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Home My WebLink AboutCUP 224Ax2; JC Deli; Conditional Use Permit (CUP)CITY OF CARLSBAD LAND USE REVIEW APPLICATION 1) -a D D D 2) 3) 4) APPLICATIONS APPLIED FOR: (CH Administrative Permit Administrative Variance Coastal Development Permit Conditional Use Permit Condominium Permit Environmental Impact Assessment General Plan Amendment Hillside Development Permit Local Coastal Program Amendment Master Plan Non-Residential Planned Development Planned Development Permit ECK BOXES) (FOR DEPARTMENT USE ONLY) 2^W J Planned Industrial Permit I Planning Commission Determination - Precise Development Plan Redevelopment Permit Site Development Plan Special Use Permit Specific Plan Tentative Parcol Map Obtain from Engineering Department Tentative Tract Map Variance Zone Change List other applications not specified '(FOR DEPARTMENT USE ONLY) ASSESSOR PARCEL NO(S).: 2-/ 5> *"" &&~& ~ 3 7 PROJECT NAME: J& 0€/Y BRIEF DESCRIPTION OF PROJECT:tee p£rrriti ®P&H&(.ffn/ ' 5) OWNER NAME (Print or Type) <^^ tf'-j$J$i£^l MAILING ADDRESS CITY AND STATE ZIP TELEPHONE EMAIL ADDRESS: 1 CERTIFY THAT 1 AM THE LEGAL OWNER AND THAT ALL THE ABOVE INFORMATION IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE. SIGNATURE DATE 6) APPLICANT NAME (Print or Type) MAILING ADDRESS CITY AND STATE ZIP TELEPHONE EMAIL ADDRESS: 1 CERTIFY THAT 1 AM THE LEGAL REPRESENTATIVE OF THE OWNER AND THAT ALL THE ABOVE INFORMATION IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE. SIGNATURE DATE 7) BRIEF LEGAL DESCRIPTION NOTE: A PROPOSED PROJECT REQUIRING MULTIPLE APPLICATIONS BE FILED, MUST BE SUBMITTED PRIOR TO 3:30 P.M. A PROPOSED PROJECT RfeQUJRING ONLY ONE APPLICATION BE FILED, MUST BE SUBMITTED PRIOR TO 4:00 P.M. Form 14 Rev. 12/04 PAGE 1 OF 5 9) 10) 13) 16) LOCATION OF PROJECT: STREET ADDRESS ON THE BETWEEN (NORTH, SOUTH, EAST, WEST) SIDE OF AND £7 (NAME OF STREET) LOCAL FACILITIES MANAGEMENT ZONE PROPOSED NUMBER OF LOTS TYPE OF SUBDIVISION PERCENTAGE OF PROPOSED PROJECT IN OPEN SPACE 19) GROSS SITE ACREAGE 22) EXISTING ZONING 25) 11) NUMBER OF EXISTING RESIDENTIAL UNITS 14) PROPOSED IND OFFICE/ SQUARE FOOTAGE 17) PROPOSED INCREASE INADT 20) EXISTING GENERAL PLAN 23) PROPOSED ZONING (NAME OF STREET) (NAME OF STREET) 12) PROPOSED NUMBER OF RESIDENTIAL UNITS 15) PROPOSED COMM SQUARE FOOTAGE 1-8) PROPOSED SEWER USAGE IN EDU 21) PROPOSED GENERAL PLAN DESIGNATION 24) HABITAT IMPACTS IF YES, ASSIGN HIMP # IN THE PROCESS OF REVIEWING THIS APPLICATION IT MAY BE NECESSARY FOR MEMBERS OF CITY STAFF, PLANNING COMMISSIONERS, DESIGN REVIEW BOARD MEMBERS 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 SIGNATURE FOR CITY USE ONLY FEE COMPUTATION APPLICATION TYPE " FEE REQUIRED Cti? A/ttfu£ M FEE REQUIRED &%$-—2^>r ' B&o — * 21 2005 OITYOFCA IVED RECEIVED BY: Form 14 Rev. 12/04 PAGE 2 OF 5 JlO, DELI & CATERINGE3S2-A Camino Vida Roble Carlsbad, CA 92009 (760)438-7701 Fax (760) 435-7702 City of Carlsbad 1635 Faraday Ave Carlsbad,CA 92008-7314 Feb. 22,*05 Attn: Mike Strong Planning Dept. Re: cup 224(A)x2 - J.C. Deli & Catering This is to request for an extension of the subject permit and enclosing herewith completed Disclosure Statemet, mailing list ,and check of $685.00. Charles C. Urn Owner J.C. Deli City of Carlsbad Planning Department DISCLOSURE STATEMENT Applicant's statement or disclosure of certain ownership interests on all applications which will require discretionary action on the part of the City Council or any appointed Board, Commission or Committee. The following information MUST be disclosed at the time of application submittal. Jour project cannot be reviewed-until this information is completed. Please print tfotes ;••;.