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Home My WebLink AboutAV 07-08; PATTERSON AV; Administrative Variance (AV)~ 70-- CITY OF CARLSBAD LAND USE REVIEW APPLIC ECK BOXES) cM&— :rz (FOR DEPT USE ONLY) FOR DEPT USE ONLY) [] Administrative Permit El Planned Development Permit [I] Administrative Variance [J Planned Industrial Permit A V 07- 0 j' Coastal Development Permit [I Conditional Use Permit H Planning Commission Determination [I] Precise Development Plan Condominium Permit Redevelopment Permit LI Environmental Impact Assessment LI Site Development Plan General Plan Amendment Special Use Permit [I] Habitat Management Plan Permit Specific Plan [J Hillside Development Permit Local Coastal Program Amendment 11111 Tentative Parcel Map Obtain from Engineering Department fl Tentative Tract Map Li Master Plan Variance [I] Minor Conditional Use Permit [I] Zone Change Non-Residential Planned Development fl List other applications not specified 2) ASSESSOR PARCEL NO(S).: 'Lo(0 o4-'2.. go 3) PROJECT NAME: 7'41 rYrR.co N 'p1/ 4) BRIEF DESCRIPTION OF PROJECT: dS7- R',? 'Y,W?/ flit-CE ,r- p,.wit' TRflZ4 R / ici 7M,i - a 0-W 10 5) OWNER NAME (Priitozjype) 6) APPLICANT NAME (Print or Type) 23 zi- -'T-ip coW MAILING ADDRESS MAILING ADDRESS 399~K/BISL!1)0'R CITY AND STATE ZIP TELHON I C,vRJ9a,y 3,çz, 92 ew 'CITY AND STATE ZIP TELEPHONE EMAIL ADDRESS: EMAIL ADDRESS: I CERTIFY THAT I AM THE LEGAL OWNER AND THAT ALL THE ABOVE RMATION 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 LKNO CORRECT TO THE BEST OF MY KNOWLEDGE. NA3ZJRE ATE /I SIGNATURE DATE NOTE: A PROPOSED PROJECT REQUIRING MULTIPLE APPLICATIONS BE FILED, MUST 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 Rev. 06,07 PAGE 1 OF 4 7) BRIEF LEGAL DESCRIPTION . 8) LOCATION OF PROJECT: <95 i-h bt scccs u-- STREETADDRESS ON THE I SIDE OF I I (NORTH, SOUTH. EAST. WEST) (NAME OF STREET) BETWEENI I ANDI I (NAME OF STREET) (NAME OF STREET) 9) 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 TO ENTRY FOR THIS PURPOSE. 10) PROPERTY OWNER ACKNOWLEDGES AND CONSENTS TO A NOTICE OF RESTRICTION FILED ON THE PROPERTY TITLE IF CONDITIONED FOR THE APPLICANT. CERTAIN APPROVALS (SUCH AS A CONDITIONAL USE PE RUN IT T E ND AND BIND ANY SUCCESSORS IN INTEREST. P PERTh' OWNER SIGNATURE FOR CITY USE ONLY O'4 I t 101 DATE STAMP APPLICATION RECEIVED RECEIVED BY- la dexii2r Form 14 Rev. 0607 PAGE 2 OF 4 Citv of- Carlsbad F Plan De rtrne 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 sAny 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. 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 Corp/Part Title Title Address Address 2. OWNER (Not the owners 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.) Person g'4s 7ScA) Title 6P Le' i) Address 5'995 Address (q,2$fl7, U L 72 oô/ 1635 Faraday Avenue • Carlsbad, OA 92008-7314 • (760) 6024600 • FAX (760) 60248559 • 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__________________ Non ProfitiTrust______________________ Title Address Address 4. Have you had more than $500 worth of business transacted with any member of City staff, , Boards, CoANosions, Committees and/or Council within the past twelve (12) months? Yes 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. ,éP/t 7 Signature I5,øSNner/date 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 Print or type name of owner/applicant's agent H-ADMIN\CoUNTERDISCLosIJRE STATEMENT 12106 Pa)( 2 El . PROJECT NAME: APPLICANT NAME: nflso Please describe fully the proposed project by application type. Include any details necessary to adequately explain 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: Rt- oR 7-c, ?AK t'L ThW JA' fO >/hta stre#CK Project Description 10/96 Page 1 of 1 11 HAZARDOUS WASTE AND SUBSTANCES STATEMENT 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 65962.5,1 have consulted the Hazardous Wastes and Substances Sites List compiled by the