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Home My WebLink AboutCUP 00-17B; North Coast Christian Fellowship; Conditional Use Permit (CUP)c I FROM : STAFF I swcified I I FAX NO. : 619 280 7551 - -Jul. 10 2001 09:41AM P2 Cup001 3b .* *---" CITY OF CARLSBAO LAND USE REVIEW APPLICATION 1) APPLICATIONS APPLIED FOR: (CHECK BOXES) 1 0 Adminiszrative Permit - 2nd Administrative Variance 0 coastal Development Permit Dwelling Unit Conditions1 Use Permit 0 Condominium Permit Environmental Impact Assessment [7 General Plan Amendment 0 Hillside Development Permit Local Coastal Plan Amendmenr u Master Plan 17 Non-Residential Planned 0 Planned Development Pennit Development (FOR DEPARTMENT USE ONLY) 0 0 0 0 0 D 0 (FOR DEPARTMENT USE ONLY 1 Planned Industrial Permir Planning Commission Determination Precise Development Plan Redevelopment Permit Site Development Plan Special Use Permit Specific Plan Ohain from Engmeering DapaRmant Tentative Tract Map Variance Zone Change List other applications not 3) PROJECT NAME: .. .'4) BRIEF DESCRIPTION OF PROJECT Idmh107= 2 M_obUUIWrmm&Zs *e -5 5) OWNER NAME (Print or Type) b TELEPHONE CORRECT TO THE BE OF NOWLEDGE. w s/t+v 1 SIGNATURE DATE 1 7) BRIEF LEGAL DESCRIPTION &k /3 "&,&&?pT /; 24 fJ7 )?a/ 2G/ 0;fy buo/ Ob$ NOTE: A PROPOSED PROJECT REQURPNO MULTIPLE APPUCATIONS BE HLED, MUST BE SUBMI'ITED PRIOR TO 3:30 P PROPOSED PROJECT REWIRING ONLY ONE APPLICATION BE nLEb. MUST BE SUBMITTED PRIOR TO 0:OO P.M. . . Form 16 PAGE 1 OF 2 FQX NO. : 619 280 7551 FROM : STQFF - - ~~1. 10 2001 09: 42~~ ~3 UgIZEGA I (NAME OF STREET) ONTHE 1-1 SlDEOF 1 E (NORTH, SOUTH, EAST, WEST) 1- A+-- I AND BETWEEN (NAME OF STREET) (NAME OF STREET) LOCAL FACILITIES MANAGEMENT ZONE Irl/pI PROPOSED NUMBER OF LOTS I' 1 TYPE OF SUBDIVISION PERCENTAGE OF PROPOSED PROJECT IN OPEN SPACE U EXISTING ZONING NUMBER OF EXfSTlNG RESIDENTIAL UNITS PROPOSED 1Nb ORICE/ SQUARE FOOTAGE PROPOSED lNCREASE IN ADT EXISTING GENERAL PLAN 12) PROPOSED NUMBER OF I] RESIDENTIAL UNITS 15) PROPOSED COMM SQUARE FOOTAGE 18) ' PROPOSED SEWER USAGEINEDU PROPOSED GENERAL PLAN DESIGNATION I-G-1 PROPOSED ZONING IN THE PROCESS OF REVIEWING THIS APPLICATION IT MAY BE NECESSARY FOR MEMBERS OF CITY STAFF, PLANNING COMMISSIONERS, DESIGN REVIEW BOARD MEMBERS OR CITY COUNCJL MEMBERS TO INSPECT AND ENTER THE PROPERTY THAT IS THE SUBJECT OF THIS APPLICATION. I/WE CONSENT TO ENTRY FOR THIS PURPOSE . -~ FOR CITY USE ONLY FEE COMPUTATION , APPLICATIONTYPE I FEEREQUIRED , TOTAL FEE REQUIRED -1 DATE FEE PAID 7 REC E WED 1 AUG 0 3 2001 CITY-OF CARLSBAD PLANNING DEPT. DATE STAMP APPLICATION RECEIVED RECEIPT NO. I Form 16 PAGE 2 OF 3 P City of Carlsbad 1635 Faraday Avenue Carlsbad CA 92008 Applicant: STAFF CONTRACTING INC. DescriDtion CUP0 0 17 B Amount 1,585.00 Receipt Number: ROO22112 Transaction Date: 08/03/2001 6510 08/03/01 -1 021585.00 Pay Type Method Description Amount Payment Check 4425 1,585.00 ---_-____- __________ ________________ __________ Transaction Amount: 1,585.00 ‘ - - City of Carlsbad DISCLOSURE STATEMENT Applicant’s statement or disclosure of certain ownership interests on all applications bvhich 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 persons having a financial interest in the application. If the applicant includes a cornoration or DartnershiD, include the names, title, addresses of all individuals owning more than 10% of the shares. IF NO APPLICABLE (N/A) IN THE SPACE BELOW