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HomeMy WebLinkAboutMS 05-10X1; Eucalyptus Minor Subdivision; Minor Subdivision (MS)City of Carlsbad LAND USE REVIEW APPLICATION P-1 Development Services Planning Division 1635 Faraday Avenue (760) 602-4610 www.carlsbadca.gov APPLICATIONS APPLIED FOR: (CHECK BOXES) Development Permits 0 Coastal Development Permit 0 Conditional Use Permit 0 Minor 0 Extension 0 Day Care (Large) 0 Minor 0 Environmental Impact Assessment 0 Habitat Management Permit 0 Hillside Development Permit 0 Minor 0 Minor 0 Nonconforming Construction Permit 0 Planned Development Permit 0 Minor 0 Residential 0 Non-Residential 0 Planning Commission Determination 0 Reasonable Accommodation 0 Site Development Plan 0 Minor 0 Special Use Permit 0 Tentative Parcel Map (Minor Subdivision) 0 Tentative Tract Map (Major Subdivision) 0 Variance 0 Minor (FOR DEPT. USE ONLY) Legislative Permits (FOR DEPT. USE ONLY) 1:::~ ·to k'j J'-'T . 0 General Plan Amendment 0 Local Coastal Program Amendment 0 Master Plan 0 Specific Plan 0 Zone Change 0 Amendment 0 Amendment 0 Zone Code Amendment South Carlsbad Coastal Review Area Permits 0 Review Permit 0 Administrative 0 Minor 0 Major Village Review Area Permits 0 Review Permit 0 Administrative 0 Minor 0 Major NOTE: A PROPOSED PROJECT REQUIRING MULTIPLE APPLICATIONS MUST BE SUBMITTED PRIOR TO 3:30P.M. A PROPOSED PROJECT REQUIRING ONLY ONE APPLICATION MUST BE SUBMITTED PRIOR TO 4:00P.M. ASSESSOR PARCEL NO(S).: PROJECT NAME: LOCATION OF PROJECT: f.£1\~\\?k~ 4Vlf.Lt Afv[) ftq(11-~·\y'f\J'-'~, ~,f\1\}E:._ STREET ADDRESS ON THE: }'\0¥/\t\ SIDE OF ~~~\0\\.\? \...~ANf;;. (NORTH, SOUTH, EAST, WEST) •"\' (NAME OF STREET) BETWEEN tJCAt~\'-.; ~c.--AND ~~ cAt-~"'J•rJD vrAL- VAME OF STREET') (NAME OF STREET) P-1 Page 1 of 6 Revised 03/16 OWNER NAME ~ltlllA ,, ~" w~ eG-11\~1 1~ ~-:APPLICANT NAME (Print): ~~~lb.OW~ (Print): p MAILING ADDRESS:'2{e"6'2.. \...A, CJ:P-.AA ~e MAILING ADDRESS: CITY, STATE, ZIP: CA{2-\f.£f\O C:A ~1-DDO( CITY, STATE, ZIP: TELEPHONE IUD 41lo-06M TELEPHONE: EMAIL ADDRESS: 4:\t..\J ~ 1;J\¥CtM \\ ~ ~_Gt (o{xl EMAIL ADDRESS: I CERTIFY THAT I AM THE LEGAL OWNER AND THAT ALL THE ABOVE I CERTIFY THAT I AM THE LEGAL REPRESENTATIVE OF THE OWNER INFORMATION IS TRUE AND CORRECT TO THE BEST OF MY AND THAT ALL THE ABOVE INFORMATION IS TRUE AND CORRECT TO KNOWLEDGE. I CERTIFY AS LEGAL OWNER THAT THE APPLICANT AS THE BEST OF MY KNOWLEDGE. SET FORTH HEREIN IS MY AUTHORIZED REPRESENTATIVE FOR PURPOSES OF THIS APPLICATION. (QI7,1 h w ,4~~*a-i ~~~c,..,~ NATU E DATE SIGNATURE DATE APPLICANT'S REPRESENTATIVE (Print): ~ll>'-\ D\.-'~ MAILING ADDRESS: Zlfl?1-L-A CJ??CA A:Vf;. CITY, STATE, ZIP: C-t.~S&l\0 CA Oj'lDoq TELEPHONE: (-1 (Ot') 1 .Lt:f (o ,, ?;i~jf\4 EMAIL ADDRESS: ('-,L:\~ (~.-.<' . . . • 0"\ . ?\._,'l\-.4 1'7'~~ '"'"\ .-\1-.J\\2::-. • t~ M I CERTIFY THAT I AM THE REPRESENTATIVE OF THE APPLICANT FOR PURPOSES OF THIS APPLICATION AND THAT ALL THE ABOVE INFORMATION IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE. De-. LQ It·? J '\ lQ ~1-~/\ . Sl NAJl-lRE ( DATE 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. 