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Home My WebLink AboutMCUP 09-03; PILGRIM CHURCH PCS FACILITY - 1ST EXTENSION; Minor Conditional Use Permit (MCUP)( City of Carlsbad LAND USE REVIEW APPLICATION P-1 Development Services Planning Division 1635 Faraday Avenue (760) 602-4610 www.carlsbadca.gov APPLICATIONS APPLIED FOR: (CHECK BOXES) Development Permits D Coastal Development Permit D Minor QI Conditional Use Permit □ QI Minor QI f ension J~e~ .. o Day Care (Large □ Environmental Impact Assessment □ Habitat Management Permit D Minor □ Hillside Development Permit D Minor □ Nonconforming Construction Permit □ Planned Development Permit D Minor D Residential D Non-Residential □ Planning Commission Determination □ Reasonable Accommodation □ Site Development Plan D Minor □ Special Use Permit □ Tentative Parcel Map (Minor Subdivision) □ Tentative Tract Map (Major Subdivision) □ Variance D Minor (FOR DEPT. USE ONLY) Legislative Permits HC..LLP oq-03 D General Plan Amendment D Local Coastal Program Amendment D Master Plan D Specific Plan D Zone Change □Amendment □Amendment D Zone Code Amendment South Carlsbad Coastal Review Area Permits D Review Permit D Administrative D Minor D Major Village Review Area Permits D Review Permit D Administrative D Minor D Major (FOR DEPT. USE ONLY) B NOTE: A PROPOSED PROJECT REQUIRING APPLICATION SUBMITTAL MUST BE SUBMITTED BY APPOINTMENT". PLEASE CONTACT THE APPOINTMENT SPECIALIST AT (760) 602-2723 TO SCHEDULE AN APPOINTMENT. •SAME DAY APPOINTMENTS ARE NOT AVAILABLE ASSESSOR PARCEL NO(S): 205-330-26-00 ----------------------------------LO CAT 10 N OF PROJECT: 2020 Chestnut Avenue, Carlsbad, CA 92008 (STREET ADDRESS) NAME OF PROJECT: Sprint MCUP 09-03 Pilgrim Church PCS Facility Extension request BRIEF DESCRIPTION OF PROJECT: Request to extend MCUP 09-03 Pilgrim Church PCS Facility PROJECT VALUE (SITE IMPROVEMENTS) NIA ESTIMATED COMPLETION DATE N/A FOR CITY USE ONLY Development No'J:>Gv: rO t9, -00-:::f-=, Lead Case No. ?rJCU/' tJ9 ... t73 P-1 Page 1 of6 Revised 03/17 Apr2419 03:57p Reginald Owens OWNER NAME INDIVIDUAL NAME (if applicable): COMPANY NAME (If applicable): MAILING ADDRESS: CITY, STATE, ZIP: TELEPHONE: EMAIL ADDRESS: (PLEASE PRINT) () .PilgFff'ft'United Church cA Christ 2020 Chestnut Avenue {(If Ct'l'fi s&ltP) Cerlsbad, CA 92008 760. 729.6311 'pilgrirn.ucc@sbcglobal.net' 17606450533 p.1 APPLICANT NAME (Pl.EASE PRINT} INDMDUAL NAME (If applicable): Steve C8rbullido ------------COMPANY NAME Sprint (ifapplieable): ____________ _ MAILING ADDRESS: 3730 Fifth Avenue CITY, STATE, ZIP: San Diego, CA 92103 TELEPHONE: 619-708-0829 -------------EMAIL ADDRESS: steven.carbullido@sprint.com I CERTIFY THAT I AM TI£ LEGAL REPRESENTATIVE OF THE QWl',ER ANO THAT ALL TI£ ABOVE rN="ORUA TION IS TRUE ANO CORRECT TO THE BEST OF MY KNOJIILEDGE. (see attached Sprint LOA) 4/25/19 SIGNATURE DATE APPLICANT'S REPRESENTATIVE (Print): Vincent Voss, SAC Wireless obo Sprint MAILING ADDRESS: 5015 Shoreham Place, Ste 150 CITY, STATE, ZIP: San Diego, CA 92122 TELEPHONE: (630) 220-8156 --------------------------------EM A IL ADDRESS: Vincent voss@sacw.com I CERTIFY THAT I AM THE REPRESENTATIVE OF THE APPLICANT FOR PURPOSES OF THIS APPLICATION AND lHAT ALL THE N1CNE. A OR T O THE EE.ST OF MY 4125/19 DATE · IN THE PROCESS OF REVIEWING THIS APPLICATION IT MAY BE NECESSARY FOR MEMBERS OF CITY STAFF, Pl.ANNING COMMISSIONERS OR CITY COUNCIL MEMBERS TO INSPECT AND ENTER THE PROPERTY THAT IS THE SUB.ECT OF THIS APPLICATION. I/WE CONSENT TO ENTRY FOR TI·IIS PURPOSE. RESTRICTION: PROPERTY OVIINER ACKNOWLEDGES AND CONSENTS TO A NOTICE OF RESTRICTION BEING DON THE MLE TO ~"PRl!'>Pl=.RTY IF CONDITIONED FOR THE APPLICANT. NOTICE OF RESTRICTIONS RUN WITH AND BIND ANY S CESS S IN INTEREST. Page2of6 APR 2 5 2019 CITY OF CARLSBAD PL__,6,1\]\ii:"l·'; fl!\/1S!ON DATE STAMP APPLICATION RECEIVED Revised 03117 . ' ( City of Carlsbad DISCLOSURE STATEMENT P-1(A) Development Services Planning Division 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.) Person __________ _ Title ___________ _ Address ---------- Corp/Part Sprint PCS Assets, LLC, a Delaware limited liability company Title For full list of executives, please see attached page Address 6391 Sprint Parkway, Overland Park, Kansas 66251 2. OWNER (Not the owner's agent) P-1(A) 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 necessa!Y.) .11.,, _ 1 ~ ~ uµe,~',W#r.J4',.;. u ,_.,.., Person__________ corp/Part Pilgrim LJnited Church of Christ~ Title ------------Title -------------- Address. _________ _ Address 2020 Chestnut Avenue, Carlsbad, CA 92008 Page 1 of 2 Revised 07/10 