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HomeMy WebLinkAboutCD 16-10; T-Mobile Carlsbad HS WCF; Administrative Permits (ADMIN)CITY OF CARLSBAD APPLICATION FORM FOR CONSISTENCY DETERMINATION APPLICATION CITY USE ONLY Project Number: ... P~JECT NfME: Carlsbad High School __ As~~~~~P~I Number(s): 205--140-~~~-------------_______ _ Description of proposal (add attachment If necessary): edification of existing wireless faciltlty at Carlsbad High School ••"•<m ,,__ --- to include Installation of (3) new antenna and (3) newRRU units <:)_l'l_H ~rama in existing lease area. ----- -----------~- Would you like to orally present your proposal to your assigned staff planner/engineer? Yes 0 No Please list the staff members you have previously spoken to regarding this project. If none, please so state. Austin Silva ------------------- OWNER NAME (Print): Carlsbad Unified School District MAILING ADDRESS: 6225 El Camino Real CITY, STATE, ZIP: Carlsbad, CA 92009 TELEPHONE: {760) 331-6923 EMAIL ADDRESS: ekroenke@cartsbadusd.net •awner's signature Indicates permission to conduct a preliminary review for a development proposal. IN THE PROCESS OF REVIEWING THIS APPLICATION IT MAY BE NECESSARY FOR MEMBERS OF CITY STAFF TO INSPECT AND ENTER THE PROPERTY THAT IS THE SUBJECT OF THIS 1 APPLICATION. INVE CONSENT TO ENTRY FOR THIS PURPOSE. I · CERTIFY THAT 1. AM THE LEGAL OWNER AND THAT ALL THE ABOVE INFORMATION IS TRUE AND CORRECT TO THE BEST OF ~~ ~~ DATE --------------- APPliCANT NAME (Print): T-Mobile West, LLC MAILING ADDRESS: 10509 VIsta Sorrento Pkwy Suite 206 CITY. STATE, ZIP: San Diego, CA 92121 TELEPHONE: 858-334-6112 ~--~---------------EMAIL ADDRESS: Joseph.Rose41@T ·Moblle.com I CERTIFY THAT I AM THE LEGAL REPRESENTATIVE OF THE OWNER AND THAT ALL THE ABOVE INFORMATION IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE. APPLICANrS REPRESENTATIVE {Print): Smartflnk, LLC (Jeff McConnell) ----------~--------~------------------------------1 MAILING ADDRESS: 18401 Von Karman Ave., Suite 400 I CITY, STATE, ZIP: -lrv-in-e.-C-A-92_6_1_2.;._ ___ ..,.:_ _______________________ __ ' ___ ;...._ _____ ill"""""-~----------------------------------- TELEPHONE: 949-933-3918 ----------------------------EMAIL ADDRESS: jmcconnell@smartlinkllc.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 ~ _!LuA. ~~ __ , zo It. ~-AfJ'f ( OAT FEE REQUIRED/DATE FEE PAID: RECEIVED BY: P-16 Page 2 of 2 ---~-----· Revised 00114 urr0t~t1LfA ·J;G:·J o L{v·'L / RESOLUTION DESIGNATING AUTHORIZED AGENT TO SIGN SCHOOL ORDERS (COMMERCIAL WARRANTS) and CONTRACTS (Resolution No. 26D-1415) --------=C-=arl:.:.::s:.::b;.:a.:.d ..:U;.:.:n~ifi~ed;:::.._ ___ School District, San Diego County ON MOTION OF member W -i. e. e. -i. <l m ..6 on , seconded by member__;;;J.....;;o....;.;n;..:::;e.....;;-6 __________ _ effective July 1. 2015 through June 30. 2016 IT IS RESOLVED AND ORDERED that, pursuant to the provisions of Education Code Section 42632 or 85232, Suzette Lovely. Ed.D •• Suzanne O'Connell. Richard Grove or Robert Nye. Ed.D. be and are hereby authorized to sign any and all orders in the name of said District, drawn on the funds of said District. IT IS FURTHER RESOLVED AND ORDERED that, Suzette Lovelv. Ed.D •• Suzanne O'Connell, Richard Grove or Robert Nye, Ed.D. be and are hereby authorized to execute any and all contracts and agreements after approval or with ratification by the Board in the name of said District. IT IS FURTHER RESOLVED that this motion shall stand and that all additions and deletions shall be submitted in writing to the San Diego County Office of Education. PASSED AND ADOPTED by said Board of Trustees on _.....:M=ayr.....:..;13::.·-=2::.::0~1.:.5 ___ .by the following vote: (date} AYES: 4 MEMBERS W-<.ee-&~m-6, Jone.-6, W-i.eUtlm..6on, Pe.<IJt..6on ---- NOES: __ o __ MEMBERS ABSENT: MEMBERS Rtl e Ung-6 STATE OF CALIFORNIA } COUNTY OF SAN DIEGO ) SS I, Elisa Williamson , Clerk of the Board of Trustees, do hereby certify that the foregoing is a full, true, and correct copy of a resolution duly passed and adopted by said Board at a regularly called and conducted meeting held on said date. Manual signature(s) of authorized person(s): San Diego County Office of Education Clerk of the oveming Board Facsimile signatureCsl, if applicable: (Rubber Stamp) Resolution 4