KNOWLEDGE. [ c.k,, r />a.Ako../la_ ~ 0 -~ If:-o 3 SIGNATURE '"1':n DATE /-7)) BRIEF LEGAL DESCRIPTION . -·" D D □ D □ □ Planned Industrial Permit Planning Commission Determination Precise Development Plan Redevelopment Permit Site Development Plan Special Use Permit Specific Plan Ter,teti-..e Pereel Map Obtain trorn Engineering Oepattmen1 Tentative Tract Map Variance ·st other applications not s ecified lfOR DEPARTMENT USE ONLY! TELEPHONE L REPRESENTATIVE OF TH~ INFORMATION IS TRUE ANO WLEOGE, NOTE: A PROPOSED PROJECT REQUIRING MULTIPLE APPLICATIONS BE FILE , MUST BE SUBMITTED PRIOR TO 3:30 P.M. A PROPOSED PROJECT REQUIRING ONLY ONE APPLICATION BE FILED, MUST E SUBMITTED PRIOR TO 4:00 P.M. Form 16 PAGE 1 OF 2 - I', VJ 81 LOCATION OF PROJECT: ON THE STflfET ADDRESS ·pii5ici JJil/1 ,;re SIOE OF !NAME 01' TAEET! BETWEEN AND !NAME OF STREET\ 9) LOCAL FACILITIES MANAGEMENT ZONE 10) PROPOSED NUMBER OF LOTS 11'\A] 11) NUMBER OF EXtSTING ~ 12) PROPOSED NUMBeR OF ~ RESIDl:NTIAL U ITS RESIDENTIAL UNITS I 131 TYPE OF SU8D1Vl510N GJl]141 PROPOSED IND ~FFICE/ ~ 15) PROPOSED COMM l-r, 40, SOUAREFOOTA E SOUAREFOOTAGE ' , ~ 17) PROPOSED INCR~SE IN ~,_18l•PROPOSEO SEWER ~ ' \ (_16) I PERCENTAGE OF PROPOSED PROJECT IN OPEN SPACE APT l ' USAGE IN EDU I l 9) GROSS SITE ACREAGE rn(?~)! EXISTING GENER,. l [ei]121) \ PROPOSED GENERAL ~ t. PLAN . PLAN DESIGNATION ' ( 221· EXISTING ZONING lt-:,.-~J PROPOSED ZONIN~ lubl 241 IN THE PROCESS OF REVIEWING THIS APPLICATION IT MAY BE NECESSARY FOR MEMBERS OF CITY STAFF, PLANNING COMMISSIONERS, DESIGN REVIEW OARD MEMBERS OR CITY COUNCIL MEMBERS TO INSPECT AND ENTER THE PROPERTY THAT IS THE S BJECT OF THIS APPLICATION. I/WE CONSENT TO ENT Y FOR THIS PURPOSE FOR CITY USE ONLY FEE COMPUTATION APPLICATION TYPE TOT AL FEE REQUIRED DATE FEE PAIO Form 16 :;a F FEE REQUIRED I \ \ \ JUL O 7 2003 CITY OF CARLSBAD I . oA rM~~ l~$e1c~ ~~J REcE1veo ; RECEIVED BY: \ ,~ \ 1 ' RECEIPT NO. \ PAGE 2 OF 2 ! • City of Carlsbad 1635 Faraday Avenue Applicant: PRIME CAR WASH INVESTMENTS INC Description CUP9301AX1 Receipt Number: R0037663 Transaction Date: 10/14/2003 Pay Type Method Description Payment Cash Carlsbad CA 92008 Amount 15.54 Amount 15.54 Transaction Amount: 15.54 6363 10/14/03 0002 01 02 CGF· i5-54 City of Carlsbad 1635 Faraday Avenue Applicant: PRIME CAR WASH INVESTMENTS INC Description CUP9301AX1 Receipt Number: R0035162 Transaction Date: 06/16/2003 Carlsbad CA Amount 595.00 92008 Pay Type Method Description Amount Payment Check 3825 595.00 Transaction Amount: 595.00 7552 06/16/03 0002 01 02 CGP 595 ■00 JUN-\1-2003 TU 04:51 PM CAR.D ENGINEERING FAX NO. 760 11052 Cit 0 Carlsbad .. • ••• artment DISCLOSURE ST. TEMENT Applicant's statement or disclosure of certain ownership interests on all applications which will require discretionary action on the part of the City Council or any appointed Board, Commission or Committee. The following infonnation MUST be diiclosed at the tim ofapplication submittal. Your project cannot be reviewed until this information is completed. Please pri t. Note: Person is defined as "Any individual, finn. co-pannership, ·oint venture, association, social club, fraternal organization, corporation, estate, trust, receiver, syndicat~, in his and any other county, ciry and county; city municipality, district or other political subdivision or any other gr up or combinatio11 acting as II unit." Agent.I may sign this document: however, the lesal name and en ·cy of the applic.mt and property owner must be provided below. l. APPLICANT (Not the applicant's