If a publiclv-owned cornoration, include the names, titles, and addresses of the corporate officers. (A separate page may be attached if necessary.) Person KKH)43L.3 HE1 fi Corppart CS CV‘ Title Cow re STc47J Title 677 Address 4440 %ZW ~4 \ INDIVIDUALS OWN MORE THAN 10% OF THE SHARES, PLEASE INDICATE NON- Address WVo /hUuA $I*ct3 (tpJ J4c4fSirC ~+UQ D~CGO, cA. 92~20- 33k3 2. OWNER (Not the owner’s agent) Provide the COMPLETE. LEGALxames and addresses of 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 cornoration or DartnerShiD, 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 publiclv- owned cornoration, include the names, titles, and addresses of the corporate officers. (A separate page may be attached if necessary.) @-*art I Title e f . Address \- E s7 Address 1635 Faraday Avenue Carlsbad, CA 92008-731 4 - (760) 602-4600 - FAX (760) 602-8559 @ ~- - ’ 3. NOK-PROFIT OR NIZATION OR TRUST If any person identified pursuant to (1) or (2) above is a nonmofit 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 Profinrust Title . Non Profinrust Title Address Address 4. Have you had more than $250 worth of business transacted with any member of City staff, Boards, Commissions, Committees and/or Council within the past twelve c12) months? 0 Yes ,& 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. t &’, -, r3 /%qec w I 7qej tC &crv/eH D l?f‘ I; Print or type name of applicant Print or iype name of owner - ~ ~~ Signature of ownedapplicant’s agent if applicableldate Print or type name ofownG/applicant’s agent H:ADMIN\COUNTER\DISCLOSURE STATEMENT 5/98 Page 2 of 2 ~ A PROJECT DESCRIPTlON/EXPLANATiON Please describe fully the proposed project. Include any details necessary to aoeauatelv explain the scope and/or operation of the proposed project. You may also incfuae any background information and supponing statements regarding the reasons ' for. c: appropriateness of, the application. Use an addendum sheet if necessary. Descri ption/Explanation. \ x, /* , 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 “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 ofher 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 uartnershiD, 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 CorpRart Title Title Address Address 2. 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 coruoration or Dartnershia 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 publiclv- owned corporation, include the names, titles, and addresses of the corporate officers. (A separate page may be attached if necessary.) Southeastern California Conference of Seventh-day Adventists, Person&- Ex)- Title cmporJLe vice Resident Title Address p. 0. 80% Address a California Non-Profit Organization Riverside, CA 912515 1635 Faraday Avenue - Carlsbad, CA 92008-731 4 (760) 602-4600 - FAX (760) 602-8559 @ 3. NON-PROFIT ORGANIZATION OR TRUST If any person identified pursuant to (1) or (2) above is a nonurofit 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. southeastern California Merence of ~~~+-i-,+~ LJ, -on Profit/Trust Adventists, A California NoPrProfit Non Profiflrust6m Title brprate Vice President Title Address P. 0. bX 8050 -€@plEiLlOn. Address Riverside, CA 92515 4, Have you had more than $250 worth of business transacted with any member of City staff, Boards, Commissions, Committees and/or Council within the past twelve (12) months? c] Yes 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. --- s-/- 