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Home My WebLink AboutMS 15-01; NAYLOR JORDAN TPM - 2ND EXTENSION; Minor Subdivision (MS)'( c·cicyof Carlsbad LAND USE REVIEW APPLICATION P-1 Planning Division 1635 Faraday Avenue (760) 602-4610 www.carlsbadca.gov APPLICATIONS APPLIED FOR: (CHECK BOXES) Development Permits D Coastal Development Permit D Conditional Use Permit D Minor D Extension D Day Care (Large) D Minor D Environmental Impact Assessment D Habitat Management Permit D Minor D Hillside Development Permit 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 Special Use Permit D Minor ~ Tentative Parcel Map (Minor Subdivision) D Tentative Tract Map (Major Subdivision) D Variance D Minor (FOR DEPT. USE ONLY) Legislative Permits MS 15-b\ ti D General Plan Amendment D Local Coastal Program Amendment D Master Plan D Specific Plan D Zone Change D Amendment 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) .. 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. ASSESSOR PARCEL NO(S): LOCATION OF PROJECT: NAME OF PROJECT: BRIEF DESCRIPTION OF PROJECT: PROJECT VALUE (SITE IMPROVEMENTS) FOR CITY USE ONLY *SAME DAY APPOINTMENTS ARE NOT AVAILABLE (STREET ADDRESS) MS 15::0I N '?.:i\or--:Turd(i.()·,fM ESTIMATED COMPLETION DATE Development No. 'J>@l r;--0 \ Lead Case No. P-1 Page 1 of 6 Revised 03/17 OWNER NAME (PLEASE PRINT) (if applicable): No.owl. ~rf'>,jcvatlf\ INDIVIDUAL NAME ~ -J COMPANY NAME ~ (if applicable): Y\\ h MAILING ADDRESS: __._{?_,. 0"--.~fl>-.....'£ ...... d~<;c..-3...,d-___ _ ~~:ps:~::: ZIP W#f:i7C i w~i@ 18 . EMAILADDREss: oantJ IJ acd:wL=t~ gMa, I, I CERTIFY THAT I AM THE LEGAL OWNER AND THAT ALL THE ABOVE INFORMATION IS TRUE AND CORRECT TO THE BEST OF MY KNOW E. I CERTIFY AS LEGAL OWNER THAT THE APPLICANT AS SET H H EIN ,IS MY AUTHORIZED REPRESENTATIVE FOR PURP OF HIS APPLICATION. ,Juli, DA I 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 C RR CT TO THE BEST OF MY KNOWLEDGE. SIGNATURE DATE APPLICANT NAME (PLEASE PRINT) tJa"C(j l . A)<{j}bl0o/CMll INDIVIDUAL NAME (if applicable): COMPANY NAME (if applicable): ...,f"J--'-t\-'a.,'------------- MAILING ADDRESS: __{lQ f:il .,:;} ~3;.;).. CITY. sTATE, z1P: &ts.~ { cA q ;xJf TELEPHONE: U.~.:J.1S:-{o/f3) . EMAIL ADDRESS: mnr.ie. nd-eavo rec'.). C.<>n 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 E CONSENT TO ENTRY FOR THIS PURPOSE. P-1 RICTION: PROPERTY OWNER ACKNOWLEDGES AND CONSENTS TO A NOTICE OF RESTRICTION BEING E TITLE TO HIS PROPE CONDITIONED FOR THE APPLICANT. NOTICE OF RESTRICTIONS RUN WITH ANY sue IN INTERE T. OWNER SIGNATURE Page 2 of6 JUL 11 2019 CITY OF CARLSBAD PLANNING DIVISION DATE STAMP APPLICATION RECEIVED RECEIVED BY: Revised 03/17 (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. 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, 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.) P~rson Nan~L~~ Corp/Part ----------= Title l 00 ~ ~r /~i:t':f Title _____ ,,,..Z ______ _ Address l\l'.ib IYYlacd,a ~-Address_----,;</ ______ _ iJ rY 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 J1'rof'j l JJau\J:JlvdCA.. Corp/Part _______ _ Title 0tn<.c l'i11o Title ___________ _ Ad&I~~: ~~7~_Add-ress ____ _ Page 1 of 2 Revised 07 /1 o 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. ~Jof'I PFefit/Trust L ~Non Profit/Trust ____ ---:::::,--==---- Title--f..'........,c....:....lll4-l-.,,....P~'-4'-+--..:+-l<L-l.iu<L--¥----&-Yd /) Title ____ --::,.-,:;...