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MCUP 08-16; SD06747A CARLSBAD PACIFIC BUILDING; Minor Conditional Use Permit (MCUP)
• • CITY OF CARLSBAD LAND USE REVIEW APPLICATION 1) APPLICATIONS APPLIED FOR: (CHECK BOXES) ;FOR Of.PT, USE ONLY) (FOR DEPT USE ONL YJ □ Administrative Permit □ Planned Development Permit □ Administrative Variance lJ Planned Industrial Permit g 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 □ Habitat Management Plan Permit □ Specific Plan □ Hillside Development Permit □ ~ Obtain from Engineering Department □ Local Coastal Program Amendment □ Tentative Tract Map □ Master Plan □ Variance □ Minor Conditional Use Permit mttLP 0~ 9m Zone Change □ Non-Residential Planned Development □ List other applications not specified 2) ASSESSOR PARCEL NO(S),: 3) PROJECT NAME: 1fi ~~IEF DESCRIP ( J( (\._ ' 5) OWNER NAME (Print or Type) 6) APPLICANT NAME (Print or Type; n i CoqnAv Carlsbad Pa~6~ U3t1-itv' ~l,,~ -,-fYiOY) \ E., ~ r st 2X 'R~,,,t"".J':;!111,L-'>( O'rU I MAILING ADDRESS l MAILING ADDRESS ! ~y)s bCto/, CA-tl;,.011 (1ttfJ J 57 q----,01-,-,-4.,..,..4---;---,\,..,...0_f~cc_;.__, _--_\( ___ ~~·~,~~;;:;_-,i_S_, (~ __ +_3l_S_\_?.-----~~_:i --=--ii I ~ITY AND STATE: LIi-' _ -'TELEPHONE CITY AND STATE ZIP TELEPHON / )i la.flSb,tcl .~ U-nive.. Qn,1.<f. 6om. -~):{'; -~,6~ (\ ( ·.,. C/lf2' ,id}· ·70? I ,< EMAIL ADDRESS: EMAIL ADDRESS;) I CERTIFY THAT I AM THE LEGAL OWNER AND THAT ALL THE ABOVI:: l CERTIFY THAT I AM THI:: LEGAL REPRESEN"IAIWE:. Or !HE ,1 INFORMATION I TRUE AND CORRECT TO THI:: BEST OF MY OWNER AND TH/\1' ALL THE: ABOVE INFORM/\TION IS TRUF-, AND KNOWLE . CORREC1 TO TliE BEST OF MY KNOWLEDGE. l!if(J? DATE SIGNATURE DATE 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 T04:00 P.M. Form 14 Rev. 03/08 ()-e,v D?0 38-PAGE 1 OF 4 • 7) BRIEF LEGAL DESCRIPTION 8) LOCATION OF PROJECT: ON THE (NORTH. SOUTH. EAST, WEST) BETWEEN I f\ \:ef'jrto. __ tcr .i rice::. I (NAME OF STREET} 9) 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 APPLIC OTICE OF R STRICTIONS RUN WITH THE LAND AND BIND ANY SUCCESSORS IN INTEREST. FOR CITY USE ONLY Form 14 Rev. 03/08 SEP 1 0 2008 CITY OF CARLSBAD PLANNING DEPT DATE STAMP APPLICATION RECEIVED RECEIVED BY: PAGE 2 OF 4 • ~ • City of Carlsbad 1635 Faraday Avenue Carlsbad CA 92008 111111111111111111111111111111111111111111111111111111111111111 Applicant: TMOBILE Description Amount MCUP0816 4.20 701 PALOMAR AIRPORT RD CBAD Receipt Number: R0072834 Transaction Date: 12/02/2008 Transaction ID: R0072834 Pay Type Method Description Amount Payment Check 4.20 Transaction Amount: 4.20 * -;.- * * 0 oO * c,OO NC': * N _,.. N"'."'. -s:r--s:r--s:r--i(- -¢-q--s:t' ---* $-* -s:r----* * co -s:r-©J * 0 C') 0 .-::>--- 0 @s 0 co -8 u .-ffi :::E: I 0 ,.,.... 0.. ..-(D 5 0 .-U') .-U') C') r-~~ c-,..1 c:,r-LD r.? co ~ C') 0 t"J ..-0 •• co r-CO ..J 0 ::::, co.-~ C'?N 0 u c,O <C >, ~-g~co C/) C') r-B 0 .