The URL can be used to link to this page

Home My WebLink AboutMCUP 07-14; T-Mobile Wesloh Chevrolet; Conditional Use Permit (CUP) (4)CITY OF CARLSBAD LAND USE REVIEW APPLICATION1)APPLICATIONS APPLIED FOR: (CHt Administrative Permit Administrative Variance | | Coastal Development Permit / G 2) 3) 4) 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) MfcUP 07-l*f I | Planned Industrial Permit Planning Commission Determination Precise Development Plan Redevelopment Permit Site Development Plan Special Use Permit | | Specific Plan Tentative Parcel Map Obtain from Engineering Department | Tentative Tract Map Variance | [ Zone Change | | List other applications not specified (FOR DEPARTMENT USE ONLY) ASSESSOR PARCEL NO(S).: 211-060-10 PROJECT NAME: SD061 85 TMobile Weseloh Chevrolet Hummer BRIEF DESCRIPTION OF PROJECT: Renewal of CUP 96-12x1 5) OWNER NAME (Print or Type) Charles & Patricia Weseloh MAILING ADDRESS 1520 Hunsaker Street CITY AND STATE ZIP TELEPHONE Oceanside, CA 92054 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, t (\ i / SIGNATURE ^-tA^ DATE 6) APPLICANT NAME (Print or Type) TMobile MAILING ADDRESS 10 180 Telesis Court #333 CITY AND STATE San Diego, CA ZIP TELEPHONE 92129 760-715-8703 EMAIL ADDRESS: 1 CERTIFY THAT 1 Ah owNE/t AND THA^A) ^CCKJifECTTO-flHaBE! SiaNATijRE fTME LEGAL REPRESENTATIVE OF THE THE ABOVE INFORMATION IS TRUE AND T Of MY KNOWLEDGE. /] / /mbtff^ Qlaa®i 7) BRIEF LEGAL DESCRIPTION NOtE: A PROPOSED PROJECT REQUIRING MULTIPLE APPLICAfIONS 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 14 Rev. 12/04 PAGE 1 OF 5 8) LOCATION OF PROJECT:5335 Paseo Del Norte STREET ADDRESS ON THE BETWEEN West (NORTH, SOUTH, EASTTwEST) Cannon Road (NAME OF STREET) SIDE OF AND Paseo Del Norte (NAME OF STREET) Palomar Airport Road 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 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) 12) PROPOSED NUMBER OF RESIDENTIAL UNITS 15) PROPOSED COMM SQUARE FOOTAGE 18) PROPOSED SEWER USAGE IN EDU 21) PROPOSED GENERAL PLAN DESIGNATION 24) HABITAT IMPACTS IF YES, ASSIGN HMP# 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 ENTEBJjHE/K&RERTY THAT IS THE SUBJECT OF THIS APPLICATION. I/WE CONSENT TO ENTRY FOR THIS/tjRPC FOR CITY USE ONLY FEE COMPUTATION APPLICATION TYPE FEE REQUIRED KtUtlVED SEP 2 6 2007 CITY OF CARLSBAD RECEIVED RECEIVED BY: TOTAL FEE REQUIRED Form 14 Rev. 12/04 PAGE 2 OF 5 City of Carlsbad 1635 Faraday Avenue Carlsbad CA 92008 Applicant: TMOBILE Description MCUP0714 5335 PASEO DEL NORTE CHAD Amount 6.56 Receipt Number: R0067742 Transaction Date: 12/06/2007 Transaction ID: R0067742 AmountPay Type Method Description Payment Credit Crd VISA 6.56 Transaction Ampunjt-:J 6.56 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. 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, 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 Corp/Part/ 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 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 £///4*^//#7X/<:/x3 W&€.u>H Corp/Part UJ&<&l-£>tf Qtkyfa>U£-r Title Title Address /£%& //#•££££>£ &T 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? D l—XYes | v\ 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 kriSWIedge. Signature of owner/date Print or type name of owner Print or lype name of applicant Signature! <M applicant/date 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