•• ... ;•".'- Person is deMed as "Any individual, fern, w-partooship. joint venture, association, -$eeial club, ftateraal organization, corpprfttjofl, estate, tnist, receiver, syndicate, in, this and any other eotfntyy city aftS-ettiralyr ehy- municipality, district or other political subdivision ijr any other group or combioaJion acting «s a offlit" Agents may sign this document; however, flw legal name and eatity of- the applicant and- property owner niust b*' ' APPLICANT (Not the applicant's agent) Provide the COMPLEITEr 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, 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. Title_ Urn Ot.TYl Q -K- Corp/Part. Title Address2Qin W. San Marcos Bl.#3 Address, San Marcos, Ca.92078 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, 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 j_h*? Title _ TPv-c>g<-->/-le>r<t' Address 2 c 4 4 0 La Al qmcda ^3?0 Mission Viejo,Ca. 92691 Title Address. 26440 Alameda.#270 Misson Viejo,Ca. 92691 1635 Faraday Avenue • Carlsbad, CA 92OO8-7314 • (76O) 602-46OO • FAX (76O) 602-8559 3 NON-PROFIT ORGANIZATION OR TRUST If any person identified pursuant to (1) or (2) above is a. nonprofit orRaffl3Bti<m W 1.frm& list names and addresses of AMX person serving as an officer or director of the non-prpfit organization or as trustee or beneficiary of the. NonProfit^rust__ - . - NonProfrtflrat - _ - Titlc— -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 part twelve (i2) months? I Yes No If yes, please indicate nersonfs): NOTE: Attach additional sheets tf necessary. I certify that all the above information is true and correct to the best of my knowledge. „.•"••} Signature of^e^te ' Signature of applicant/date Charles C. Urn 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 ownetVapplicant's agent City of Carlsbad 1635 Faraday Avenue Carlsbad CA 92008 Applicant: UM CHARLES Description CUP224AX2 Amount S80.00 Receipt Number: R0048170 Transaction Date: 02/22/2005 Pay Type Method Description Amount Payment Check 7361 880.00 Transaction Amount: 880.00 2320 02/22/05 0002 01 02 CGP 880=00 1200 CARLSBAi CITY OF CARLSBAD ILLAGE DRIVE CARLSBAD, 438-5621 IFORNIA 92008 REC'D FROM,DATE ACCOUNT NO. ., J-.n-i- RECEIPT NO. 8627 DESCRIPTION •? V / -'-A ( , i / ) .;• • K ^'- . . - -. - . \X /-i X t; / 9M? 19/19/91^- TOTAL AMOUNT .-' ') •• (VMM M AO C-PRMT 3^5.00 .-^ / ' — •*- Pql*\°L) Dr. City of Carlsbad J. C. DELI CATERING CUP 224(A)x1 J c f 2.0 Coo M^. i1 . V O o 00fYV\ • ity of Cfearlsbad DISCLOSURE STATEMENT APPUCANTS STATEMENT OF 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. (Please Print) The following information must be disclosed: 1. Applicant List the names and addresses of all persons having a financial interest in the application. ' D 2. Owner List the names and addresses of all persons having any ownership interest in the property involved.j-**~ i —* . rf . j^.d n, 3. If any person identified pursuant to (1) or (2) above is a corporation or partnership, list the names an addresses of all individuals owning more than 10% of the shares in the corporation or owning any partnersh, interest in the partnership. 