1/WE 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. NOTICE OF RESTRICTIONS RUN WITH THE LANDAND,8Jf\lP ... ~N JCCES~J!ASltliiN.IER.ESlj.""'.· .t?JiYIM 1\ ~..:> \ , ;-;;At--0 ;;;.>"'T~ , 1-v c.-- FOR CITY USE ONLY JUN 2 7 DATE STAMP APPLICATION RECEIVED RECEIVED BY: P-1 . Page 2 of 6 Revised 03/16 {city of Carlsbad PROJECT DESCRIPTION P-1(8) PROJECT NAME: ~~CAL>-wrfi.Y? ~C Development Services Planning Division 1635 Faraday Avenue (760) 602-4610 www.carlsbadca.gov APPLICANT NAME: ':?J·~jP"\\:I v-J~~t;;--\ 1?{iA'\, w;;;;~kr~ 1cl6 ~ I Please describe ~ully the proposed project by application type. Include any details necessary to adequately expla1n the scope and/or operation of the proposed project. You may also include any background information and supporting statements regarding the reasons for or appropriateness of, the application. Use an addendum sheet if necessary. ' Description/Explanation: [:i:\BN() ~i~~Je:-t'A.Af B"£Cfi\ZA1/D~ ·r:oe-'M~ D6-\0 .. 1P ~v:l ~f~e-~ fb(2-~\B?'f"~~Ai-co~w~~ ce.. ~VIE::. 'A.\ \I.Jf ~o ~~ QUA\A~ ;l!J'O Nf'-<~J c~~.;.,1-\1f ~~ ~ (!{'JS, 0~ r ~ ,l<f"'G\~D b-!fli:Witf,-OAI (!£~) P-1(8) Page 1 of 1 Revised 07/10 {CCityof Carlsbad DISCLOSURE STATEMENT P-1(A) Development Services Planning Division 1635 Faraday Avenue (760} 602-4610 www.carlsbadca.gov Applicant's statement or disclosure of certain ownership interests on all applications which will I 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. 2. P-1 (A) 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, titles, addresses of all individuals owning more than 10% of tlhe shares. IF NO INDIVIDUALS OWN MORE THAN 10% OF THE SHARES, PLEASE INDICATE NON-APPLICABLE (N/A) IN THE SPACE BELOW. If a publicly-own•ad corporation, include the names, titles, and addresses of the corporate officers. (A separate page may be attached if necessary.) Person {!:tt»-/ CU J~ Corp/Parf.Ji.JMJ7'11'"f ~l~ r¥8k ~~· lN{J Title yr~c? iU£~ , . Title~Wi¥~--'· ........ ~"""' . .; -'-:}\_()tB_··N\_'-.------· Address1:;lh'.t... "*. C0~1A 1\iB.~~ Address Zt..o<S.1-L-A CpSf"A Ne C~Ttit~~N:? CA-o/ti'Ji, 1 CA¥·,~~~ CA ?) 1£0 tl 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, titles, 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 01~'-J Q\_,;\ Vf:f_ Corp/Part:l\J~l'\ v.-~·-r WJ\L @S~ ~ ~(:, Title ~ Qt~) Title ((')?~4.7G\f\J Address '2061, U\ ~1A Address2A.OS 1-LAt Cv~fA··-lli/:; CMAhW Cit OJJoD1 ("fhu.h~ c;,q-Cf·-zet) c7 Page 1 of2 Revised 07/10 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 Non Profit/Trust ________ _ Title __________ _ 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 (112) months? D Yes [X} 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. . . ·;'")tttvH-c y.~?~rr Pv¥-f}:l;;.We; Pl'-t:,. ~~MI--r ~~;-r f'~4\:l._ bs~r:~~-~~ .. ·~ · · J · 11u t?i: ~l 0;---·. e~· tefz:1l1w · C!ture o owner/date Signature of applicant/date 1 $Jf"#1}t'l \\ ~?;7\ ~kl ~~ATt:?r It~ t:?tJt7\~~\ \A:~~ '?¥~ ~'Cfel~ )l-.j{:_.. q~ ·. A U.'-=1 Cl\.