California Environmental Protection Agency and hereby certify that (check one): D 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. PROPERTY OWNER 'A. Name: Name:__________________________________________ Address: Phone Phone Number: Address Local Agency (City and County):_______ Assessor's book, page, and parcel number: Specify list(s):_____________________ Regulatory Identification Number:_______ Date of List:____ / Applicant Signature/Date Property Owner Signature/Date AdmiaCountcrHazWaste ez . C The Hazardous Waste and Substances Sites (Cortese List) is a planning document 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. Government Code section 65962.5 requires the California Environmental Protection Agency to develop at least annually an updated Cortese List. Below is a list of agencies that maintain information regarding Hazardous Waste and Substances Sites. Department of Toxic Substances Control www.dtsc.ca.gov/database/calsites Calsites Hotline (916) 323-3400 State Water Resources Control Board www.swrcb.ca.gov/cwphomellustis County of San Diego Certified Unified Program Agency (CUPA) Mike Dorsey Chief, Hazardous Materials Division Department of Environmental Health Services Hazardous Materials Management Division Mailing address: P.O. Box 129261 San Diego, CA 92112-9261 (619) 338-2395 Call Duty Specialist for General Questions at (619) 338-2231 fax: (619) 338-2315 www.co.san-diego.ca.us Integrated Waste Management Board www.ciwmb.ca.pov 916-2554021 Environmental Protection Agency National Priorities Sites ("Superfund" or "CERCLIS") www.epa.pov/superfund/sites/cursites (800)424-9346 National Priorities List Sites in the United States www.ena.pov/superfund/sites/npl/npl.htm 5119/03 QD CITY OF CARLSBAJ) tPLICATION REQUIREMENTS FOR- VEHICLE (1(V) ADMINISTRATIVE VARIANCE RV Administrative Variance: A variance granted by the Planning Director to allow a recreational vehicle (i.e. boat, trailer) to be parked in the required front yard setback area of a single-family residence that is located in a single-family residential zone. An RV Administrative Variance application is required whenever an applicant desires to park a recreational vehicle in a front yard setback. An RV variance may be approved as an administrative act by the Planning Director. Submitting your application: Submit your application, plans and fees at the public counter of the Planning Department at 1635 Faraday Avenue, (760) 602-4610. Your application will not be accepted unless all of the required materials are submitted. See Fee Schedule for processing fee amounts. Appeal procedures for RV Administrative Variances: If your RV Administrative Variance is denied by the Planning Director, you may appeal this decision to the Planning Commission. You must draft a letter requesting the appeal, submit it to the Planning Director, and pay the required fee within ten (10) calendar days from the date of the decision. If your RV Administrative Variance is denied by the Planning Commission, you may appeal this decision to the City Council. You must submit a letter requesting the appeal and pay the required fee to the City Clerk within ten (10) calendar days from the date of the Planning Commission decision. See fee schedule for required appeal fees. The following materials shall be submitted for each application or for combined applications on a single project. L REQUIRED PLANS (All required plans shall be collated into complete sets, stapled toeether, then folded to 9"i 12" with lower right band corner of plan visible.) A. SITE PLAN - Four (4) copies prepared on 24" x 36" sheet(s). The site plan shall include the following information: 1. GENERAL INFORMATION o a. Name and address of applicant, engineer and/or architect, etc. Ob. Footprint of all buildings and/or structures. Dc. Dimensions and locations of driveway(s). Dd. Distance between buildings and/or structures. De. Building setbacks (front, rear and sides). flf. Location, height and materials of walls and fences. 