• <Cl 1-COO co o-o -0 * -0 -~c=::i-8 .. ,-,o~.-I-0 Q) * ... .--> Q) )I-J1s ._ a,oN ~ ~ •• co (lj ,,..... :;i:-.-(.) * U-1 ..... 0 ~~ * w a, :C -;;:r ~ -I-' C/) ..... * 0.. .0 # a.. o.--__, C: ~t: u,.-~ 'I-z ..... a ...., ca ~ u Q) * Q) I 'I-a~ .0 -1-' .. J ._., 0:::: ca * Cd Ql '1:l ex:: •• ::is,:---·1 c.~ u (.) "7 u -I-' Cf) Q) r< • -~ ....-: c;;;. .... '4::-~>,.-~ ,_ r ' -) 9-> ~ • • City of Carlsbad 1635 Faraday Avenue Carlsbad CA 92008 lllllllllillllllllllllllllllllllllllllllllllllllllllllllllllllll Applicant: TMOBILE Description Amount MCUP0816 697.00 Not valid unless validated by Cash Reg·ister PLEASE RETAIN RECEIPT FOR REFUNDS OR ADJUSTMENTS Receipt Number: R0071802 Transaction Date: 09/10/2008 Transaction ID: R0071802 Pay Type Method Description Amount Payment Check 697.00 Transaction Amount: 697.00 * Cl ·* 0 00 * c, 0 00 * * r---t---r---r---* O') CD O') O') O') * El:>-CD coco ·* (,/9-(,/9--69-* * (") ·* N * 0 * 0 > N 0.. v-I.{') ::z c:::, N C..) gr---o.. 0 ........ ON N a:: CON "St- Olg~ 0 -.:I" UJ ~co .. LO ::z "'O .;=~~ Ov--l 0 er, v-r---<C 0 1--ca '-o i--oo I-0 Cr) ..0 ,._ Q.) ·-a:, ,_.., "St-0 co C) 0 =:i (/) Q.) .,-......._ 0 ~t.nc:::-1--O'"Cl ~, c..:i 0::: N CO ca * ,-+-' ..c O') 0 LJ.JCO ·•O 0 Q) "O * '-C(f.)c:,N o.. a =1:1:: o... > * caw,o ~ ·-=1:1:: .,-Q.) C.JUUv-c:, +-' =:i v) * I ;· R-~ ,._, ~ Q.) (.) * I -+;. u * . ) I ••••••••• --•· BDololLJ7 • -. City of Carlsbad l:iMhlhh-i•Ndfidui4JH DISCLOSURE STATEMENT Applicants statement or disclosure of certain ownership interests on all applications which will (?quire discretionary action on the part of the City Council or any appointed Board, Commission or Committee. The following information MUST be disclosed at the time of applic;ation submittal. Your proj~ot car6ot be review_eq until this info~m!,ltic:m i$ completed. Please print. . '; · .. ·. . . . . ..... r-i9t~=--:<·-:.--~ :_.=_,;-_·_,-__·-->·.;··r,:-:-c:::_::.:::<-:::;-_.·.-:/:< _-.-:.-.-_, :_,;_ < .. -. __ ·, __ · -, . -: <·-:>:· . .--_ .; . -.-/-:·=.-.-·:-._:,·--.---=_.' _: .-. :·_·•:<,-·_>/. --. --_·. P~!-~~~-!s.;~~fltiei~}~$ ;--~rtJ_n·9_~yJgµa1_, ·~rm, _:q~p._a1~!3t~~lp, "J~in~ v~n,t_u(e, ~ss.qc_i_~!,ipn, .sqcj_a.1 _c_lµb! fri=li~rQ~l ?!9c)~!t1:nc~1:1,: c9re9._r~Jl?f.l, __ ;,~~tat,~!--~9~t,J~.q~/Y,e..r;;_syn~_l~~t~_._ •r: m,$ -?!1.9.i}t.'IY. o~h.er i;:oy.n_ty! c1tr a._n,1.;c;()ur:i_ty,. :9:1~ :m~n.lftp.a_llo/i .~JJ.!nct :o.r _ _ otherp~l!t1~a! .. ~.u.~1v1~IPf!.~n1.oYJ>~l1er 9(0J.lP.9f-GOmbm_qtl9fl_acttng as ,a un1_t. • .... -;-, _·.·:.-,_. .. •. '; __ .-• .. '.-:;: • •. •• • __ .;f-_:, .. < :_" ~i~lii!i].~J~;~ii.&o~;;:;~.~ J~.~•f ~o~o/·.of.