-' ve/2.. ¥f;J?h ~~TT ~~: t:-i \)\~ D'-' J~~ w--£;s i (~~~AI·r Pnnt or type name of owner 1 Pnr; or type name of applicant Signature of owner/applicant's agent if applicable/date Print or type name of owner/applicant's agent P-1 (A) Page 2 of2 Revised 07/1 0 {cicyof Carlsbad HAZARDOUS WASTE AND SUBSTANCES STATEMENT P-1(C) Development Services Planning Division 1635 Faraday Avenue (760) 602-4610 www.carlsbadca.gov Consultation of Lists of Sites Related to Hazardous Wastes (Certification of Compliance with Government Code Section 65962.5) Pursuant to State of California Government Code Section 65962.5, I have consulted the Hazardous Waste and Substances Sites List compiled by the California Environmental Protection Agency and hereby certify that (check one): ~ The development project and any alternatives proposed in this application are not contained on the lists compiled pursuant to Section 65962.5 of the State Government Code, D The development project and any alternatives proposed in this application ~ contained on the lists compiled pursuant to Section 65962.5 of the State Government Code. ~lf"'/r(?~~T~ Ji!S"G.~.~rVG Name: '0;-j ~'-{ [AAI.J?f;f!c 1 f£?¢ ~ Address: 21fl'G'k lr:A-(Lry;~1\;-~ CA~.;gAO tA q ·zm C1 PROPERTY OWNER Name:wiYJp/ rr <?l6-~~ wJL {~f11t~ j/" 6 Address: z~ 51. LA-. co~~tA J\J~~ LM~'?~\D CA q 1.pi:.J j Phone Number: ((QD J\1(o~?'9t4= _ Address of Site:_,' ~'-"'=~:e=-· -""-e;..>:...,;~:;:___A__,_' M-'-"-e, ··__,_--'--"-'-li_;;D"'--..tf.-.-\C_V~'l...::::.Q__~""""'· ·~_,"0"'--. ---==.......tt-()-~-=U::..:::' :::,:::__\;-=....i·~: Local Agency (City and County): CAfUr~&AO , ~"2NJ 0 I f?£$zD C::OcJc.rt'L{ Assessor's book, page, and parcel number: 2..tf'> · 0?\Q--\ tJ_ Specify list(s): __________ -,--________________ _ Regulatory Identification Number: _____________________ _ Date of List: ____________________________ _ The Hazardous Waste and Substances Sites List (Cortese List) is used by the State, local agencies and developers to comply with the California Environmental Quality Act requirements in providing information about the location of hazardous materials release sites. P-1 (C) Page 1 of2 Revised 02/13 June 27, 2016 City of Carlsbad 1635 Faraday Ave Carlsbad, CA 92008 RE: Extension Request forMS 05-10 (Eucalyptus Lane) We are applying for an extension of Tentative Parcel Map No. MS 05-10 and all associated approvals. As the new owners of this property in December 2015, we engaged a new engineer to complete the Grading Plans and Final Map. Unfortunately, due to changes in the water quality and treatment requirements, we were required to make small modifications to the Grading Plans and approved Tentative Map. We have made the necessary revisions and staff has reviewed our Substantial Conformance Exhibit. As soon as the Substantial Conformance Tentative Map is approved, we will proceed with submittal of the Grading Plans and Final Map. The requested extension for the Tentative Map will allow us time to get all of the necessary plan approvals and record the Final Parcel Map. Thank you for considering our request. Sincerely, By~/{;'-~--~~-v~_,_,\ ----'0=-=--_, -·~. Guy Oliver, President Summit West Real Estate, Inc.