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Home My WebLink AboutMCUP 13-06; VERIZON WIRELESS CALAVERA HILLS - 1ST EXTENSION; Minor Conditional Use Permit (MCUP)( City of Carlsbad LAND USE REVIEW APPLICATION P-1 Development Services Planning Division 1635 Faraday Avenue (442) 339-2610 www.carlsbadca.gov APPLICATIONS APPLIED FOR: (CHECK BOXES) Development Permits D 'Coastal Development Permit l:;zJ Conditional Use Permit D Minor D Extension D Day Care (Large) D Minor D Environmental Impact Assessment D Habitat Management Permit D Minor D Hillside Development Permit D Minor D Monconforming Construction Permit D Planned Development Permit D Minor D Residential D Non-Residential D Planning Commission Determination D ,Reasonable Accommodation D ,Ste Development Plan D Special Use Permit D Minor D Tentative Parcel Map (Minor Subdivision) 0 Tentative Tract Map (Major Subdivision) D Variance D Minor (FOR DEPT. USE ONLY) Legislative Permits I )t -ex+tr1 ~ 1u}) Mrv'{J1b-O~ D General Plan Amendment D Local Coastal Program Amendment □ Master Plan D Amendment □ Specific Plan D Amendment □ Zone Change D Zone Code Amendment South Carlsbad Coastal Review Area Permits D Review Permit D Administrative D Minor D Major Village Review Area Permits D Review Permit D Administrative D Minor D Major (FOR DEPT. USE ONLY) NOTE: A PROPOSED PROJECT REQUIRING APPLICATION SUBMITTAL MUST BE SUBMITTED BY APPOINTMENT". PLEASE CALL 442-339-2600 TO MAKE AN APPOINTMENT. *SAME DAY APPOINTMENTS ARE NOT AVAILABLE ASSESSOR PARCEL NO(S): 167-101-35 ----------------------------------- LO CAT lO N OF PROJECT: 2997 Glasgow Drive ----------------------------------- NAME OF PROJECT: BRJEF DESCRIPTION OF PROJECT: PROJECT VALUE (SITE IMPROVEMENTS) FOROTY USE ONLY N/A (STREET ADDRESS) VZW Calvera Hills To continue operation of an existing wireless facility ESTIMATED COMPLETION DATE N/A Deve1opment No. J) E \/ i 2 -/ / P-1 Page 1 of 6 Revised 3/22 OWNER NAME {PLEASE PRINT) APPLICANT NAME {PLEASE PRINT) INDIVIDUAL NAME INDIVIDUAL NAME {if applicable): Curtis Jackson, Real Estate ManagE r {if applicable): COMPANY NAME COMPANY NAME {if applicable): City of Carlsbad (if applicable): Verizon Wireless MAILING ADDRESS: 1200 Carlsbad Village Drive MAILING ADDRESS: 15505 Sand Canyon Ave, 0-1 CITY, STATE, ZIP: Carlsbad, CA 92008 CITY, STATE, ZIP: Irvine, CA 92618 TELEPHONE: 442-339-2836 TELEPHONE: EMAIL ADDRESS: curtis.jackson@carlsbadca,gov 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 PUR~SES 0~ T?)I'. APPLl£C~ATION. 6/23/22 IA_/1 'A>Jt,, see attached LOA ;,,r SIGNATURE {/ DATE SIGNATURE DATE APPLICANT'S REPRESENTATIVE (Print): Jill Cleveland, Plancom Inc. MAILING ADDRESS: 302 State Place CITY, STATE, ZIP: Escondido, CA 92029 TELEPHONE: 760-420-4833 EMAIL ADDRESS: jill.cleveland@plancominc.com 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. -~C/~L 6/3/22 SIG TURE 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. I/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 LAND AND BIND ANY SUCCESSORS IN INTEREST. e~~n, PROPERTY~ FOR CITY USE ONLY P-1 Page 2 of6 JUL 11 2022 CiT'/ OF ~:AHLSBAO 0 1 ~ 1\ l ~-\ i t\ ,,--., -l \ / , :...., , r 1 ··-· • • • • ., • ). j ' ~, • -•'' DATE STAMP APPLICATION RECEIVED RECEIVED BY: Revised 3/22 .. , { City of Carlsbad DISCLOSURE STATEMENT Development Services Planning Division P-1(A) PECJ:!V !::D JUL 11 2022 1635 Faraday Avenue (442) 339-2610 www.carlsbadca.gov CITY Or Ct, ,L~BAD 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, 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___________ Corp/Part Verizon Wireless Title____________ Title _____________ _ Address __________ _ Address 15505 Sand Canyon Ave D-1 , Irvine, CA 92618 2. OWNER (Not the owner's agent) P-1(A) 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 Curtis Jackson Title Real Estate Manager Address 1200 Carlsbad Village Drive Carlsbad, CA 92008 Corp/Part~----------- Title ______________ _ Address ____________ _ Page 1 of 2 Revised 3/22 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 (12) months? D Yes D 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 Signature of applicant/date Print or type name of owner Print or type name