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Home My WebLink AboutCUP 226Bx1; Deli Wishes; Conditional Use Permit (CUP)CITY OF CARLSBAD LAND USE REVIEW APPLICATION 1)APPLICATIONS APPLIED FOR: (C Administrative Permit - 2nd Dwelling Unit I | Administrative Variance C J^ D g Coastal Development Permit J Conditional Use Permit \ Condominium Permit Environmental Impact Assessment General Plan Amendment Hillside Development Permit Local Coastal Plan Amendment Master Plan Non-Residential Planned Development | | Planned Development Permit 2) 3) 4) ASSESSOR PARCEL NO(S).: PROJECT NAME: HECK BOXES) (FOR DEPARTMENT USE ONLY) 22£{&>k\V. | | Planned Industrial Permit | | Planning Commission Determination I I Precise Development Plan [ Redevelopment Permit Site Development Plan | Special Use Permit Specific Plan I I Tentotivc Parcel Mop Obtain from Engineering Department I | Tentative Tract Map | I Variance I | Zone Change I | List other applications not specified (FOR DEPARTMENT USE ONLY) ^J(O- Cf\O- ^>3> P^W cA$H<5S> BRIEF DESCRIPTION OF PROJECT: (^Y^T^^> \Ol/\ fl^p OU\^ 5) OWNER NAME (Print or Type) ^.^ Jj&£j4@cfifffi (~Kl.l~£ •&/{£> (-£>irtS-ls-Q4(- MAILING ADDRESS CITY AND STATE ZIP TELEPHONE ^ •& (LA ty &/?#-' (?3f)tf&~5/& CERTIFY THAT I 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 (-A/tt£&/?i^> CLfl /^-tyeX I CERTIFY THAT I AM THE LEGAL/REPRESENTATIVE OF THE OWNER AND THAT ALL THE ABOVE^NFORMATION IS TRUE AND CORRECT TO THE BEST OF MYJtfJOWLEDGE. . 1 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 REQUIRING ONLY ONE APPLICATION BE FILED, MUST BE SUBMITTED PRIOR TO 4:00 P.M. Form 16 PAGE 1 OF 2 8) LOCATION OF PROJECT: ON THE BETWEEN STREET ADDRESS SIDE OF (NORTH, SOUTH, EAST, WEST) AND (NAME OF STREET) 9) LOCAL FACILITIES MANAGEMENT ZONE 10) PROPOSED NUMBER OF LOTS 13) TYPE OF SUBDIVISION 16) PERCENTAGE OF PROPOSED PROJECT IN OPEN SPACE 19) GROSS SITE ACREAGE 22) EXISTING ZONING 11) NUMBER OF EXISTING RESIDENTIAL UNITS 14) PROPOSED IND OFFICE/ SQUARE FOOTAGE 17) PROPOSED INCREASE IN ADT 20) EXISTING GENERAL PLAN 23) PROPOSED ZONING ftl/fr (NAME OF STREET) (NAME OF STREET) 12) PROPOSED NUMBER OF RESIDENTIAL UNITS 15) PROPOSED COMM SQUARE FOOTAGE 18) PROPOSED SEWER USAGE IN EDU 21) PROPOSED GENERAL PLAN DESIGNATION 24) 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 TO D/a APPLICATION TYPE FEE REQUIRED OCV-jC TAL FEE REQUIRED vTE FEE PAID ^<~ 7 / I 1 / &S6^" & n/0i DATE RECEIVED AUG07 2001 CITY OF CARLSBAD RECEIVED BY: RECEIPT NO. Form 16 PAGE 2 OF 2 City of Carlsbad 1635 Faraday Avenue Carlsbad CA 92008 Applicant: KHOLOUD, AABU-RAJAB Description CUP226BX1 Amount 595.00 1092 11/13/02 0002 01 02 CGP 595,00 Receipt Number: R0030859 Transaction Date: 11/13/2002 Pay Type Method Description Amount Payment Check 1020 595.00 Transaction Amount: 595.00 City of Carlsbad 1635 Faraday Avenue Carlsbad CA 92008 Applicant: KHOLOUD, AABU-RAJAB Description Amount CUP226BX1 595.00 Receipt Number: R0022160 Transaction Date: 08/07/2001 CGP 595"00 Pay Type Method Description Amount Payment Check 1465 595.00 Transaction Amount: 595.00 City of Car/Is&ad Planning Department DISCLOSURE STATEMENT Applicant's statement or disclosure of certain ownership interests on all applications which will/e'quire 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 count*', 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, 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 LEtJ()fcj& M CTU€/H^r Corp/—j ' Title >C Address .UWCO 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-profiL, coiporation, etc.). If the ov/nership 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.) X Person r Title Corp/Part_ Title Address "H^ClLc U)(AfajeA Address. 1635 Faraday Avenue • Carlsbad, CA 92008-7314 • (760) 602-4600 • FAX (760) 602-8559 NON-PROFIT O ZATION 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 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? 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. x L£J\/O/LB M 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 of 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. VTA 2. Owner List the names and addresses of all persons having any ownership interest in the property involved. N/tA 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. If any person identified pursuant to (1) or (2) above is a non-profit organization or a trust, list the names an; 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, Boarcs 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%0wner/date n Signature of applicant/date Print or type name of owner , Print or type name of'applicant HISTORY OF CUP 226(B) - DELI WISHES (PREVIOUSLY SALAD & SANDWICH EXPRESS) CUP 226(B) expiration date = 3/18/97 Application for five-year extension received 8/7/01 - $595 rec'd Five-year extension results in new expiration date = 3/17/02 Need additional $595 to extend another five years Once approved, new CUP expiration date = 3/16/07 Note: item can be scheduled for public hearing on Sleptember 18, 2002 if additional fee and completed Disclosure Statement received by 8/1/02. 'Jptw VI ll 1rfayflfr< hfa&Ti j ^^ii'