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Home My WebLink AboutRP 15-19; CARLSBAD DANCE CENTRE; Redevelopment Permits (RP)( City of Carlsbad APPLICATIONS APPLIED FOR: (CHECK BOXES) LAND USE REVIEW APPLICATION P-1 Development Services Planning Division 1635 Faraday Avenue (760) 602-4610 www.carlsbadca.gov Development Permits (FOR DEPT. USE ONLY) Legislative Permits (FOR DEPT. USE ONLY) D Coastal Development Permit(*) D Minor 0 Conditional Use Permit (*) 0 Minor O Extension D Day Care (Large) D Environmental Impact Assessment D Habitat Management Permit D Minor D Hillside Development Permit (*) 0 Minor D Nonconforming Construction Permit 0 Planned Development Permit O Minor 0 Residential O Non-Residential D Planning Commission Determination D Reasonable Accommodation D Site Development Plan D Special Use Permit 0Minor 0 Tentative Parcel Map (Minor Subdivision) 0 Tentative Tract Map (Major Subdivision) 0 Variance O Minor D General Plan Amendment 0 Local Coastal Program Amendment (*) 0 Master Plan 0 Specific Plan 0 Zone Change (*) 0Amendment 0Amendment D Zone Code Amendment South Carlsbad Coastal Review Area Permits 0 Review Permit 0 Administrative O Minor O Major Village Review Area Permits 1------1 ~ Revh>w Pe,mtt IRP /5-/'j I ){Administrative D Minor D Major (*) = eligible for 25% discount NOTE: A PROPOSED PROJECT REQUIRING MULTIPLE APPLICATIONS MUST BE SUBMITIED PRIOR TO 3:30 P.M. A PROPOSED PROJECT REQUIRING ONLY ONE APPLICATION MUST BE SUBMITTED PRIOR TO 4:00 P.M. ' BRIEF LEGAL DESCRIPTION: ~ ~ £,L "[ ~ . ~ _,. CU I Lc-r~ LOCATION OF PROJECT: A-Seo ~~~o ~ bQ ~ ev-G-L-Y f"7' ~~~-A.~ ~. ON THE: fA-s7' SIDE OF STREET ADDRESS ~oo~~~~c-r <;; "( (NORTH, SOUTH, EAST, WEST) (NAME OF STREET) BETWEEN Gt,-(A. ~'"\) ~"f-AND t...A.Gt.~~ -A '-:D9't0-P_ (NAME OF STREET) (NAME OF STREET) P-1 Page 1 of 6 Revised 07/15 OWNER.NAME (Print): MAILING ADDRESS: CITY, STATE, ZIP: TELEPHONE: EMAIL ADDRESS: 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 APPLICANT NAME (Print): Q%,lt!rL~~ R'c> r'V\4,.1\1 f:" 'MAILINGADDRESS: 28<?8 B~S0/tft,...~ ~ .. c1TY, sTATE, z1P: C,4(2.LS ~>? 1 CA ~ 92.roB TELEPHONE: ') ~0-, S4., 2-~ q le MAJ~ ADDRESS: f"O""' (B CJ}:l'lt.$g.M J>A..J££ L.\?,-Jlf! -.. t:o,f\A 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 TITLE TO HIS PROPERTY IF CONDITIONED FOR THE APPLICANT. NOTICE OF RESTRICTIONS RUN WITH THE LAND AND BIND ANY SUCCESSORS IN INTEREST. , PROPER-T¥0WNER SIGNATURE FOR CITY USE ONLY DATE STAMP APPLICATION RECEIVED RECEIVED BY: Page2of6 Revised 07/15 JWNmNAME (Print): MAILING ADDRESS: CITY, STATE, ZIP: TB.EPHONE: EMAIL ADDRESS: APPLICANT'S REPRESENTATIVE (Print): MAILING ADDRESS: CITY, STATE. ZIP: TELEPHONE: EMAIL ADDRESS: l CERTIFY THAT I AM THE REPRESENTATIVE OF THE APPLICANT FOR PURPOSES OF THIS APPLICATION AND THAT ALL THE ABOVE INFORMATION IS "!RUE AND CORRECT TO THE BEST OF lvrf KNOWLEDGE. SIGNATURE DATE I CERTIFY THAT I AM THE LEGAL REPRESENTATIVE OF THE OWNER AND THAT ALL THE ABOVE INFORMATION IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE. 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. SEP 2 4 2015 P:l\;)<>2ci"6 .wm (city of Carlsbad PROJECT DESCRIPTION P-1(8) Development Services Planning Division lf35 Faraday Avenue (760) 602-4610 www .carlsbadca.gov PROJECT NAME: ---~'-==§=B-::...::\l'_,.e,e::=;t:..,,__~.:;:;;J~=-\w£/<.=....._----- APPLICANT NAME: Jso"-lfl.1..\):!:~ R.1.:>IY)A-1...J\5"" (cA12L~_0A.\) 0ht\.lC..' 4r,111~J 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: ~~~~ ~~~ ~R.£ JITT"o R <;;,p,1-4-~ &~,~i;i £y ~ ) M~ s, ~-n...o-R e_p(?. i.,~a.t.f ~s d---~ Ql..,O ~~ c.