HomeMy WebLinkAboutMCA 14-03; SOLAR ENERGY AMENDMENT;Ccity of
Carlsbad
LAND USE REVIEW
APPLICATION
P-1
Development Services
Planning Division
1635 Faraday Avenue
(760) 602-4610
www carlsbadca gov
APPLICATIONS APPUED FOR (CHECK BOXES)
Dtfvolnpment PenTT/ts 'FOR DEPT USE ONLY) Leaislative Permits (for dept use only)
□Coastal Development Permit (*) [H] Minor 1 1 General Plan Amendment
□Conditonal Use Permit (*)
1 1 Minor 1 1 Extension [~| Local Coastal Program Amendment (*)
□Day Care (Large)rZ Master Plan ZZ Amendment
□Environmental Impact Assessment 1 1 Specific Plan EZ Amendment
□Habitat Management Permit HH Minor rZ Zone Change (*)
□Hillside Development Permit (*) [Z] Minor 1 1 Zone Code Amendment
□Nonconformmg Construction Permit South Carlsbad Coastal Review Area Permits
□Planned Development Permit C] Minor
1 1 Residental | 1 Non-Residental
r~l Review Permit
1 1 Administrative 1 1 Minor ZZ Maior
□Planning Commission Determination
□Site Development Plan CZ Minor Villaae Review Area Permits
□Special Use Permit 1 1 Review Permit
1 1 Administrative ZZ Minor ZZ Major
□Tentative Parcel Map (Minor Subdivision)
□Tentative Tract Map (Major Subdivision)C.ip«L-\ A
(*) = eligible for 25% discount□Variance CZ Minor
NOTE A PROPOSED PROJECT REQUIRING MULTIPLE APPLICATIONS MUST BE SUBMHTED PRIOR TO 3 SO P M A PROPOSED PROJECT REQUIRING ONLY ONE
APPLICATION MUST BE SUBMITTED PRIOR TO 4 00 P M
SpIclV"- EiAfcv^y AASSESSOR PARCEL NO(S)
PROJECT NAME
v-r w I 'BRIEF DESCRIPTION OF PROJECT Sys't-e.iA/v. irc#V^L'^i^~eX
"It? Sill
BRIEF LEGAL DESCRIPTION
LOCATION OF PROJECT
ON THE
CHyjyJliLC
BETWEEN
(NORTH, SOUTH, EAST, WEST)
(NAME OF STREET)
SIDE OF
AND
STREET ADDRESS
(NAME OF STREET)
(NAME OF STREET)
P-1 Page 1 of 6 Revised 12/13
J
OWNER NAME
(Pnnt)
MAILING ADDRESS
CITY, STATE ZIP
TB-S^GNE
aiAIL ADDRESS
APPLICANT NAME (Pnnt)
MAIUNG ADDRESS /fc>3S
CITY, STATE, ZIP
TELEPHONE
EMAIL ADDRESS
C
CcLv-l
la-v-l S'Vt€A^l
AlacMlA.
S t2LOh&
I CERTIFY THAT I AM THE LEGAL OWNER AND THAT ALL THE ABOVE
INFORMATION IS TRUE AND CORRECT TO THE BEST OF MY
KNOWLEDGE
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
SIGNATURE DATE SIGNATURE DATE
APPLICANTS REPRESENTATIVE (Pnnt) Ce^A S-Hek,(
MAILING ADDRESS
CITY, STATE, ZIP
TELEPHONE
EMAIL ADDRESS
lC3S AtAel/V>\g.
Ca^ls^dL Ch
7G0-
I CERTIFY THAT I AM THE LEGAL REPRESENTATVE OF THE
APPUCANT AND THAT ALL THE ABOVE INFORMATION IS TRUE AND
CORRECT TO THE BEST OF MY KNOWLEDGE
SIGMA"DATE
/g-/^3//y
IN THE PROCESS OF REVIEWING THIS APPLICATION IT MAY BE NECESSARY FOR MEMBERS OF CITY STAFF, PLANNING
COMMISSIONERS OR CITY COUNCIL MEMBERS TO INSPECT AND ENTER THE PROPERTY THAT IS THE SUBJECT OF THIS
APPLICATION lAVE CONSENT TO ENTRY FOR THIS PURPOSE
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 APPLICANT NOTCE OF RESTRICTIONS RUN WITH
THE LAND AND BIND ANY SUCCESSORS IN INTEREST
PROPERTY OWNER SIGNATURE
FOR CITY USE ONLY
f^CErVED
DEC 0 3 20H
'^'^P,5,^VEL0PMENTengineering
DATE STAMP APPLICATION RECEIVED
RECEIVED BY
P-1 Page 2 of 6 Revised 12/13
Indemnification and Insurance Requirement for Village Area Admlnistrattve Permit
Certification Statement
I Certify that I am the Legal Business Owner of the subject business and that all of the above information is true
and correct to the best of my knowledge I agree to accept and abide by any conditions placed on the subject
project as a result of approval of this application I agree to indemnify, hold harmless, and defend the City of
Cailsbad and its officers and employees from all claims, damage or liability to persons or property ansing from or
caused directly or indirectly by the installation or placement of the subject property on the public sidewalk and/or
the operation of the subject business on the public sidewalk pursuant to this permit unless the damage or liability
was caused by the sole active negligence of the City of Carlsbad or its officers or employees I have submitted a
Certificate of Insurance to the City of Carlsbad in the amount of one million dollars issued by a company which
has a rating in the latest "Best's Rating Guide" of "A-" or better and a financial size of $50-$100 (currently class
VII) or better which lists the City of Carlsbad as "additional insured" and provides primary coverage to the City
I also agree to notify the City of Carlsbad thirty days pnor to any cancellation or expiration of the policy The
notice shall be delivered to
City Planner
City of Carlsbad
1635 Faraday Avenue
Carlsbad
The insurance shall remain in effect for as long as the property is placed on the public sidewalk or the business
IS operated on the public sidewalk This agreement is a condition of the issuance of this administrative permit for
the subject of this permit on the public sidewalk I understand that an approved administrative permit shall
remain in effect for as long as outdoor displays are permitted within the Village Review Area and the permittee
remains in compliance with the subject approved permit
Signature Date
Certification Statement
I Certify that I am the Legal Property Owner for the subject business location and that all of the above
information is true and correct to the best of my knowledge I support the applicant's request for a permit to
place the subject property on the public sidewalk I understand that an approved administrative permit shall
remain in effect for as long as outdoor displays are permitted within the Village Review Area and the permittee
remains in compliance with the subject approved permit
Signature Date
p-1 Page 3 of 0 Rewsed 12/13