Apr2419 03:58p Reginald Owens 1760~0533 ,.J p.2 ' \ 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 ________ _ Tdle___________ 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 Councif within the past twelve (12) months? D Yes D No If yes, please indicate person(s): __________ _ NOTE: Attach additional sheets if necessary. information is true and correct to the best of my knowledge. Vincent Voss, SAC Wireless obo Sprint Print or type name of owner/applicant's agent Signature of applicant/date Steve Carbullido (please see attached Sprint LOA) Print or type name of applicant P-1(A) Page2of2 Revised 07110 . . '• SPRINT LIST OF EXECUTIVES: Marcelo Claure (Executive Chairman) Michel Combes (Chief Executive Office and President) Nestor Cano (Chief Operating Officer) Andrew Davies (Chief Financial Officer) John Saw (ChiefTechnology Officer) Brandon "Dow" Draper (Chief Commercial Officer) Jan Geldmacher (President -Sprint Business) Deeanne King (Chief Human Resources Officer) Christina Sternberg (Chief Administrative Officer) Jorge Gracia (Chief Legal Officer) Marci Carris (Senior Vice President -Customer Care) Jim Curran (Senior Vice President-Marketing, Acquisition, and Base Management) April 25, 2019 Letter of Authorization TO: City of San Diego Planning and Development Review Department 1222 First Avenue, MS 301 San Diego, CA 92101-4101 Sprint· RE: Sprint PCS Assets, LLC ("Sprint") Site Zoning and Permitting Acquisition Authorization To whom it may concern, Please be advised that SAC Wireless is performing work for Sprint in the San Diego Market. Sprint hereby authorizes SAC Wireless to act on behalf of Sprint for the sole purpose of acquiring zoning and permit approvals to ensure Sprint's ability to construct, operate and modify unmanned wireless communications facilities. This authorization shall not be construed as a commitment of any type, and all final terms will be subject to Sprint's approval. Property located at: Parcel Number(s): 2020 Chestnut Avenue, Carlsbad, CA 92008 ("Property"} 205-330-26-00 If you should have any questions about the validity of this letter or the performance of SAC Wireless, please contact me either by phone: M (619) 708-0829 or by Email: steven.carbullido@sprint.com. Regards, Steve Carbullido Network Project Manager II Regional Site Development Supporting San Diego and Imperial Counties 3730 Fifth Avenue San Diego, CA 92103 Site ID: SD40XC316 Site Name: Pilgrim Church WIRELESS City of Carlsbad Sprint Wireless Telecommunications Facility Request for Extension of MCUP 09-03 -Pilgrim Church PCS Facility April 25, 2019 Project Address: 2020 Chestnut Avenue, Carlsbad, CA 92008 Project APN: 205-330-26-00 T-Mobile Project Name: SD40XC316 As an authorized agent on behalf of permit holder Sprint, this letter serves as a request to extend MCUP 09-03 -Pilgrim Church PCS Facility. Sprint is seeking this renewal for the continued operation of the existing wireless telecommunications facility, located at 2020 Chestnut Avenue, Carlsbad, CA 92008. The facility was approved via MCUP 09-03 -Pilgrim Church on May 4 ,2009. It is my understanding that a written request for extension is all that is required to renew these entitlements. If you have any questions or need additional documentation to process this request, please contact me at (630) 220-8156 or Vincent.Voss@SACW.com. Respectfully submitted, Vince Voss Site Development Specialist I C: (630) 220-8156 SAC Wireless, 5015 Shoreham Place, Ste 150, San Diego, CA 92122 Vincent.Voss@sacw.com I www.sacw.com Site Development, Architecture and Engineering, Construction 1851 Heritage Lane, Suite 182, Sacramento CA 95815 www.sacw.com PILGRIM UNITED CHURCH OF CHRIST "An open and affirming community within the United Church of Christ with a progressive theology, a commitment to spiritual growth and a passion for social justice." REG OWENS MODERATOR DIANE TUCKER VICE-MODERATOR REV. MADISON SHOCKLEY II MINISTER JAIME ROMO MINISTER FOR HEALING & HEAL THY ENVIRONMENTS ANNA RUNION LICENSED MINISTER FOR YOUTH AND SOCIAL JUSTICE NIKKI HASKELL CHURCH ADMINISTRATOR CLAUDIA REEDER DIRECTOR OF CHILDREN'S MINISTRIES RAYMOND LITTLE MUSIC DIRECTOR JOSEPH PEARSON BAND DIRECTOR JEN GOINS DIRECTOR OF PILGRIM CHILDREN'S CENTER "\ .,I I, Madison Shockley. confirm that Reginald .. Reg" Owens, Chair of Trustees, is authorized to sign as Property owner of Pilgrim Congregational Church. hockley II,. Minister 2020 Chestnut Avenue, Carlsbad, California 92008 Phone: (760) 729-6311 • Children's Center: (760) 729-4464 E-Mail: pilgrim.ucc@sbcglobal.com • Internet Web Site: www.pilgrimucc.org