HomeMy WebLinkAboutMCUP 07-16; Eureka Cell Site; Conditional Use Permit (CUP) (5)MCUP & yjP ANNUAL REVI||V SHEET
INSTRUCTIONS
1. COMPLETE PROJECT INFORMATION BELOW AND PRINT COPY.
2. DOWNLOAD (DMS) RESOLUTIONS AND REVIEW ALL CONDITIONS AND
APPROVED PLANS (COORDINATE WITH OTHER DEPARTMENTS).
3. REVIEW CODE COMPLAINT HISTORY (CODE ENFORCEMENT, POLICE,
FIRE, ETC.).
4. CONTACT APPLICANT (OR OWNER) AND SCHEDULE AN APPOINTMENT
FOR THE REVIEW.
5. COMPLETE REVIEW INFORMATION SECTION DURING REVIEW.
6. HAVE PRINCIPAL PLANNER REVIEW AND SIGN.
7. PLACE COMPLETED REVIEW SHEET IN ADMIN IN BOX AND A COPY IN
PROJECT FILE.
PROJECT
CASE NAME: Eureka Cell Site
CASE NUMBERfS): MCUP 07-16, GtJF
APPROVING RESO NO(S). 5352
INFORMATION
PLANNER COMPLETING REVIEW: Gina Ruiz
PROJECT HISTORY
Does project have a code complaint history? | | Yes [X] No
If yes, check those that apply and explain below.
[ | Code Enforcement | | Police | | Fire Prevention
Comments (include corrective actions taken and date compliance obtained):
H/ADMIN/TEMPLATE/MCUPANNUALREVIEWSHEET O3/09
REVIEW INFORMATION
Has the permit expired? Q Yes ^ No Permit expires: 12/21/2012
Date of review: 6/2/2009
Name: NSA Wireless Inc., Margie Detiege [/2 Applicant [ I Owner | | Other
If other, state title:
"CURRENT APPLICANT INFORMATION:
Name: NSA WIRELESS INC Phone: 925-244-1890
Contact name (if different): MARGIE DETIEGE
Address: 2527 CAMINO RAMON #305 SAN RAMON CA 94583
Mailing (if different):
E-mail: (optional)
"CURRENT OWNER INFORMATION:
Name: MARIPOSA LLC Phone: UNABLE TO LOCATE
Contact name (if different):
Address: 4411 30™ ST #200 SAN DIEGO CA 92116
Mailing (if different):
E-mail: (optional)
Does project comply with conditions of resolution(s) and approved plans?
[X] Yes | | No If no, list below the condition(s) and/or plan aspects the project is
not in compliance with per resolution number or exhibit.
Corrective action(s) to be taken:
NONE
Date p^anner^cpmpleted follow-up review and confirmed projec^compliance:
Planner Signature^ Principal Planner Signature
* Applicant and owner information must be updated for annual review to be complete.
H/ADMIN/TEMPLATE O3/09