HomeMy WebLinkAboutMCUP 08-15; JC DELI; Minor Conditional Use Permit (MCUP)~ ~ 0 CITY OF CARLSBAD 0
LAND USE REVIEW APPLICATION
1) APPLICATIONS APPLIED FOR: (CHECK BOXES)
(FOR DEPT. USE ONLY)
□ Administrative Permit □ Planned Development Permit
□ Administrative Variance □ Planned Industrial Permit
□ Coastal Development Permit □ Planning Commission
Determination
□ Conditional Use Permit □ Precise Development Plan
□ Condominium Permit □ Redevelopment Permit
□ Environmental Impact Assessment □ Site Development Plan
□ General Plan Amendment □ Special Use Permit
□ □ t>
Habitat Management Plan Permit Specific Plan
□ Hillside Development Permit □ +eAtati1o1e PaFeel Map
Obtain from Engineering Department
□ Local Coastal Program Amendment □ Tentative Tract Map
D . Master Plan □ Variance ~ Minor Conditional Use Permit V\1CtLf 08 /5 □ Zone Change
□ Non-Residential Planned Development □ List other applications not
specified
2) . ASSESSOR PARCEL NO(S).:
3) PROJECT NAME:
(FOR DEPT. USE ONLY)
4) BRIEF DESCRIPTION OF PROJECT: ll5c· ,Pc.f/l1 /T ti~ d}-z3-u' ttlt 77:t-;/f;JJ;lfM{f-e__,,
72:&M.5 ¢ 01/;/f£s-aN ptrntJ.
5) OWNER NAME (Print or Type)
Yt.L. Pl\. ,o111Qf'--Bvs, /\L..SS Ce~ 4~~ 1 L.LG
6) APPLICANT NAME (Print or Type) /r-4::1
J: C, l)a.,/ lftl0 &--rete4'5 ~/4.
MAILING ADDRESS
~6 440 4-RJ 1~ (Y1.u:k1•-1 S tAt k d, 7 D
CITY AND STATE ZIP TELEPHONE CITY AND STATE ZIP /:! TELEPHONE
M,ssn" \J,~p CA q~ctf q.,1Pt/34oll6tto eAf<l-$~A-0 CA-L'J6o
I CERTIFY THAT I AM THE LEGAL OWNER AND THAT ALL THE ABOVE
INFORMATION IS TRUE AND CORRECT TO THE BEST OF MY
KNO EDGE.
-~ D~¥/P~
I CERTIFY THAT I AM THE LEGAL REPRESENTATIVE OF THE
OWNER AND THAT ALL THE ABOVE INFORMATION IS TRUE AND
TO THE BEST O EDGE.
~-
NOTE: A PROPOSED PROJECT REQUIRING MULTIPLE APPLICATIONS BE FILED, MUST BE SUBMITTED PRIOR TO 3:30 P.M.
A PROPOSED PROJECT REQUIRING ONLY ONE APPLICATION BE FILED, MUST BE SUBMITTED PRIOR TO 4:00 P.M. •
Form 14 Rev. 03/08 PAGE 1 OF 4
7)
8)
9)
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BRIEF LEGAL DESCRIPTION /drRe&6 -----------------------
LOCATION OF PROJECT:
IYolUFtt I
(r(c5kiH, SOUTH, EAST, WEST)
ON THE I
BETWEEN I e..l Cklf/JfJiJ ~·'Gi?J
(NAME OF STRE T) .
STREETADDRESS
SIDE OF I C!zt//frHO //dJ~ ~l:?tG: I
(NAME OF STREET)
AND j L(t:s f)(r/4/JJff5 ~.
(NAME OF STREET)
IN THE PROCESS OF REVIEWING THIS APPLICATION IT MAY BE NECESSARY FOR MEMBERS OF CITY
STAFF, PLANNING COMMISSIONERS, 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.
10) NOTICE OF RESTRICTION: PROPERTY OWNER ACKNOWLEDGES AND CONSENTS TO A NOTICE OF
RESTRICTION BEING RECORDED ON THE TITLE TO HIS PROPERTY IF CONDITIONED FOR THE
APPYfANT. NOTICE OF RESTRICTIONS RUN WITH THE LAND AND BIND ANY SUCCESSORS IN INTEREST.
ct~64~ .