of applicant Jill Cleveland, Plancom Inc., Agent for Verizon Wireless Print or type name of owner/applicant's agent P-1(A) Page 2 of2 Revised 3/22 ,r .. ________________________________________ _ ( Cicyof Carlsbad HAZARDOUS WASTE AND SUBSTANCES STATEMENT P-1(C) Development Services Planning Division 1635 Faraday Avenue (442) 339-2610 C ~ww.carlsbadca.gov Consultation of Lists of Sites Related to Haz~J~~:S yy~st~ !,LSBAO (Certification of Compliance with Government Code-S~fon"6596i 5f 2':, 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): [;;zJ 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 are contained on the lists compiled pursuant to Section 65962.5 of the State Government Code. APPLICANT Name: Verizon Wireless Address: 15505 Sand Canyon Ave, D-1 Irvine, CA 92618 Phone Number: 760-420-4833 Address of Site: 2997 Glasgow Drive PROPERTY OWNER Name: Curtis Jackson, Real Estate Manager Address: 1200 carlsbad Village Drive Carlsbad, CA 92008 Phone Number: 442-339-2836 Local Agency (City and county): Carlsbad, San Diego County Assessor's book, page, and parcel number:_1_6_7_-1_0_1_-3_5 ________________ _ Specify list(s):_N_/_A ___________________________ _ Regulatory Identification Number:_N_/_A _____________________ _ Date of List: N/A ------------------------------- Q.tt ~ Agent for Verizon Wireless 6/3/22 ~ ~>e-~ Applicant Signature/Date Property Owner Situreioate 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 3/22 ~ veriZR..ftwireless Verizon Wireless 15505 Sand Canyon Avenue Irvine, CA 92618 LETTER OF AUTHORIZATION (APPLICATION FOR ZONING/LAND USE ENTITLEMENTS) Verizon Wireless {VAW) LLC, a Delaware limited liability company, d/b/a Verizon Wireless, authorizes Plancom Inc. to act as an Agent on the undersigned's behalf for the sole purpose of obtaining land use approvals, building permits and related permits, including public hearings affecting Verizon Wireless land use entitlement applications in all jurisdictions throughout Southern California. Please direct all project related correspondence to Plancom, Inc., located at 302 State Place, Escondido, CA 92029, and their authorized representatives listed below: Darrell Daugherty Kerrigan Diehl Curtis Diehl Shelly Kilbourn Jill Cleveland Robert Medina Duffy Daugherty Rodney Philhower Brent Helming Greg Moorad Bill Booth Jeremy Booth Randy Williams Randy Dickamore Krystal Patterson Ted Marioncelli Authorized By: ~},l~ iJM,~ill.l.✓"~ Irene Hukkelhoven, Manager Network Real Estate Verizon Wireless 15505 Sand Canyon Avenue Building D-1 Irvine, CA 92618 Date r s.:.: ,1_~f"'.J:•]tJ cO JUL 1 1 2022 u : y G :Ar~LSBAD ,..... -,, /1,...,j,... ..___, _J.✓.--,1 -· PLANCOM ! Telecommunications Project Management July 6, 2022 City of Carlsbad Development Services Department Planning Division 1635 Faraday Avenue Carlsbad, CA 92008 RE: VZW Calvera Hills Minor CUP 13-06 @ 2997 Glasgow Drive Dear Planner, Sent Via Hand Delivery RECF=I VED JUL 1 1 2022 Cl:' 0 -.;ARLSBAD On behalf of Verizon Wireless, we are submitting a CUP Renewal application and supporting documentation in order to renew the prior approval of CUP 13-06, which expires July 1, 2023. The project site is located at 2997 Glasgow Drive. We are requesting the renewal be processed at this time as the lease renewal with the City of Carlsbad is contingent on the completion of the CUP renewal. The existing Verizon site consists of an existing ball field light pole within a City of Carlsbad park and the ground equipment is concealed in an underground vault. The property is zoned as Planned Community (P-C). Included with this submittal are the following documents: • Land Use Review Application package (P-1, PllA, P-lC) • Zoning Drawings of existing conditions • RF EME report • Previous Zoning Approval • LOA-VZW & Plancom We appreciate your assistance with this project application. I will be the contact person for this project. Should you have questions or need additional information, please do not hesitate to contact me directly at (760) 420-4833 or at jill.cleveland@plancominc.com. Sincerely, ~.~ Agent for Verizon Wireless Enclosures 302 State Place Escondido, CA 92029 760-420-4833 mobile 760-735-4913 fax