agent) Provide the COMPLETE, I.EGA,L names and ad rcsses of ALI, persons having a financial interest in the application. If the applicant includ a corporation or partn9rsti.m., include the names, title, addresses of all individuals ownin more than 10% of the shines. IF NO INDIVIDUALS OWN MORE TIIAN 10% OF Tl E SHARES, PLEASE INDICATE NON- APPLICABLE (NIA) IN THE SPACE BELOW If a 2ubljcJy.owned corporaticm. include the names, titles, and addresses of the corporate offic rs. (A separate page may be attached if necessary.) Person __________ _ Title ___________ _ Address __________ _ 2. OWNER (Not the owner's agent) Provide the COMPLETE, J,.EGAL names and addres. es of AU persons having any ownership interest in the property involved. Also, provide e nature of the legal ownership (i.e, partnership, tenants in i.:ommon, non-profit, corporat on, etc.). If the ownership includes a comoration or partnershin, include the names, title, a dresses of all individuals owning more than 10% of the shares. lF NO INDIVIDUALS OWN ORE THAN 10% OF THE SHARES, PLEASE INDICATE NON-APPLICABLE (NIA) IN E SPACE BELOW. If a pµblicl:y- owned £Q[t)oratjon. include the names, titles, and addres es of the corporate officers. (A separate page may be attached if necessary.) Person fu; P. ~' M f;.g<E' I Ut NTe~orp/Pa ------------- Title ·-rt,v~ r1:1:::-Title ___________ _ Address J zq-5 docky fDt Address. ___________ _ Fv L /..;€ RT{)AJ ~ C1tf,'f-., r~~ a, rn35 Faraday Avenue • Carlsbad, CA 92008-7314 • (760 602-4600 • FAX (760) 602-8559 <i) FAX NO 760 6,i...1052 JUN-17-2003 TUE 04:58 PM CAR~D ENGINEERING • , • . 3. NON-PROF1~RGANIZATION OR TRUS I', IO If any person identified pursuant to (1) or (2) abo e is a nonprofit ox;ganization or a tru;;t. list the names and addresses of~ person serving as an officer or director of the non-profit organization or as trustee or beneficiary of the Non Profit/Trust , J)'Qj, N n Profit/Trus..__ ________ _ Title ~{.£ Ti le Address :;ii~= ~ 4. Have you had more than $250 worth of busines ttansaoted with any member of City staff, Boards, Commissions, Committees and/or C~w,cil ithin the past twelve (12) months? 0 Yes ~o If yes, please indicate perso (s):. ____________ _ NOTE: Attach additional sheets if necessary. &B 8 tt B t\ E §Ke-, LJ l NT€ R._. -~ .f':L Print or type name of owner Print < r type name of applicant Signature of owner/applicant's agent if applicable/date Print or type name of owner/applicant's agent H,AOMIN\COUNTER\OISCLOSURE STATEMENT 6/98 Page 2 of 2 231394 Date:_\ ..... ,\· ...... \~_.--,_> __ Dqcument No.: ____ _ County I State Agen_cr Project Title: _..,,C"'--"U~----:::=-:'~___:__._.,...,.----o:!Y'-'-"-_._..,.,....--+......:....---'-.:....:...;:.. A-.n-'-,.Y'-.-... '-.... L~,'1b,,.----.:.Jf'-,,.,.,------N--:C"T"--r.-r-.r--:-TT.....--:: Project Applicant Address: __,.,.__L.:...,;=--i'--\-=~.......1.-----'-+-=---'--=--'----..::L...--""------=----->.J--=---=----'-.:...._....1...._ Project Applicant (check appropriate box): Local Public Agency D School District D Oth~r S clal District D State Agency D Private Entity , CHECK APPLICABLE FEES: ( ) Environmental Impact Report ( ) Negative Declaration ( ) Application Fee Water Diversion (State Water Resources Control Board Only) ( ) Projects Subject to Certified Regulatory Programs ( ) County Administrative Fee ~Project that is exempt from fees WHITE-PROJECT APPLICANT YELLOW-DFGIFASB $850.00 $ ___ ...,.....,....._ • $1,250.00 $ ___ ., _____ _ $850.00 $ ------ $850.00 $ ------ $25.00 $ ------ ENCY OF FILING