0% Signatur’e of owneddate her W. Heinrich, Corporate Vice President Signature of applicanudate 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\COUNTER\DISCLOSURE STATEMENT 5/98 Page 2 of 2 , before me, bxie c. pcwell Date Name and Title of Officer (e g , "Jane Doe, Notary Public") personally appeared Roger w. Heinrich Narne(s) of Signer(s) E personally known to me 0 proved to me on the basis of satisfactory evidence to be the -(s) whose e(s) @are subscribed to the within instrument and acknowledged to me that@/she/they executed in mherltheir authorized the instrument th acted, executed the instrument. and that by @her/their the entity upon behalf of which Place Notary Seal Above Signature of Notary Public 8 OPTIONAL Though the information below is not required by law, it may prove valuable to persons relying on the document and could prevent fraudulent removal and reattachment of this form to another document Description of Attached Document Title or Type of Document: Document Date: '9 2o02 Number of Pages: 2 Signer(s) Other Than Named Above: ~OSure Stat-t - City Of carlsbad Capacity(ies) Claimed by Si ner Signer's Name: Roger W. Lc.h 0 Individual 0 Corporate Officer - Title(s): 0 Partner - C Limited 0 General Z Attorney in Fact 0 Trustee 0 Guardian or Conservator 0 Other: Corporate Vice Resident -collFarmQ Signer Is Representing: OFsMcrmMY~ Q 1999 National Notary Association - 9350 De Solo Ave , PO Box 2402 Chatsworth. CA 913132402 - www nallonalnotary or9 Prod No 5907 Reorder Call Toll-Free 1-800-876-6827 4 . SEVENTH-DAY ADVENTIST CHURCH GIFT PLANNING & TRUST SERVICES SOLTHEASTERN CALIFORNIA ASSOCIATION OF SEVENTH-DAY ADVENTISTS SIGNATORY AUTHORITY FOR PROPERTY & INVESTMENTS RESOLUTION OF SOUTHEASTERN CALIFORNIA CONFERENCE OF SEVENTH-DAY ADVENTISTS Whereas, the Executive Committee of the Southeastern California Conference of Seventh-day Adventists has determined that it will further the charitable purposes of the southeastern California Conference of Seventh-day Adventists to designate certain individuals to sign oficial documents on behalf of Southeastern California Conference of Seventh-day Adventists; NOW, THEREFORE, BE IT RESOLVED AS FOLLOWS: That F. Lynn Mallery, as President, or Thomas G. Staples as Vice President; or Gerald D. Penick as Vice President and Secretary; or Roger W. Heinrich, as Vice President and Assistant Secretary; or Rodney Outhwaite, as Associate Treasurer and Assistant Secretary; or E. L. Hulse, as Assistant Secretary and Assistant Treasurer; or Lennette Lesko, as Assistant Treasurer and Assistant Secretary; are hereby authorized to sell, invest, and reinvest in all shares of stocks, bonds, notes, and debentures, both as to principal and income; assign, transfer, and deliver the certificates representing stocks, bonds, or other securities now registered or hereafter registered in the name of the Southeastern California Conference of Seventh-day Adventists, a California corporation; and are further hereby authorized to sell, exchange, convey with or without covenants, quitclaim, release, surrender, mortgage, encumber, partition, consent to partitioning, subdivide, apply for zoning, rezoning, or other governmental permits, plat or consent to platting, develop, grant options concerning, lease, sublease, or otherwise dispose of, an interest in real property or a right incident to real property in the