~~·~PP,1~~1~1;t;~~f ·6¾-,;)st:f 1. APPLICANT (Not the applicants 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 SELOW, If a publicly-owned corporation, in<;lude the names, titles, and addres$es of the corporate officers. (A ~ep~rate page may be attached if necessa~ , • Person . . . . . . Corp/Part iroob\ \-e . Title __________ --,-- Address" _________ _ Title ___ --,---=,--,------- Address lD\<i[) T-e\e;\~ Ccur+~?33 2. OWNER (Not the owners 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 (Le, 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% b_f the shares. IF NO INDIVIDUALS OWN MORE THAN 10% OF THE SHARES, PLEASE INDICATE NON,APPLICABLE (NIA) IN THE SPACE BELOW. If a publicly-owned corporation. include the names, titles, and addresses .of the corporate officers. (A separate page may be attach(/)d if neces.sary.) • • • • Person ~ ~ Corp/Part ec,nac., {d,~tJs~ Pactfii,Lt.A~ L._L-G Tit!~_ Titre ____________ _ Address,--______ ,__ __ Address. -------------- 1635 Fa~day_ AV\lflUS ~ Carls).)ad, CA 92008-7314 • (760) 602-4600 • FAX (760) 602-8559 • www.ctcarlsbad.ca.us @ I • •·----.. ·-· ··-·--·· ----.•. ------------------ 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 ANY person serving as an officer or director qt the non:i:irofit organization or as trustee or beneficiary of the. • •• Non Profit/Tru~t--------Non Profit/Trust ________ _ Title. ___ :_,_______ Title ____ .,--______ _ Address. _________ _ Addre_s_s. ___________ _ 4. Have you had more than $250 worth of business transacted wlt_h any member of City :staff, Boards, Co~ions, Committees and/or Council within the pal?t twelve (12) months? 0 Yes ~o If yes, please indicate pers_Qn(s): .. _ _ •• NOTE: Atta.ch ~dditional sheets if nec~ssary. I certify that all the 1;1bov~ l_nfo_rm~t.lon is true and correct to the best of my knowledge. &~~ L.,u:m~am • Keysha Bailey Vice President Print or type n?me _of owner Print ·or typ~ name of f;!ppjicant ble/date H:AD~l~COU{'JT!=Rlpl~CLOSU~.E STATEMENT 5~8 Telecommunications Project Management September 5, 2008 SD06747 Sent Via Hand Delivery City of Carlsbad Planning Department 1635 Faraday Avenue Carlsbad, CA 92008 RE: T-Mobile project Renewal CUP02-26 Carlsbad Pacific Building, 701 Palomar Airport Road Please find attached an application for a renewal of an existing CUP for T-Mobile. The project is located at 701 Palomar Airport Road. The property is located on the south side of Palomar Airport Road between A venida Encina and Interstate 5. The existing use is office. The project consists of twelve existing antennas mounted behind RF Friendly Screen walls. The project also consist of four BTS cabinets located on the roof. Please review the attached drawings and photorealizations that have been provided for your use. If you should have any questions or additional comments, please contact me at (760) 715-8703. PlanCom, Inc. Contractor Representative for T-Mobile 302 STATE PLACE ESCONDIDO, CA 92029 760-715-8703 760-735-4913 FAX 3 4 G H PALOMAR AIRPORT ©1994 Thomas Bros. Ma s VICINITY MAP SITE: 701 PALOMAR AIRPORT RD. -S006747 GC MAPPING SERVICE, INC. 3055 WEST VALLEY BOULEVARD ALHAMBRA CA 91803 (626) 441-1080, FAX (626) 441-8850 GCMAPPING@RADIUSMAPS.COM \ ,,/--.\