PROPERTY O~R ~& Ttf
FOR CITY USE ONLY
AUG 21 2008
CITY OF CARLSBAO
PLANNING DEPT
DATE STAMP APPLICATION RECEIVED
RECEIVED BY:
Form 14 Rev. 03/08 PAGE 2 OF 4
0 0
City of Carlsbad
1635 Faraday Avenue Carlsbad CA 92008
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Applicant: JC DELI & CATERING SERVICE
Description Amount
MCUP0815 690. 08
2382 CAMINO VIDA ROBLE CBAD
Receipt Number: R0071608 Transaction ID: R0071608
Transaction Date: 08/28/2008
Pay Type Method
Payment Check
Description Amount
690.08
Transaction Amount: 690.08
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DISCLOSURE STATEMENT
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 information MUST be disclosed at the 1ime of application submittal. Your project cannot be
reviewed until this information is completed. Please print.
1.
2.
APPLICANT (Not the applicant's agent)
Provide the COMPLETE. LEGAL names and addresses of All persons having a financial interest
in the application. If the applicant includes a corporation or partnership. include the names, title,
addresses of all individuals owning more than 10% of the shares. IF NO INDIVIDUALS OWN MORE
THAN 10% OF THE SHARES, PLEASE INDICATE NON-APPLICABLE (N/A) IN THE SPACE
BELOW. If a publicly-owned corporation, include the names, titles, and addresses of the corporate
officers. (A separate page may be attached if necessary.}
Person. C/tlffJES U (1 Corp/Part. ________ _
Title ~/tt;/ltle( Title __________ _
Address..lD/O tt}, &',,!1//J1/ttebS /3;{JfJ Address ~ /i'M1cCCT5 ,Cir-'f)-81 f ' ·----------
OWNER (Not the owner's agent)
Provide the COMPLETE. LEGAL names and addresses of ALL persons having any ownership,
interest in the property involved. Also, provide the nature of the legal ownership (i.e, partnership,
tenants in common, non-profit, corporation, etc.). If the ownership includes a corporation or
partnership. include the names, title, addresses of all individuals owning more than 10% of the
shares. IF NO INDIVIDUALS OWN MORE THAN 10% OF THE SHARES, PLEASE INDICATE
NON-APPLICABLE (N/A) IN THE SPACE BELOW. If a publicly-owned corporation. include the
narnes, titles, and addresses of the corporate officers. (A separate page may be attached if
necessary.)
Person L~.rv:-f;:rn:,(N Corp/Part '(CL, V'f;\Jo~ B~1 ~.JS ~"UA, iJ...L.
Title Pwjec:.A >'.YA~r-Title OwN-'1--
Address ;}6 ~ kA IA@$ W ~ 7o Address ;;i,J,4'+0 lA.Al0tV>UJA_rSv~'\L~lO
)o/i\55,o~ \/tij"t CA qV-6ttl .... . ►, D1 lSSI~ ~ Vt 'j i): [_A ~ ~6'1l l
1635 Faraday Avenue • Carlsbad, CA 92008-7314 • {760) 602·4600 • FAX (760) 602-8559 • www.cl.carlsbad.ca.us @
0 0
3. NON~PROFIT ORGANIZATION OR TRUST
If any person identified pursuant to (1) or (2) above is a nonprofit organization or a trust, list the
names and addresses of Ar£! person serving as an officer or director of the non-profit
organization or as trustee or beneficiary of the. •
Non Profit/Trust._______ Non Profit/Trust._· ________ _
Title___________ Title. _______ __,. ____ _
Address _________ _ Address. __________ _
4. Have you had Fl)Ore than $500 worth of business transacted with any member of City staff,
Boards, Co1m;Sions, Committees and/or Council within the past twelve (12) months?
D Yes ' No If yes, please indicate person(s): •
NOTE: Attach additional sheets if necessary.
I certify that all the above information is true and correct to the best of my.knowledge.
