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HomeMy WebLinkAboutCUP 03-21A; NORTH COUNTY ANIMAL SHELTER; Conditional Use Permit (CUP)LAND USE REVIEW Development Services CITY OF Planning Department APPLICATION 1635 Faraday Avenue CARLSBAD p...j (760) 602-4610 www.carlsbadca.gov APPLICATIONS APPLIED FOR: (CHECK BOXES) Development Pem7its [J Administrative Permit [] Coastal Development Permit (*) OMinor [] Conditional Use Permit (*) o Minor 0 Extension [] Environmental Impact Assessment U Habitat Management Permit 0 Minor [J Hillside Development Permit (*) [3 Planned Development Permit o Residential 0 Non-Residential U Planned Industrial Permit Planning Commission Determination Site Development Plan [3 Special Use Permit )FOR DEPT. USE ONLY) Leqislative Pennits (FOR DEPT. USE ONLY) I El General Plan Amendment [J Local Coastal Program Amendment (*) Master Plan [3Amendment Specific Plan Amendment LI Zone Change(*) [3 Zone Code Amendment List other applications not specified RI RI U EJ Tentative Tract Map eligible for 25% discount Variance []Administrative 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 PM. ASSESSOR PARCEL NO(S): 213-020-18 PROJECT NAME: GMR-CMMONS BRIEF DESCRIPTION OF PROJECT: Amendment to CUP 03-21 to allow for the realignment of the driveway and modification of the dog run area at thetNorth County Animal Shelter. BRIEF LEGAL DESCRIPTION: A portion of Lot G of Rancho Agua Hedionda, according to Map 823 as recorded on May 15, 1915 in the County of San Diego. LOCATION OF PROJECT: 2481 Palomar Airport Road STREET ADDRESS ON THE: SOUTH SIDE OF PALOMAR AIRPORT RD (NORTH, SOUTH, EAST, WEST) (NAME OF STREET) BETWEEN EL CAMINO REAL AND YARROW DRIVE (NAME OF STREET) (NAME OF STREET) P-i Page lof5 Revised 01/10 . . ('P\TThT'T'V rw C'rNT ThTtPI' 'rVr"D'V D,-4 4 -,-+-,,. 'r,-..-. OWNER NAME (Print): PUBLIC WORKS, AIRPORTS APPLICANT NAME (Print): Pacific Athletic Club Carlsbad, Inc. MAILING ADDRESS: 1960 JOE CROSSON DRIVE MAILING ADDRESS: ONE LOMBARD ST. CITY, STATE, ZIP: EL CAJON, CA 92020-1236 CITY, STATE, ZIP: SAN FRANCISCO, CA 94111 TELEPHONE: (619)956-4800 TELEPHONE: (720)284-6418 EMAIL ADDRESS: N/A EMAIL ADDRESS: bryarLelliot©kslcapital.com I CERTjE1_(TfjAT I AM EGAL NER AND THAT ALL THE ABOVE I CERTIFY THAT I AM THE LEGALREPRESENTATIVE OF THE OWNER INFO I IS UE ND C RRECT TO THE BEST OF MY AN TALL THE ABOV INFQATION IS TRUE AND CORRECT TO KN . I TURE D1/ T B TOFMY 0 IGMTUREJ DATE APPLICANTS REPRESENTATIVE (Print): MAILING ADDRESS: CITY, STATE, ZIP: TELEPHONE EMAIL ADDRESS. I CERTIFY THAT I AM THE LEGAL REPRESENTATIVE OF THE APPLICANT 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. JANE CONSENT TO ENTRY FOR THIS PURPOSE. NOTICE 9k RESTRICTION: PROP OWNER ACKNOWLEDGES AND CONSENTS TO A NOTICE OF RESTRICTION BEING RECORçtL94 THE TJrC)rQ HI PROPERTY IF CONDITIONED FOR THE APPLICANT. NOTICE OF RESTRICTIONS RUN WITH THE Lft4DAb BIND NY 4CSORS IN INTEREST. FOR CITY USE ONLY CiTy op DEPT DATE STAMP APPLICATION RECEIVED RECEIVED BY: 9 FOR P-i Page 2of5 Revised Oi/iO . . CITY OF CAR LSBAD DISCLOSURE STATEMENT P-1(A) Development Services Planning Department 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.) Pacific Sports Resort, Inc.! I Pacific Athletic Club Carlsbad, Inc. Person /(I Pr Corp/Part Title Address One Lombard Street do Western Athletic Club San Francisco, Ca 94111 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 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.) Cccy of San Diego, Dept. of Public cors, Airporto Person Title Address 1960 Joe Crosson Drive. El Cajon, Ca 92020-1236 P.1(A) Page 1 of 2 Revised 04/09 . . 