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Home My WebLink AboutCT 00-21X2A; HOLLY SPRINGS; Tentative Map (CT)City of Carlsbad APPLICATIONS APPLIED FOR: (CHECK BOXES) LAND USE REVIEW APPLICATION P-1 Deve.lopment Services Planning Division 1635 Faraday Avenue (760) 602-4610 www.carlsbadca.gov Development Permits (FOR DEPT. USE ONLY) Legislative Permits (FOR DEPT. USE ONLY) D Coastal Development Permit 0 Minor D Conditional Use Permit 0 Minor 0 Extension D Day Care (Large) D Environmental Impact Assessment 0 Habitat Management Permit 0 Hillside Development Permit 0 Minor D Minor 0 Nonconforming Construction Permit 0 Planned Development Permit 0 Minor 0 Residential D Non-Residential 0 Planning Commission Determination 0 Reasonable Accommodation 0 Site Development Plan 0 Special Use Permit 0 Minor 0 Tentative Parcel Map (Minor Subdivision) Ill Tentative Tract Map (Major Subdivision) D Variance D Extension Minor C1 Oo _Q.f)t D General Plan Amendment D Local Coastal Program Amendment D Master Plan 0 Specific Plan D Zone Change 0 Amendment D Amendment D Zone Code Amendment South Carlsbad Coastal Review Area Permits D Review Permit D Administrative 0 Minor D Major Village Review Area Permits D 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).: 168-050-57 --------------------------------------------------------------------- PROJECT NAME: Holly Springs 42 Subdivision Tentative Map CT 00-21 Extension BRIEF DESCRIPTION OF PROJECT: Request for 2-year extension to Tentative Map CT 00-21 BRIEF LEGAL DESCRIPTION: Parcel C of Certificate of Compliance recorded 3/27/07 as File No. 2007-0205874 LOCATION OF PROJECT: East offuture College Blvd. Reach A, South of Future Cannon Road Reach 4 ON THE: East (NORTH, SOUTH, EAST, WEST) BETWEEN Cannon Road (NAME OF STREET) P-1 STREET ADDRESS SIDE OF College Blvd. Reach A (Future) (NAME OF STREET) AND El Camino Real (NAME OF STREET) J)f\/OOf~3 Page 1 of6 Revised 03/16 OWNER NAME (Print): Holly Spring Development LLC • MAILING ADDRESS: P.O. Box 2484 ---------------------------CITY, STATE, ZIP: Carlsbad, CA 92018 TELEPHONE: (760) 594-4200 EMAIL ADDRESS: kcablay@seabournecorp.com I CERTIFY THAT I AM THE LEGAL OWNER AND THAT ALL THE ABOVE INFORMATION IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE. I CERTIFY AS LEGAL OWNER THAT THE APPLICANT AS SET FORTH HEREIN IS MY AUTHORIZED REPRESENTATIVE FOR PURPOS S OF THIS LIGATION. ~ ~"' DATE APPLICANT NAME (Print): Holly Spring Development LLC MAILING ADDRESS: P.O. Box 2484 ----------------------------CITY, STATE, ZIP: Carlsbad, CA 92018 TELEPHONE: (760) 594-4200 ----------------------------EMAIL ADDRESS: kcablay@seabournecorp.com I CERTIFY THAT I AM THE LEGAL REPRESENTATIVE OF THE OWNER AND THAT ALL THE ABOVE INFORMATION IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE. ~~ DATE APPLICANT'S REPRESENTATIVE (Print): Paul J. Klukas; PLANNING SYSTEMS ---------------------------------------------------------MAILING ADDRESS: 1530 Faraday Ave. Suite 100 CITY, STATE, ZIP: Carlsbad, CA 92008 TELEPHONE: {760) 931-0780 X 104 EMAIL ADDRESS: pklukas@planningsystems.net I CERTIFY THAT I AM THE REPRESENTATIVE OF THE APPLICANT FOR PURPOSES OF THIS APPLICATION AND THAT ALL THE ABOVE INFO TION IS TRUE AND CORRECT TO THE BEST OF MY KN Mvl ~ " SIGNATURE -:-DA-T+--+----1 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 LAND D BIND AN SUCCESSORS IN INTEREST. R SIGNATURE FOR CITY USE ONLY JUN 03 DATE STAMP APPLICATION RECEIVED RECEIVED BY: P-1 Page 2 of6 Revised 03/16 Cicyof 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 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. ~~= . Person is defined as "Any in(jividual, 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 applicantand property owner mul?.t 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 Holly Spring Development LLC Title Title N/ A ----------------------------Address ___________________ _ Address P.O. Box 2484,Carlsbad, CA 92018 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 --------------------- Title ____________ _ Address ________________ _ corp/Part Holly Spring Development LLC Title N/A Address P.O. Box 2484,Carlsbad, CA 92018 Page 1 of 2 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 (12) months? D Yes II' I 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. Susan Kelly of Holly Springs Development LLC Print or type name of owner ~~~@ Susan Kelly of Holly Springs Development LLC Print or type name of applicant Signature of owner/applicant's agent if applicable/date Paul J. Klukas of Planning Systems Print or type name of owner/applicant's agent P-1 (A) Page 2 of 2 Revised 07/10 City of Carlsbad Faraday Center Faraday Cashiering 001 1615501-1 06/03/2016 149 Fri, Jun 03, 2016 02:01 PM Receipt Ref Nbr: R1615501-1/0033 PERMITS -PERMITS Tran Ref Nbr: 161550101 0033 0041 Trans/Rcpt#: R0117849 SET #: CT0021X2A Amount: Item Subtotal: Item Total: ITEM(S) TOTAL: Check (Chk# 1021) Total Received: Have a nice day! 1 @ $2,942.00 $2 .. 942.00 $2,942.00 $2,942.00 $2,942.00 $2,942.00 **************CUSTOMER COPY************* City of Carlsbad 1635 Faraday Avenue Carlsbad CA 92008 lllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllll Applicant: HOLLY SPRINGS DEVELOPMENT LLC Description Amount CT0021X2A 2,942.00 Receipt Number: R0117849 Transaction ID: R0117849 Transaction Date: 06/03/2016 Pay Type Method Description Amount Payment Check 2,942.00 Transaction Amount: 2,942.00