name of the Southeastern California Conference of Seventh-day Adventists, a California corporation. I, Roger W. Heinrich, Assistant Secretary of the Southeastern California Conference of Seventh- day Adventists, a California Corporation, hereby certify the foregoing to be a true and correct copy of a resolution adopted by the Board of Directors of said corporation at a meeting held on the 14h day of December, 2000, at which time a legal quorum was present and voting. " Assistant Secretary Mav 1.2002 P.O. Box 8050, RIVERSII~E, CA 92515 11330 PIERCE STREET, RIVERSIDE, CA 92505 PHONE: 909-359-5800 FAX: 909-689-6124 City of Carlsbad 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, I have consulted the Hazardous Wastes 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. 0 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 PROPERTY OWNER Address of Site: -32.54 EUEE r(A FL Local Agency (City and County): C A'TZLS C A 920& Assessor's book, page, and parcel number: MULLS A-Itl~d MA? 514 : 05 - 1 t2-36 Specie list(s): A~PC H G Regulatory Identification Number: DateofList: 4-15 -46 Y 7///0 I Applicant Signature/Date Property &mer SignatureDate AdmidCountedHazWaste 1635 Faraday Avenue - Carlsbad, CA 92008-7314 - (760) 602-4600 - FAX (760) 602-8559 @ CITY LIST 04/ 15/98 STREET NBR 5600 1044 1044 57 1 920 2 100 2500 2545 2545 2590 7654 370 1 405 2160 22 10 2210 850 850 899 5335 5434 80 1 2615 2779 --------------- STATE OF CALIFORNIA HAZARDOUS WASTE AND SUBSTANCES SITES LIST STREET NAME AVENIDA ENCINAS CARLSBAD VILLAGE CARLSBAD VILLAGE CARLSBAO VILLAGE CARLSBAO VIL’LAGE COSTA DEL MAR EL CAMINO REAL EL CAMINO REAL EL CAMINO REAL EL CAMINO REAL EL CAMINO REAL HAYMAR OAK PALOMAR AIRPORT PALOMAR AIRPORT PALOMAR AIRPORT PALOMAR AIRPORT PALOMAR AIRPORT PALOMAR AIRPORT PASEO DEL NORTE PASEO DEL NORTE PINE STATE STATE _----------------- PGM: CALEPAS PAGE 37 DTSC FACILITY INVENTORY DATA BASE HAZARDOUS WASTE AN0 SUBSTANCES SITES LIST SORT BY CITY, ST NAME, ST NBR CITY CARLSBAD CARLSBAD CARLSBAD CARLSBAD CARL SBAO CARLSBAO CARLSBAD CARLSBAD CARLSBAD CARLSBAO . CARLSBAD CARLSBIID CARLSBAD CARLSBAO CARLSBAD CARLSBAO CARL SB AD CARLSBAD CARL SBAD CARLSBAO CARLSBAD CARLSBAD CARLSBAD ------- .................... . CARLSBAD ZIP 92008oooO 92008 92008 93164 92008 92009 92008 --------- 92008 92008 92008oooO 92008 92008oooO 92008 92008 92008 92008 92008 92008oooO 92008oooO 92008 92008 FACILITY NAME UNISYS CARLSBAD CHEVRON SERVICE STATION CARLSBAD CHEVRON ITT CONTINENTAL BAKING C GASCO SERVICE STATION LA COSTA HOTEL &.SPA CHEVRON SERVICE STATION # F IRESTONE J.C.PENNYS AUTO CENTER SHELL OIL SERVICE STATION’ WALTS ARC0 SERVICE STATIO SOUTH COAST MATERIALS PUBLIC WORKS YARD PALOMAR AIRPORT MCCLELLAN-PALOMAR AIRPORT FLIGHT INTERNATIONAL PEASOUP ANOERSON/UNION S/ CARLSBAO PROPERTIES, LTO MOBIL OIL STATION WESELOH CHEVROLET NORTH COUNTY LINCOLN MERC CARLSBAD UNIFIED SCHOOL PAUL’S AUTOMOTIVE NORTH COUNTY TRANSIT .......................... co 37 37 37 37 37 37 37 37 37 37 37 37 37 31 37 37 37 37 37 37 37 37 37 37 -- REG BY - REG ID WBCIO 9 000084N94 LTNKA 9UT1000 LTNKA 9UT2801 LTNKA 9UT2611 LTNKA 9UT2724 LTNKA 9UT242 LTNKA 9UT685 LTNKA 9UT1813 LTNKA 9UT117 LTNKA 9UT2241 LTNKA 9WT1503 LTNKA 9UT3452 LTNKA 9UT1950 LTNKA 9UT2041 LTNKA 9UT2227 LTNKA 9UT846 LTNKA 9UT394 LTNKA 9UT 1953 LTNKA 9UT1498 LTNKA 9UT1183 LTNKA 9UT3254 LTNKA 9UTlOBO LTNKA 9UT3043 LTNKA 9UT3065 ------------------- April, 1998