HomeMy WebLinkAboutMCUP 07-04; T-Mobile/Calavera Hills Park; Conditional Use Permit (CUP) (7)CITY OF CARLSBAD
LAND USE REVIEW APPLICATION
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APPLICATIONS APPLIED FOR: (CHE
Administrative Permit
Administrative Variance
Coastal Development Permit
meConditional Use Permit
Condominium Permit
Environmental Impact Assessment
General Plan Amendment
Hillside Development Permit
Local Coastal Program Amendment
Master Plan
Non-Residential Planned Development
Planned Development Permit
ASSESSOR PARCEL NO(S).:
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(FOR
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Planned Industrial Permit
Planning Commission Determination
Precise Development Plan
Redevelopment Permit
Site Development Plan
Special Use Permit
Specific Plan
Tentative Parcel Map
Obtain from Engineering Department
Tentative Tract Map
Variance
Zone Change
List other applications not specified
(FOR
DEPARTMENT
USE ONLY)
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PROJECT NAME: T-ftDb'tlt K/6A ZflC> IPh\lL\)tSa, /4v'/k &0fnmu,nrfU VtS^
BRIEF DESCRIPTION OF PROJECT: ^m^ (£ <&tf for lMXlLi(*h'oA 0$ C, find OrtlMfUiS &rt
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Toon5) OWNER NAME (Print or Type) ])0t<A
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6) APPLICANT NAME (Print or Type)
MAILING ADORES MAILING ADDRESS
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CITY AND STATE ZIP TELEPHONE CITY AND STATE ZIP TELEPHONE
EMAIL ADDRESS:EMAIL ADDRESS:
I CERTIFY THAT I AM THE LEGAL OWNER AND THAT ALL THE ABOVE
INFORMATION IS TRUE AND CORRECT TO THE BEST OF MY
I CERTIFY THAT I AM THE LEGAL REPRESENTATIVE OF THE
OWNER AND THAT ALL THE ABOVE INFORMATION IS TRUE AND
CORRECTED yfllE BEST OF MY KNOWLEDGE.
SIGNATURE DATE SI DATE
7) BRIEF LEGAL DESCRIPTION
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NOTE: A PROPOSED PROJECT REQUIRING MULTIPLE APPLICATIONS BE FILED, lfasT 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
/ 8) LOCATION OF PROJECT:
ON THE
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11) NUMBER OF EXISTING
RESIDENTIAL UNITS
14) PROPOSED IND OFFIC
SQUARE FOOTAGE
17) PROPOSED INCREASE
INADT
20) EXISTING GENERAL
PLAN
23) PROPOSED ZONING
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(NAME OF STREET)
12) PROPOSED NUMBER
OF RESIDENTIAL UNITS
15) PROPOSED COMM
SQUARE FOOTAGE
18) PROPOSED SEWER
USAGE IN EDU
21) PROPOSED GENERAL
PLAN DESIGNATION
24) HABITAT IMPACTS
IF YES, ASSIGN HMP #
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10) PROPOSED NUMBER OF LOTS
13) TYPE OF SUBDIVISION
16) PERCENTAGE OF PROPOSED
PROJECT IN OPEN SPACE
19) GROSS SITE ACREAGE
22) EXISTING ZONING
25) 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
Tp F4NTRY F.0-R TfflS PURPOSE
SIGNA
FOR CITY USE ONLY
FEE COMPUTATION
APPLICATION TYPE FEE REQUIREDF
AL FEE REQUIRED
CITYC
KLAN NING DEPT
IBAD:PT
^!TY OF GARLS-AD
PLANNING DSKT
DATE STAMP APPLICATION RECEIVED
RECEIVED BY:
Form 14
PL AN COM I
Telecommunications Project Management
Febaiary 14, 2007
SD06378
Sent Via Hand Delivery
City of Carlsbad
Planning Department
1635 Faraday Avenue
Carlsbad, CA 92008
RE: T-Mobile project Renewal CUP001-1 7
Calavera Hills Community Park, 2997 Glasgow Drive
Please find attached an application for a renewal of an existing CUP for T-Mobile. The
project is located at 2997 Glasgow Drive. The project site is located on the east side of
Tamarack Avenue between Carlsbad Village Drive and El Camino Real. The property is
zoned PC and its existing use is a park.
The project consists of six existing antennas in three sectors of two antennas each. The
antennas are located on an existing 80' high light standard. The project also consist of
two BTS cabinets located on the ground.
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 "~"
Krystal Patterson
302 STATE PLACE ESCONDIDO, CA 92029 760-715-8703 760-735-4913 FAX
City of Carlsbad
Planning Department
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 time of application submittal. Your project cannot be
reviewed until this information is completed. Please print.
Note: • - - .
Person is defined as "Any individual, firm, co-partnership, joint venture, association, social club, fraternal organization,
corporation, estate, trust, receiver, syndicate, in this and any other county, city and county, city municipality, district or
other political subdivision or any other group or combination acting as a unit."
Agents may sign this document; however, the legal name and entity of the applicant and property owner must be
provided below.
1. 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_
Title
Corp/Part_
Title
Address Address
2. 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
names, titles, and addresses of the corporate officers. (A separate page may be attached if
necessary.)
Corp/Part _ _
Title_ _
Address
1635 Faraday Avenue • Carlsbad, CA 92008-7314 • (760) 602-4600 • FAX (760) 602-8559 • www.ci.carlsbad.ca.us
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 of the non-profit
organization or as trustee or beneficiary of the.
Non Profit/Trust_
Title
Non Profit/Trust,
Title
Address Address
4.Have you had more than $500 worth of business transacted with any member of City staff,
Boards, Commissions, Committees and/or Council within the past twelve (12) months?
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.
Signature of owner/date
(Lt TY
Signature of applicant/date
Print or type name of owner Print or type name of applicant
Signature of owner/applicant's agent if applicable/date
Prinfor/type name of owner/applicant's agent
H:ADMIN\COUNTER\DISCLOSURE STATEMENT 12/06 Page 2 of 2
T Omnipoint Communications, Inc.
a subsidiary of T-Mobile USA Inc.
3 Imperial Promenade, 11lh FL
Santa Ana, California 92707
May 25, 2005
To Whom it May Concern:
Plancom, Inc. and its employees and agents are authorized representatives of Omnipoint
Communications, Inc. (OCI) a subsidiary of T-Mobile, USA, Inc., and have been contracted to
perform real estate leasing, land-use entitlements and architectural & engineering services for
OCI telecommunication facilities.
As an authorized representative of OCI, Plancom, Inc., may: sign, submit, review land-use
applications and permits, represent at hearings, accept conditions of approval, and negotiate
leases on OCI's behalf. All final documents are subject to OCI's review and approval.
If there are any questions or comments, please contact me immediately.
Sincerely yours,
Bryce O. Walker
OCI Area Senior Manager
Real Estate & Construction
(949)394-1088