~ C)t/l tffat
Signature of owner/date Signature of applicant/date
Print or type name of owner
Print or type name of owner/applicant's agent
H:ADMIN\COUNJER\OISCLOSURE STATEMENT 12/06
Print or type name of applicant •
RECE\VED
~UG '21 W06
c~~t~C:~~:~o
Page 2 of 2
Q 0
PROJECT DESCRIPTION/EXPLANATION
PROJECTNAME: _([_· ___ ~---C ____ •• ,........._d)_E,_,_U __ ~ __ @-'Pi........_0'¼_~_1tfi_. ---
APPLICANT NAME: C~s c, C/41
Please describe fully the proposed project by application type. Include any details
necessary to adequ~tely explain the scope and/or operation of the proposed project.
You may also include any background information and supporting statements regarding
the reasons for, or appropriateness of, the application. Use an addendum sheet if
necessary.
Description/Explanation: t.~lrh~ bf i
Project Description 10/96
RECEIVED
AUG 2 7 2008
CITY OF CARLSBAD
PLANNING DEPT
Page 1 of 1
0 RECEIVE.()
AUG 2 7 2008
CITY OF CARLSBAD
PLANNING DEPT
HAZARDOUS WASTE AND SUBSTANCES STATEMENT
Consultation Of Lists of Sites Related To Hazardous Wastes
(Certification of Compliance with Government Code Section 65962.5)
Pursuant to State of California Government Code Section 65962.5, I have consulted the Hazardous
Wastes and Substances Sites List compiled by the California Environmental Protection Agency and
hereby certify that ( check one):
D The development-project and any alternatives proposed in this application are not contained on
the lists compiled pursuant to Section 65962.5 of the State Government Code.
D The development project and any alternatives proposed in this application m contained on the
lists compiled pursuant to Section 65962.5 of the State Government Code.
APPLICANT . PRO~ERTY OWNER
Name: c:x e,, ri/i?IA 1
• Name: y CL PA..111~,-. Bvstru.sr ~{e,"-LJ..L,
Address: 13?)--{)J--PtllVlJ //tl)Jt f;BLE ►/}ddress: ~440 k)vfcv1A.tk bv, lt.. ;;J,70
C#<,/J51}~7), CJ_ 9oUJ I/ fnissm~ V1~0, CA q~q1
PhoneNumber: [7&0) ·lfJJ11tfo ( PhoneNumber: ct1+q-34~•'l6'°lD )( ioz:
Address of Site:. __________________________ _
Local Agency (City and County): ______________________ _
Assessor's book, page, and parcel number: ___________________ _
Specify list(s): ___________________________ _
Regulatory Identification Number: _____________________ _
Date of List: ___________________________ _
a~✓~ ~J/o f ----~-----uh=----·-~-=----:------~6/2"-=l-~h...,...,_8_
Applicant Signature/Date Property Owner Signature/Date ' 1
Admin/Counler/HazWaslc
I
I I
JAH-12-2009 10 ~:0=9~A:M __________________________ _
JAN--12-2009 MON 08161 AMQY OF CARSLBAD ~ ., ' ~ --..
J.C. DELI & CATERING
1382-ACamlno Vida Roble Carfebad. CA 92009 ·
(180) 48S.7701 Fax (760) 438-7702 ., ! 8ICTION:2
9KJNIPICANT R!DIV!L.OPMl!N~:
FAX NO, 7BQ2 8558
VII
1. II the PfOi'eot redMloPfnp an 1)(!Stlng priority project type? ·(Prterify projtet8
aredet!ned In ~or, 1)
NO
V 1--------------·----------_____.~----i lfyQu EIMW81'$d VIS, ple111 praoeed ft> questiC~ 2,
If you enswarect NO, then VCJU AIIE NOT I llgnifictni redMJapl'l\tl'lt ana you MS NOT IUbJect t;
PRIORITY prOJeat ~ulrtments. only 8TANDARP requirements. PIIPf ahecl< 1M "001:S NOT MEE'r
PRIORITY Requ1,.in,ftte• * In Section 3 below.
i. Ii tne Pro.llGt ,o1.iv llmlllel ID one of th• tcllOWilig: ,.
.I b.~lna end reoonftaurlrul~stil'!A 11.Jrfac:1 oarklna 11211?
