HomeMy WebLinkAboutMS 05-10; EUCALYPTUS MINOR SUBDIVISION; Minor Subdivision (MS){"city of
Carlsbad
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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
D Conditional Use Permit
D Minor D Extension
D Day Care (Large)
D Environmental Impact Assessment
D Habitat Management Permit
D Hillside Development Permit
D Minor
D Minor
D Nonconforming Construction Permit
D Planned Development Permit D Minor
D Residential D Non-Residential
D Planning Commission Determination
D Reasonable Accommodation
D Site Development Plan D Minor
D Special Use Permit ,:f V'-~ Cf\! 'fo't-'. ~ Tentative Parcel Map (Minor Subdivision)
D Tentative Tract Map (Major Subdivision)
0 Variance D Minor
(FOR DEPT. USE ONLY) Legislative Permits
I\AC,Oi?-10
D General Plan Amendment
D Local Coastal Program Amendment
D Master Plan
D Specific Plan
D Zone Change
OAmendment
D 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):
LOCATION OF PROJECT:
NAME OF PROJECT:
BRIEF DESCRIPTION OF
PROJECT:
PROJECT VALUE
(SITE IMPROVEMENTS)
FOR CITY USE ONLY
208-040-12
Between 4984 and 4992 Eucalyptus Lane
(STREET ADDRESS)
Eucalyptus Lane
Minor Subdivision Extension for a three lot subdivision MS-05-10x1
ESTIMATED COMPLETION DATE
Development No. V'f v o0 \ 1-3 Lead Case No.
P-1 PaQe 1 of6 Revised 03/17
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OWNER NAME (PLEASE PRINT) APPLICANT NAME (PLEASE PRINT)
INDIVIDUAL NAME INDIVIDUAL NAME
(if applicable): Guy Oliver (if applicable): Same as Owner
COMPANY NAME COMPANY NAME
(if applicable): Summit West Real Estate, Inc. (if applicable):
MAILING ADDRESS: 2652 La Costa Ave MAILING ADDRESS:
CITY, STATE. ZIP: Carlsbad, CA 92009 CITY, STATE. ZIP
TELEPHONE: 7604 76-3544 TELEPHONE:
EMAIL ADDRESS: guy@summit-west.com EMAIL ADDRESS:
I CERTIFY THAT I AM THE LEGAL OWNER AND THAT ALL THE ABOVE I CERTIFY THAT I AM THE LEGAL REPRESENTATIVE OF THE OWNER
INFORMATION IS TRUE AND CORRECT TO THE BEST OF MY AND THAT ALL THE ABOVE INFORMATION IS TRUE AND CORRECT TO
KNOWLEDGE. I CERTIFY AS LEGAL OWNER THAT THE APPLICANT AS THE BEST OF MY KNOWLEDGE.
SET FORTH HEREIN IS MY AUTHORIZED REPRESENTATIVE FOR
PURPOSES OF THIS APPLICATION. laJ,e,I\B ~A¾.p--~ NAT6R--DAE SIGNATURE DATE
APPLICANT'S REPRESENTATIVE (Print):
MAILING ADDRESS:
CITY, STATE, ZIP:
TELEPHONE:
EMAIL ADDRESS:
I CERTIFY THAT I AM THE REPRESENTATIVE OF THE APPLICANT FOR
PURPOSES OF THIS APPLICATION AND THAT ALL THE ABOVE
INFORMATION IS TRUE AND CORRECT TO THE BEST OF MY
KNOWLEDGE.
SIGNATURE 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. INVE CONSENT TO ENTRY FOR THIS PURPOSE.
NOTICE OF RESTRICTION: PROPERTY OWNER ACKNOWLEDGES AND CONSENTS TO A NOTICE OF RESTRICTION BEING
RECORDED ON THE TITLE TO HIS PROPERTY IF CONDITIONED FOR THE APPLICANT. NOTICE OF RESTRICTIONS RUN WITH
THE LAND AND BIND ANY SUCCESSORS IN INTEREST. 6-~ <l Q~.._: PR~ OWNER SIGNATURE
FOR CITY USE ONLY
P-1 Page 2 of6
RECt:IVED
JUN 1 9 2018
l 11 Y Ct C1\RLSf-lAD
DATE S1-i(M)l,'f.!f>lil'.lelA Y~CEIVED
RECEIVED BY:
Revised 03/17
.------------r~--------------------------
Ccityaf
Carlsbad
PROJECT DESCRIPTION
P-1(8)
PROJECT NAME: Eucalyptus Lane -MS 05-1 0x1
APPLICANT NAME: Summit West Real Estate, Inc.
Development Services
Planning Division
1635 Faraday Avenue
(760) 602-4610
www.carlsbadca.gov
Please describe fully the proposed project by application type. Include any details necessary to
adequately explain the scope and/or operation of the proposed project. You may also include
any background information and supporting statements regarding the reasons for, or
appropriateness of, the application. Use an addendum sheet if necessary.
Description/Explanation:
Mt~otZ ~..:>t>~Vl"\J'l':;>1 ci'1 ~~'S,cN o:t? M0 oS-1 o><-l --t' D
~~ "i°'1r-Ae, 'ID COMf~ C-,~, I\JC-, ~ ?~
t'lf\? f L-,llN CA--r~ _
P-1(6) Page 1 of 1 Revised 07/10
June 18, 2018
City of Carlsbad
1635 Faraday Ave
Carlsbad, CA 92008
RE: Minor Subdivision Extension Request for MS 05-l0xl(Eucalyptus Lane)
We are applying for a Minor Subdivision extension of Tentative Parcel Map No. MS 05-l0xl and all
associated approvals. My engineering team has completed and received a Substantial Conformance
Tentative Map. The revised Parcel Map and Grading Plans have recently been submitted for plan check
and this extension will allow us time to address any City comments on those plans.
Thank you for considering our request.
Sincerely,
By:~a-
~liver, President
Summit West Real Estate, Inc.
760-476-3544
{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:.·
l"E3rs~n i$ defined as "Any in_dividu_al_, firm, c:o-partnership, joint venture, association, social dub, fraternal
otg~nization, corporation, estate, trust, receiver, syndicate, in this and any other county, city and cmmty,
city municipality, district or other political suodivision or any other group or combination acting .as a unit.''·
AgenJs may sign thi_s_ document; however, the legal name and entity of the appiicanl and property owner
must !Jei provided below .. ·
1.
2.
P-1(A)
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, addre.sses of all individuals owning more than 10% of the
shares. IF NO INDIVIDUALS OWN MORE THAN 10% OF THE SHARES, PLEASE
INDICATE NON-APPLICABLE (NIA) 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.)
Perso6o.'{ QL,Jzt, Corp/Part7Ut:"\l>"\l1 ~' rtML-~~~
Titleflh?z, ~ Title ____________ _
Address-Z..US:Z.. \d'C (_<;$(A b/f? Address __________ _
~ C,/Jr q ~C/
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 publicly-owned corporation, include the names, titles, and
addresses of the corporate officers. (A separate page may be attached if necessary.)
Person~IP /i(7 ~ Corp/Part~-Pe ~Ile_
Title __________ _ Title ___________ ~--
Address _________ _ Address ____________ _
Page 1 of2 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 !he 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?
D 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.
'?'V~\-C ~'\ ~ 1i'S~ \~
~~4u-v, (:=2:-· ~it?J':Nf
Sigre of owner/date I~
~t,'l)ftl-t' ~--t"' ~ ~~ '~
0d'· ~-1~"-1 Q:\JW.. ~ll~
Print' or ype name of owner
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 07/1 O