0g. A summary table of the following: Do) Site acreage. .3,R 1?S 0(2) Existing Zone and General Plan Land Use Designation. I 0(3) Buildingsquarefootage- ?Li'l B. PHOTOGRAPHS of the front, sides and rear of the property. H. REQUIRED DOCUMENTS AND SUBMITTAL ITEMS [IA. A completed Land Use Review Application Form. DB. Completed RV Variance Justification Form. DC. Disclosure Statement. (Not required for tentative parcel maps.) DD. Completed "Project Description/Explanation" sheet. t • $4 4$ 4$$•• 4444444444$t• 4$• $ • • • Form II Revised 11/06 Page 1 of - FIE. Property Owners List addressed Labels. n NOTE: WHEN THE APPLICATION IS TENTATIVELY SCHEDULED TO BE HEARD BY THE DECISION MAKING BODY, THE PROJECT PLANNER WILL CONTACT THE APPLICANT AND ADVISE HIM TO SUBMIT THE RADIUS MAP, TWO SETS OF THE PROPERTY OWNERS LIST AND LABELS. THE APPLICANT SHALL BE REQUIRED TO SIGN A STATEMENT CERTIFYING THAT THE INFORMATION PROVIDED REPRESENTS THE LATEST EQUALIZE)) ASSESSMENT ROLLS FROM THE SAN DIEGO COUNTY ASSESSOWS OFFICE. THE PROJECT WILL NOT GO FORWARD UNTIL THIS INFORMATION IS RECEIVED. 1. A typewritten list of the names and addresses of all property owners within a 300-foot radius of the subject property (including the applicant and/or owner). The list shall include the San Diego County Assessor's parcel number from the latest assessment rolls. 2. Mailing Labels - two (2) separate sets of mailing labels of the property owners within a 300 foot radius of the subject property. For any address other than a single-family residence, an apartment or suite number must be included. DO NOT provide addressed envelopes - PROVIDE LABELS ONLY. Acceptable fonts are: Anal II pt, Anal Rounded MT Bold 9pt, Courier 14 pt, Courier New 11 pt, and MS Line Draw II pt. Sample labels are as follows: ACCEPTABLE Mrs. Jane Smith 123 Magnolia Ave., Apt #3 Carlsbad, CA 92008 ACCEPTABLE (with APN) 209-060-34-00 MRS JANE SMITH APT 3 123 MAGNOLIA AVE CARLSBAD CA 92008 3. A map to scale not less than I" = 200' showing each lot within a 300 foot radius of the exterior boundaries of the subject property. Each of these lots shall be consecutively numbered and correspond with the property owners list. The scale of the map may be reduced to a scale acceptable to the Planning Director if the required scale is impractical. •4...... •,...... . . . . •4...... . , . , . . , , •... fonn II Revised 11/06 Page 2of3 - 4• a 1 JUSTLF•ION FOR RV ADMINISTRATIVE IbANCE An RV Administrative Variance may be approved if the Planning Director determines that access to the side or rear yard cannot be provided. In order to approve the request, the Planning Director shall be required to make the following findings. Please read these carefully and explain how the proposed project meets each of them. Use additional sheets if necessary. 1. Parking in or access to the side or rear yard would require one of more of the following: a) extensive grading, b) structural alteration to the existing residence, or c) the removal of significant or unique landscaping. A fence shall not be deemed to prevent access to the side or rear yard. ns IWA' C 1-. I I 725'?I :119/ L4 .'ot ,i r Jy57ft'VCt 84' tWV//tfl tP1fojOAf1t*>I Jvr,QL'. 2. Parking of the recreational vehicle in the front yard would not interfere with visibility to or from any street. 3. Parking of the recreational vehicle in the front yard would not interfere with traffic on the street or sidewalk nor encroach into the street and utility right-of-way. M /2t' /,v FWwrYmTh boEt ,v /4'Iec sv it "" t &7/'I&tT 7WE 779,iLtt? IS .V51,RN I) P,5Vi/( &F rrA' fl'C K & S 77f ,w24ees 7/fiS P/K / Al yW y 7) Ri nvry E" 7Ji-2PX' 1>' yztS,) yFA/'Z4'1'4 &M ~ 3/(J4)Vt No9t4'Lk _ 7¼f7? JoLc • • • • • . • •••.•.•• . • • • • . •• •• • • • . • • • . . • • • • • . Form 11 Revised 11/06 Page of