HomeMy WebLinkAboutCUP 190B; Sudan Interior Mission (SIM USA); Conditional Use Permit (CUP) (18)MCUP & q|P ANNUAL REVIE^ SHEET
INSTRUCTIONS
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1. COMPLETE PROJECT INFORMATION BELOW AND PRINT COPY.
2. DOWNLOAD (DMS) RESOLUTIONS AND REVIEW ALL CONDITIONS AND
APPROVED PLANS (COORDINATE WITH OTHER DEPARTMENTS).
3. REVIEW CODE COMPLAINT HISTORY (CODE ENFORCEMENT, POLICE,
FIRE, ETC.).
4. CONTACT APPLICANT (OR OWNER) AND SCHEDULE AN APPOINTMENT
FOR THE REVIEW.
5. COMPLETE REVIEW INFORMATION SECTION DURING REVIEW.
6. HAVE PRINCIPAL PLANNER REVIEW AND SIGN.
7. PLACE COMPLETED REVIEW SHEET IN ADMIN IN-BOX FOR PROJECT FILE
(ADMIN WILL FILE).
PROJECT INFORMATION ~
CASE NAME: Sudan Interior Mission (SIM)
CASE NUMBER(S): CUP 190B
APPROVING RESO NO(S). 6314
PLANNER COMPLETING REVIEW: DAN HALVERSON
PROJECT HISTORY
Does project have a code complaint history? [ | Yes [X] No
If yes, check those that apply and explain below.
| | Code Enforcement | | Police | | Fire Prevention
Comments (include corrective actions taken and date compliance obtained):
N/A
H/ADMIN/TEMPLATE/MCUPANNUALREVIEWSHEET O3/O9
EVIEW INFORMATION
Has the permit expired? [_
Date of review: 09/30/2010
Name: George Salloum
Yes No Permit expires: 06/20/2022
If other, state title:
Applicant [X] Owner [~~| Other
"CURRENT APPLICANT INFORMATION:
Name: George Salloum
Contact name (if different):
Address: 1400 Flame Tree Lane, Carlsbad, CA 92011
Phone: 704-588-4300
Mailing (if different):
E-mail:(optional)
"CURRENT OWNER INFORMATION:
Name: SIM USA, INC
Address: P.O.Box 7900, Charlotte, NC 28241
Phone: 704-588-4300
Contact name (if different): George Salloum
Mailing (if different):
E-mail:(optional)
Does project comply with conditions of resolution(s) and approved plans?
[X] Yes | | No If no, list below the condition(s) and/or plan aspects the project is
not in compliance with per resolution number or exhibit.
Corrective action(s) to be taken:
Date planner completed follow-up review and confirmed project compliance:
Planner Signature Principal Planner Signature
* Applicant and owner information must be updated for annual review to be complete.
H/ADMIN/TEMPLATE O3/O9