!•ne on pu6nc "
If you anew.red NO fO ALL of the quHtlona, then proceed to Queltic,, 3,
1, you antwered Y!I to CNS OR MOIUi (lf !ht qLlestlM8 ft\en you AA! NOT a 1ig11ltlcant redMlopment
::JOIJ AflE NOT subject to PRIOftlTY pn,ject rwquirements, only $1ANDARO rtqUi/\lmtMs. P!tase
the ·oose NOT MeE'T PRIORITY RaQulremantt• box '" Secliefl s below.
3, WIii .the deveklpment create, teplaoe. or adel at lealt MOO &quart feet of
irttptfVlcus surfa08i en an ~ developmertt or, be lClcate<I Within 200
feet of tht Paeiflo 0;9an and (1)CAJatt more ttlan 2SOO 1q1o1ere feet of Impermeable aurfltce tir (2) lnCtWU~ lmper1Miable s1,11face or, Ol'0PlftY b)I
more than 10,r,1
V
If vou antwered VII, you AR! a significant redtvelopment. and YOl.t ARE sub)td to PNO"ITY project
rwqulreman11. Pltlae aheokChe "M!!TS PRIORITY' REQIJIR.EMENT$" bcl( in Section 3 below,
If you IJMMred NO. you ARI! NOT II algnific:ilnt MdeYtlDpr1'1$l'lf. and you ARI! NOT su&Jitat to
PRIOllfTV proJact req~lternents. only $TAN0ARO requirem,nts. Ptease Cfll!Clc th. "DOES NOf MEET
PRIORITY Fteqr.dretnel'lts" bt»i In Section 3 below.
I SICT!ON3 --
APM#ellllafN -lf!Mi
□
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MY PROJECT Mll!T& PfUORllY R&QCJIFtEMl!N'l'G, MUST COMPLY 'MTH PRIORITY PROJECT STANDARDS ANO MUST f1REPARfi A $TORM WAiEA MANAGeMENT PLAN FOft
SUl!IMITTAL A'fTIMli OF APPLICATION,
MV PAOJECT POU NOT IIIIEET PRIORITY ftEQUIREMSNTS ANO MUS't 0Nl Y COMPLY
WTH STANDARD STORM WATER RE:QUtREMiNT$,
Aflflllcant lnlo~al:lon and Slirnat,1rt Bax Yr.tr l1t/,, Cl~ IJr, ~
I 1111111\ba(II): C::llyci~oe: l 11111 I NO
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P.01
P, 03
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SWMP Rev 6/4108
JAH 12-2009 10:09 AM
JAN-12-2009 MON 08!50 A()rv OF CARSLBAD P.02
~ . ~ ' FAX NO, 7Q02 8558 P. 02
J.C. DELI & CATERING
2382-A Carnine Vida Roble
Carlsbad, CA 92009
(780) 438-7701 Fax (780) 438-7702
[ ISCTIONi"
. NIW D&VELOPMINT
IIRIORITY PROJECT TYPe
Dale you pn,Ject mitt on, or more of th• follawlng cr1teria:
1, =:inuM00111nn ct1o0 unftl w:am, incl es SFD~D, Condominium and Apartmen11l ,. ~Jt«tatta/ iteVO{aqm9pt OC f P #i «mro n udea SFD. MFD, Conclo,nlniun\ li,d Aoal1menta
3. CAfflt!Jfflla/ 1/lQ ~I difllti(ODIDlat QC,eu,:tlJCQ 1QQ.QQQ SOHG fat tao/.Uf/.QQ oarldM lf'8BS.
Any \lovelopment on prtvatt r•nd that 11 not fer heavy lnauatrlel or l'tsldef'lllal 1.18El8-!xlmpte: HC11plt.els,
Hotels, Rl;re,tk,r,tl Facilll!H, Shopplna Malls, ltC.
