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Home My WebLink AboutCT 14-01; STATE MIXED USE 30; Tentative Map (CT) (6)nseis 0 Ity of LAND USE REVIEW Development Services Planning Division Carlsbad APPLICATION 1635 Faraday Avenue (760) 602-4610 www.carlsbadca.gov APPLICATIONS APPLIED FOR:(CHECK BOXES) Development Permits (FOR DEPT. USE ONLY)Legislative Permits (FOR DEPT. USE ONLY) O Coastal Development Permit 0 Minor General Plan Amendment O Conditional Use Permit 0 Minor 0 Extension 0 Local Coastal Program Amendment O Day Care (Large)0 Master Plan 0 Amendment O Environmental Impact Assessment 0 Specific Plan 0 Amendment O Habitat Management Permit 0 Minor 0 Zone Change 0 Hillside Development Permit 0 Minor 0 Zone Code Amendment O Nonconforming Construction Permit South Carlsbad Coastal Review Area Permits O Planned Development Permit 0 Minor 0 Review Permit 0 Residential 9 Non-Residential D Administrative Minor 9 Major O Planning Commission Determination O Reasonable Accommodation Village Review Area Permits O Site Development Plan 0 Minor Review Permit O Special Use Permit 0 Administrative 0 Minor D Major O Tentative Parcel Map (Minor Subdivision) R(rentative Tract Map (Major Subdivision)Cr j‘-1 e/thr 510 el 41 Variance 0 Minor NOTE: A PROPOSED PROJECT REQUIRING MULTIPLE APPLICATIONS MUST BE SUBMITTED PRIOR TO 3:30 P.M.A PROPOSED PROJECT REQUIRING ONLY ONE APPLICATION MUST BE SUBMITTED PRIOR TO 4:00 P.M. ASSESSOR PARCEL NO(S).:.2..e7 7j —6;97 -t)to •20 3 —2-•41 .20 3-D-97-07 PROJECT NAME:vest t1 t\uk>e_30 BRIEF DESCRIPTION OF PROJECT:--r-en 6.4-; S2 "Tract—Mop E11-ext1 0 "4. PROJECT VALUE ESTIMATED COMPLETION DATE (SITE IMPROVEMENTS) LOCATION OF PROJECT:C76:2 STREET ADDRESS ON THE:SIDE OF (NORTH, SOUTH, EAST, WEST)(NAME OF STREET) BETWEEN AND (NAME OF STREET)(NAME OF STREET) NJ 130c73 P-1 Page 1 of 6 Revised 09/16 •1.11111 I.so milliS11111 MOM 11•11111S1 0 0 • •OWNER NAME (Print):.47arc c O4 L.L.P APPLICANT NAME (Print):SYeVat/Ccyc MAILING ADDRESS'S:2 /Ono 44.4.1=4roIV et -ibieg MAILING ADDRESS:1 c5Q.14c.) CITY, STATE, ZIP:Atorle,CITY, STATE, ZIP: TELEPHONE:/Z5-0 &is 32fair TELEPHONE:/kSe 6/a ti EMAIL ADDRESS:to...Stettnee,X CitgfentV /cork,EMAIL ADDRESS:tocleitetti cox (n Prt a;'cc en 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 ir RTIFY AS LEGAL OWNER THAT THE APPLICANT AS THE BEST OF M KNOWLEDGE. SET FORTH "EIN IS Y AUTHORIZED REPRESENTATIVE FOR PURPOS APP !CATION. sette air114..aphrsat SIGNATURE DATE SIGNATUR DATE APPLICANTS REPRESENTATIVE (Print): MAILING ADDRESS: CITY, STATE, ZIP: TELEPHONE: EMAIL ADDRESS: 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. SIGNATURE 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 RESTRICT!'N:PROPERTY OWNER ACKNOWLEDGES AND CONSENTS TO A NOTICE OF RESTRICTION BEING RECORDED ON THE TI LE TO HIS PROPERTY IF CONDITIONED FOR THE APPLICANT.NOTICE OF RESTRICTIONS RUN WITH THE LAND AND BIND ••Y SUCC ;SORS IN INTEREST. PR••ER •rj R I NATURE FOR CITY USE ONLY RECEIVED JAN 2 0 2017 CITY OF CARLSBAD PLANNING DIVISION DATE STAMP APPLICATION RECEIVED RECEIVED BY: Gge P-1 Page 2 of 6 Revised 09/16 11111111111.111 111111110110 rnrr..Mal MO 0 0 Development Services CCCity of DISCLOSURE STATEMENT Planning Division Carlsbad P-1(A)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. 