-------- 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 D Yes ~ No If yes, please indicate person(s): ___________ _ NOTE: At ach additional sheets if necessary. st of my knowledge. Signature of icant's agent if applicable/date Print or type name of owner/applicant's agent P-1 (A) Page 2 of 2 Revised 07/10 (city of Carlsbad PROJECT NAME: APPLICANT NAME: PROJECT DESCRIPTION P-1(8) 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: P-1(8) Page 1 of 1 Revised 07/10 C'cicyof Carlsbad HAZARDOUS WASTE AND SUBSTANCES STATEMENT P-1(C) Development Services Planning Division 1635 Faraday Avenue (760) 602-4610 www.carlsbadca.gov Consultation of Lists of Sites Related to Hazardous Wastes (Certification of Compliance with Government Code Section 65962.5) Pursuant to State of California Government Code Section 65962.5, I have consulted the Hazardous Waste and Substances Sites List compiled by the California Environmental Protection Agency and hereby certify that (check one): □ The development project and any alternatives proposed in this application are not contained on the lists compiled pursuant to Section 65962.5 of the State Government Code. - The development project and any alternatives proposed in this application are contained on the lists compiled pursuant to Section 65962.5 of the State Government Code. APPLICANT PROPERTY OWNER Name }JaA eJ L, ~/o,;J{Ydaf\. Phone Number: c~ ~g)77 ':;--1.ol 8-S Address: J)tifo &a ('(ilia ~ Ca: { ~ ~cL LI+ tta t10P Phone Number: {_, { ~g) -7, ~ -/.o I ~ ,$ Address of Site: J \ 4'. {p Ma_g r'O\ 14. /ve r)U-Q.... Local Agency (City and County): ______________________ _ Assessor's book, page, and parcel number: ___________________ _ Specify list(s): ____________________________ _ Regulatory Identification Number: _____________ --+----------- Prope The Hazardous Waste and Substances Sites List (Cortese List) is used by the State, local agencies and developers to comply with the California Environmental Quality Act requirements in providing information about the location of hazardous materials release sites_ P-1 (C) Page 1 of2 Revised 02/13 ' . NANCY NAYLOR JORDAN July 11, 2019 City of Carlsbad Planning Division 1635 Faraday Avenue Carlsbad, CA 92008 P.O. Box 2532 I Carlsbad, CA 92018 !Telephone: (858) 775-6185 Emails: nancy@ndeavorco.com I nancyljordan17@gmail.com RE: Application for Two Year Extension-Tentative Parcel Map-Minor Subdivision Extension MS 15-01 -Request for approval of second two-year extension of Tentative Parcel Map MS 15-01 to subdivide an existing .47 acre parcel into two parcels, including one panhandle lot, between .19 acre and .22 net acres in size at 1196 Magnolia A venue. Dear City of Carlsbad Planning Department: I am requesting an extension of Tentative Parcel Map-Minor Subdivision MS 15-01 for an additional two years. Due to a physical injury and multiple surgeries, which disabled me for fourteen months, the project progress under the last extension was stalled. I am now recovering and have been diligently interviewing new contractors and architects to assist me in the completion of the requirements and conditions previously set forth by the City of Carlsbad's original conditional approval and subsequent first extension. Attached, please find forms P-1, P-lA and P-1 C. If any additional information is needed, please do not hesitate to contact me. Thank you. Attachments REC[IVED JUL 1 I 2019 CITY OF CARLSBAD PLANNING DIVISION