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Home My WebLink AboutMCUP 13-13X1; VIASAT EXPANSION; 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 n Coastal Development Permit (*) O Minor B1 Conditional Use Permit (*) IB] Minor [B] Extension n Day Care (Large) n Environmental Impact Assessment l~| Habitat Management Permit O Minor l~l Hillside Development Permit (') d) Minor I~1 Nonconforming Construction Permit I I Planned Development Permit Q Minor r~l Residential d] Non-Residential dl Planning Commission Determination r~1 Reasonable Accommodation I I Site Development Plan dl Minor l~l Special Use Permit I I Tentative Parcel Map (Minor Subdivision) I I Tentative Tract Map (Major Subdivision) I I Variance dl Minor (FOR DEPT USE ONLY) Legislative Permits I I General Plan Amendment (FOR DEPT. USE ONLY) I I Local Coastal Program Amendment (*) I [ Master Plan dl Amendment dl Specific Plan dl Amendment dl Zone Change (*) dl Zone Code Amendment South Carlsbad Coastal Review Area Permits dl Review Permit I I Administrative dl Minor I I Maior Village Review Area Permits I I Review Permit dl Administrative dl Minor dl Major (*) = eligible for 25% discount NOTE; A PROPOSED PROJECT REQUIRING MULTIPLE APPLICATIONS MUST BE SUBMITTED PRIOR TO 3:30 P.M. A PROPOSED PROJECT REQUIRING ONLY ONE APPLICATION MUST BE SUBMITTED PRIOR TO 4:00 P.M. ASSESSOR PARCEL NO(S).: 213-261-20, 21, 22 & 23 PROJECT NAME: ViaSat - Bressi Ranch Lots 10-13 (Antenna Enclosure) BRIEF DESCRIPTION OF PROJECT: Concrete, open to the sky, enclosure to house antenna and related equipment BRIEF LEGAL DESCRIPTION: Lots 10-13 of Carlsbad Tract CT 02-15 Bressi Ranch LOCATION OF PROJECT: 2502 Gateway Road ON THE. (NORTH. SOUTH, EAST, WEST) BETWEEN Gateway Rd. (NAME OF STREET) STREET ADDRESS SIDE OF Camino Real (NAME OF STREET) Palomar Airport Road (NAME OF STREET) P-1 Page 1 of 6 Revised 07/15 OWNER NAME (Print): Pivotal 650 California St., LLC APPLICANT NAME (Print), smith Consulting Architects (Milos Makaric) MAILING ADDRESS: 2201 E. Camelback RD.. Ste. 650 MAILING ADDRESS: 13280 Evening Creek Dr., South, Ste. 125 CITY. STATE, ZIP Phoenix, AZ 85016 CITY, STATE, ZIP: San Diego. CA 92128 TELEPHONE 602,248.8181 TELEPHONE: 858.793.4777 EMAIL ADDRESS: tony@levineinvestments.com EMAIL ADDRESS: milosm@sca-sd.com I CERTIFY THAT 1 AM THE LEGAL OWNER AND THAT ALL THE ABOVE INFORMATION IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE. 1 CERTIFY AS LEGAL OWNER THAT THE APPLICANT AS SET FORTH HEREIN IS MY AUTHORIZED REPRESENTATIVE FOR PURPOSES OF THIS APPLICATION. 1 CERTIFY THAT 1 AM THE LEGAL REPRESENTATIVE OF THE OWNER AND THAT ALL TH^BOVe INFORMATION IS TRUE AND CORRECT TO THE BEST OF M^mtO^EDGE. SIGNATURE DATE * r^[^f(»rfURE / DATE / APPLICANT'S REPRESENTATIVE (Print): Smith Consulting Architects, Milos^flakaric MAILING ADDRESS: 13280 Evening Creek Dr., South, Ste, 125 CITY, STATE. ZIP: San Diego. CA 92128 TELEPHONE: 858.793.4777 EMAIL ADDRESS: milosm@sca-sd.com 1 CERTIFY THAT 1 AkU^^EPRESENTATIVE OF THE APPLICANT FOR PURPOSES OF B^^^APPLICATION AND THAT ALL THE ABOVE INFORMATiqjrXS;^^^ and CORRECT TO THE BEST OF MY SIGft^URE date IN THE PROCESS OF REVIEWING THIS APPLICATION IT MAY BE NECESSARY FOR MEMBERS OF CITY STAFF. PLANNING COMMISSIONERS 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. NOTICE OF RESTRICTION: PROPERTY OWNER ACKNOWLEDGES AND CONSENTS TO A NOTICE OF RESTRICTION BEING RECORDED ON THE TITUf TO HIS PROPERTY IF CONDITIONED FOR THE APPLICANT. NOTICE OF RESTRICTIONS RUN WITH THE LAND AND BIND^'/siiOCes'^RS IN INTEREST. ^ROPEF JbK SIGNATURE FOR CITY USE ONLY RECEIVED JAN 1 3 2016 CITY O,- C A'TLSBAD ' ' " ' ' ' ' 3^j DATE STAMP APPLICATION RECEIVED RECEIVED BY: P-1 Page 2 of 6 Revised 07/15 C Develooment Services City of DISCLOSURE STATEMENT Planning Division Carlsbad P- 1 ( A) 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 publiclv-owned corporation, include the names, titles, and addresses of the corporate officers. (A separate page may be attached if necessary.) Person l^lakaric Corp/Part Consulting Architects ArchitectTitle >^rcniieci Title Address Evening Creek Drv. Ste. 125 Address^®" Diego, CA 92128 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, 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 publiclv-owned corporation, include the names, titles, and addresses of the corporate officers, (A separate page may be attached if necessary.) Person Cohv) Corp/Part Title MTYl-y/- Title Address 'Z-TOl g C7jinA-iy\\muL. Address Camelback Rd. Ste 650 AT- Phoenix. AZ 85016'.UJL P-1(A) Page 1 Of 2 Revised 07/10 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 $500 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 b of ^ner/date Pivotal 650 California St. LLC Print or type name of owner knowledge Signature of appttcant/date iSmith Consulting Architects Print or type name of applicant Signature of owner/applicant's agent if applicable/date Print or type name of owner/applicant's agent P-1(A)Page 2 of 2 Revised 07/10