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 CrrEV-eV Cot Corp/Part .57,1-000 104-K TitlesWanct•7_3 ce449;ne C Title Address ..6>nts as be to Address /can?entrogaziNat -A`Z .Morel)ieeepal -,6c. 2.OWNER (Not the owner's agent)c4/v4r3.4 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 ail 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 ---reveN Coy Corp/Part 6.17.97E--jcif2 04k ./....1.47 Title '.lc)".Title en a nu 75 cparincr- Address.Address )05Y6 erta.Diechiei 44. gor724 Md.e C goi-714 6Dcwirc-11.-42V- ow4.1).4 lecgi.S I -4A/ 4.bat tfig P-1(A)Page 1 of 2 Revised 07/10 MISSY SIM 11111111enallIS NOM O 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 )-7 f Non Profit/Trust "2 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? riYes I—Xlo If yes, please indicate person(s): NOTE:Attach additional sheets if necessary. I ce •that all the above information is true and correct to the b -st of my knowledge. Jr. 7:21.1/4/ael it 7 /0.111—V24 ..zo 7- Si '.nature of owner/date Signatur=of -pplicant/date --trArE 4.7.0 0.4k Al.9 StyeN cox 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 • P-1(A)Page 2 of 2 Revised 07/10 441 ima 0 0 City of PROJECT DESCRIPTION Development Services Planning Division Carlsbad P-1 (B)1635 Faraday Avenue (760) 602-4610 www.carlsbadca.gov PROJECT NAME:SOAP.t-IttKoZa ust 30 APPLICANT NAME:Skier 0_01A 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: --€)n e_frtp &-ens 0 n o C CT N -v I • P-1(B)Page 1 of 1 Revised 07/10 S_; t. City of Carlbad Faraday Center Faraday Cashiering 001 1702001 -2 01/20/2017 149 Fri,Jan 20.2017 10:30 AM Receipt Ref Nbr:R1702001 -2/0015 ENERGOV -ENERGOV Tran Ref Nbr:170200102 0015 0015 Trans/Rcpt#:00002845 SET #:00002845 Amount:1 @ $2,799.50 Item Subtotal:$2,799.50 Item Total:$2.799.50 1 ITEM(S)TOTAL:$2.799.50 Check (Chk#1175)$2,799.50 Total Received:$2,799.50 Have a nice day! **************CUSTOMER Eppy************* ,Ell SO romaresimfl 011111.11111 mumanim IN ig 0 0 INVOICE (00002845) BILLING CONTACT ra •tCity of Carlsbad t Ciy ofSTATE AND OAK CARLSBAD PROPERTIES LTD 10946 Madrona Dr 1635 Faraday Avenue Sidney,Carlsbad, CA 92008-7314 Carlsbad INVOICE NUMBER INVOICE DATE INVOICE DUE DATE INVOICE STATUS INVOICE. DESCRIPTION 00002845 01/20/2017 01/20/2017 Due NONE REFERENCE NUMBER FEE NAME TOTAL CT140001 TENTATIVE TRACT MAP EXTENSION (PLN)$2,799.50 3068 State St Carlsbad, CA 92008 SUB TOTAL $2,799.50 TOTAL $2,799.50 1111111111111111111111111111111111111111111111111111111111 January 20, 2017 10:26 am Page 1 of 1