4. If any person identified pursuant to (1) or (2) above is a non-profit organization or a trust, list the names anc addresses of any person serving as officer or director of the non-profit organization or as trustee or beneficiar of the trust. (Over) Disclosure Statement ' Page 2 5. Have you had more than $250 worth of business transacted with any member of City staff, Scar Commissions, Committees and Council within the past twelve months? Yes No X^ If yes, please indicate person(s) Person is defined as: 'Any individual, firm, copartnership, joint venture, association, social club, fraternal organization, corporation, estate, trust, receiver, syndicate, this and any other county, city and county, city municipality, district or other political subdivision, or any other group or combination acting as a unit.' (NOTE: Attach additional pages as necessary.) Signature of Owner/date" -Signature of applicant/d 0 } / HO 4 Print or type name of owner u Print or type name of applicant LAND Us£ PLANNING /^PLICATION DISCRETIONARY ACTIONS REQUEST CH Zone Change OGeneral Plan Amendment DTentative Tract Map D Major Planned Unit Development DMaster Plan C3 Major Redevelopment Permit DMinor Redevelopment Permit DPrecise Development Plan (check other boxes if appropriate) DSpecific Plan QSite Development Plan ^Conditional Use Permit nvariance dPlanning Commission Determination OSpecial Use Permit nstructure Relocation QMajor Condominium Permit nCoastal Permit (Portion of Redevelopment Area Only) Complete Description of Project (attach additional sheets if necessary) Sfl 3egUtc3E f*/L ~We al Description {complete) I To <>F Post,Assessors Parcel Number e/3-Zone General Plan Existing Land Use Proposed Zone Proposed General Plan Site Acreage Owner Applicant Name (Print or Type)Name (Print or Type) Mailing Address Mailing Address ' City and State Zip Telephone City and State Zip Telephone ^200$ I CERTIFY THAT I AM THE IBGAL OWNER AND THAT ALL THE ABOVE INFORMATION IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE. I CERTIFY THAT I AM THE OWNER'S REPRESENTATIVE AND THAT ALL THE ABOVE INFORMATION IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE. SIGNATURE DATE SIGNATURE DATE r- Lication Rec'd Receipt NO. Date ication Rec'd Staff Assigned Case Nunber A CITY OF CARLSBAD A 1200 ELMWtfENUE CARLSBAD, CALIFORNIA 92008 438-5621 REC'D FROM..DATE. ACCOUNT NO.DESCRIPTION AMOUNT RECEIPT NO.TOTAL PraNNING APPLICATION CHECKLIST ITEM Tentative Map A Site Plan B Landscape Plan C Bldg. Elevations D 8 Jj Site Plan E 8 % Location F EIA G PFF H Disclosure Stint I Property Owners J 600' Map K School Letter L PTR M Sewer N Colored Exhibit 0 Stmt of Agree- ment P Constraints Q Traffic R REQUIRED ^ •/. / •/ / / / / ^/ ' S /^, •^ / / / ^ ENCLOSED / / / / ^ / i/ l^r ^^ / Af/f~ ^//^ /Uff?"/^ /U/fl- rf//f HOT ENCDOSED (K!K) - - /^ 7 Cff^ ^TL^ t>«^l* ' • - RECEIPT NO.DATE: City of Carlsbad Planning Department 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. project cannot be reviewed until this information is completed. Please print. Your 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 . 2. 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, 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 CltfAftfe-S C. UM Corp/Part _ Title /y/^V Title _ S~T Address 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, 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 /l/ej4iur (?• J*H/V4 Title _C£ dresAddress Corp/Part Title Address 1635 Faraday Avenue • Carlsbad, CA 92008-7314 • (760) 602-4600 • FAX (760) 602-8559 • www.ci.carlsbad.ca.us 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 $250 worth of business transacted with any member of City staff, Boards, Commissions, Committees and/or Council within the past twelve (12) months? i I | Yes 0 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. Signature of owner/date Signature of applicant/dat C. Print or type name of owner Print or type name of applicant S^L Signature of owner/applicant's agent if applicable/date Print or type name of owner/applicant's agent