4. t;tMJWINlustrialL/ndu,tryomst,rthsn 1 l{JfS (NEEP SIC QOOES FOR PE:ftMIT aus1NESS TVPES)
SIC oc,des 5013. 5014, 6541, M32-71514 anr;j 75S8-7539
YEI NO
✓
y'
✓
V
f. Automo/fitl OW!H' 1W, V: 510 oades 5013, 6014, 5541. 7A2~7534. 1nd 7538w■ras& e. ~ NIJII. atlltPl'!l!lt ~!WI tz!s llrJQ nma gt 91yl!llosaz,nt is Ii.IMC! !alld 1&1t « mar, (f!e/udi!lll Qlddnq .... V Sl0t!ftdAff812 ,. tJlll§lrla tfln/APmfJU • ✓ (1) greaw than 6,000 sq1.1are fet1 of lm~1ous surface a,., and (2) ctevelopment will. gradl on any
nalurll 1\one 11m II 25% ar ar.1ter .
8. iOWoP!Z!!:!Jtflf.r !eltftlNf A'lf Lil$& . v lmpetviaua eurrac., of 2,soo squar11 fflt or"'~ locatld within, udlrectly ldJ•ee~ to (Within 200 feet), or • ,, ' directtV to•J water WilhlnJb• E:SA 1 •
•• htlc;,,tJsi ✓ Area of 5,000 1q1,1are feet or more, or with '\! or more a>al1'.lng ~oae., and Potentla11Y iwpcsed t.o umM
runatt
10. Beta«@wrBlf oytJet, §ltYIOg mfJfO fhln 100 whig/ff ON da\!
Servina m;r. than 100 \llhfctes per d,iy anrl ar9arer than 5.000 $GUIJ'e feel, ,v
11. ea-mads, d(/llwla>I, @WAVI, lrtd Olf.Wlli!I, l'OJect would mate I l'lew oaYid sul'face lh9:t ia 5,0QO SQutre feet or areater. V
12, eaa,tMQMkwmeotzQQt. v, Within 200 Mt Of the PaGlfiC Ocean a!ld (1) create& more 11,an 2500 aquare feet M lmpe11T11able surface or t2) lncrNaas 11'1'1 ... 1urfam on ororusrtv bv mor• tl'l•n '10%,
1 l!nvironmentallv Sei11ltlve Areas ind1r1Clt but are nor llmired to all 01.,an water AOi Section 303(d) Impair.cl water bcdiee; areas designated as Arias of Special &lcl0Qlca1 Sigr,lficatlee by 11'1e state ~tit Retourees Oontrol Board (Water Quall~
Cor,wl Pi.n fllr lhe Ban Diego Basin (1894) an~ amendmtn!I); inter bcdie!I dlllgnatect wltft thJ RMI: Dtneflcial use by
ti)e State Winer Rt10ul'li0\I Control Board <Wawr Quality Comrot Plan for tie aan Diego Sain (1994) and amendmentt):
,,.ad~~ as P1'981NN or their equivalent under tne Multl Species con11rvad00 Pragram witl'lln the Clliet ar,d Count
of san Cllgo; anct ar,y other eQuivalent 111\llronm,ritally IMllltlve amt whleh ltavt blen lden1ifilld by the Cgpermlttees,
2 ·oifectlv adiaotnt" means situated within 200 feet of the enV1ronmenta1iy ter'lltltive area,
3 1)11C11argln9 <11,wetiy t.o• mean~ outflow tram II drainage conveY1n~ system tllat 11 composed entirely at flows ftom tne
$\lbject develos,m1nt-0r "~109mant site, and 1'10t commingled wm, flow from adjant fan~a.
1pet1p11 s anwna: ·
If you answared YES to JN'f or th• question• lbov~ you nave a ltRIORfN p,ejec,t and PRIORITY project req1,1iiumenta DO
api,1v. A Storm war 1U1an1gemem Plan, pntputld ln 11cairctance with OliY $to11T1 Water Suanclards, mutt be submlttad at ~ of 11pplicaticn, Pleaat check the 1ME~S PRIORITY Al!QUIREMENTS" box in Seellen 3.
If ~u ac,swered NO to ALL of the q~ons abow, ttien you ara a NON.PRIOIIITV project and aTANDAflD requirements
IPPIY, Plea• etleck the "DOES NOT MEET PRIORITY Aeaulremen&I" box il'I Se011'11n 3, .
SWMP 1tev 6/4/08
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