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? Yes No If yes, please indicate person(s):___________________________ NOTE: Attach additional sheets if necessary. I c ify that ab e information is true and correct to the best of my knowledge. Signatu owner /date f / / Signatu e of ap icant/date County of San Diego Dept. of Public Works, Airports Pacific Sports Resort, Inc./Pacific Athletic Club Carlsbad, Print or type nani.ef ownej- Print or type name of applicant Inc. f I 0 icant's acnt if 72J Print or type name of owner/applicant's agent P-1(A) Page 2 012 Revised 04/09 . . <T CITY OF CAR LSBAD HAZARDOUS WASTE AND SUBSTANCES STATEMENT P.1(C) Development Services Planning Department 1635 Faraday Avenue (760) 602-4610 www.carlsbadca.gov 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 Waste 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. 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 PROPERTY OWNER Pacific Sports Resort,Inc./ County of San Diego, Capt. Of Pu.blic Name:— Pacific Athletic Club Carlsbad, Inc. Name: Works, Airports Address:________________________________________ One Lombard St. C/O Western Athletic Club Address: 1960 Joe Crosson Drive San Francisco, Ca 94111 El Cajon, Ca 92020-1236 Phone Number: (720)284-6418 Phone Number: (619)9564800 Address of Site: 2481 Palomar Airport Road Local Agency (City and County): Carlsbad, County of San Diego Assessor's book, page, and parcel number: 213-020-18 Specify list(s): Regulatory Identification Number: Date ofList: 3/15/2010 • !116 1 z Oil C, Applicarif Signature/Date 'Property wr Signature ate 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 of Revised 04/09 . . CITY OF - CARLSBAD HAZARDOUS WASTE AND SUBSTANCES STATEMENT P-1(C) Development Services Planning Department 1635 Faraday Avenue (760) 602-4610 www.carlsbadca.gov Per the California Environmental Protection Agency's website, 'While Government Code Section 65962.5 [referred to as the Cortese List] makes reference to the preparation of a list," many changes have occurred related to web-based information access since [the amended statute's effective date in] 1992 and this information is now largely available on the Internet sites of the responsible organizations. Those requesting a copy of the Cortese "list" are now referred directly to the appropriate information resources contained on the Internet web sites of the boards or departments that are referenced in the statute." Below is a list of agencies that maintain information regarding hazardous waste and substances sites. Departmert of Toxic Substances Control www.calei)a.ca.-gov/sitecAeanup/CorteseList/default.htm www.calei)a.ca.gov/database/r-alsites www.envirostor.dtsc.ca.gov/public EnviroStor Help Desk (916) 323-3400 State Water Resources Control Board httø://qeotracker.waterboards.capov/ County of San Diego Department of Environmental Health Services wwwcosan-dieqo.ca.usIdeh Hazardous Materials Division www.sdcounty.ca.qov/deh/hazmatlhazmat pemiits.html Mailing Address: County of San Diego Department of Environmental Health P.O. Box 129261 San Diego, CA 92112-9261 Call Duty Specialist for technical questions at (619) 338-2231, fax (619) 338-2377 Environmental Protection Agency National Priorities Sites ("Superfund" or "CERCLIS") www.er)a.gov/sut)erfund/sftes/cursites (800) 424-9346 or (702) 284-8214 National Priorities List Sites in the United States www.epa.gov/superfund/sitesinpi/npi.htm P-1(C) Page 2 of 2 Revised 03/09