__,-coR ~ ~fZ-I e_..fL 1 P-1{B) Page 1 of 1 Revised 07/10 ... Indemnification and Insurance Requirement for Village Area Administrative Permit Certification Statement: I Certify that I am the Legal Business Owner of the subject business and that all of the above information is true and correct to the best of my knowledge. I agree to accept and abide by any conditions placed on the subject project as a result of approval of this application. I agree to indemnify, hold harmless, and defend the City of Carlsbad and its officers and employees from all claims, damage or liability to persons or property arising from or caused directly or indirectly by the installation or placement of the subject property on the public sidewalk and/or the operation of the subject business on the public sidewalk pursuant to this permit unless the damage or liability was caused by the sole active negligence of the City of Carlsbad or its officers or employees. I have submitted a Certificate of Insurance to the City of Carlsbad in the amount of one million dollars issued by a company which has a rating in the latest "Best's Rating Guide" of "A-" or better and a financial size of $50-$100 (currently class VII) or better which lists the City of Carlsbad as "additional insured" and provides primary coverage to the City. I also agree to notify the City of Carlsbad thirty days prior to any cancellation or expiration of the policy. The notice shall be delivered to: City Planner City of Carlsbad 1635 Faraday Avenue Carlsbad The insurance shall remain in effect for as long as the property is placed on the public sidewalk or the business is operated on the public sidewalk. This agreement is a condition of the issuance of this administrative permit for the subject of this permit on the public sidewalk. I understand that an approved administrative permit shall remain in effect for as long as outdoor · ays are permitted within the Village Review Area and the permittee remains in complia h the bj a roved permit. Date:___,,£_; ~_1/.,,_/c._~_,, __ Certification Statement: I Certify that I am the Legal Property Owner for the subject business location and that all of the above information is true and correct to the best of my knowledge. I support the applicant's request for a permit to place the subject property on the public sidewalk. I understand that an approved administrative permit shall remain in effect for as long as outdoor displays are permitted within the Village Review Area and the permittee remains in compli n e w"th the su · t appro d permit. Signature ---i:-,;~"-"---=+~~...=c~:i.-.---~...:~;;....;;.-..;...:.i .-~ oo~fU.-l'. ~~ ~e... ~~-t' .se.<2.. Date:_§_-__.1_.Y:_-__..t_~__..'--- ~oo W-'1 (A_"' ---r~~~ 1:Nt as-r~~s L. ~. P-1 Page 3 of 6 Revised 07/15 \ (cicyof 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.) Person ~r;)f'l.l\i...i) -:f" ~oMA-tl\16 Corp/Part :JANA L. koO'\~~ Title Cfa;)~t2-Title_O _____ w6\ ___ 62-__ ...., _______ _ Address'Vc:DB Roo..Siw"~ST, CA~~sgA~llA 72,lA)f) OWNER (Not the owner's agent) Address 1..BOB Rro.si-va,"( .ST~ CARV...Si'~t CA Cj"z,,»8 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 .:r0010 l\l\ . ~€. LLA~v Corp/Part1<o0c;;e,Jat..,1: C86rtd(l 1Ae. Title fo._~~ \~ Title ?AQ--1 N:€::(2..... Address k \J~N-Z\e.4£_ #-ch\~ Address i VerSC u--~t.. :P~ &\'~ J:~\JlrMh tA: s~~\:Z> :LJlvlcifL ~ Cl&k(~, ' ~ 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 pers n serving as an officer or director of the non- profit organization or as trustee or b 1ciary of the. Non Profit/Trust -----------Non Profit/Trust ------------------- Tit I e ---------,-------Tit I e _____________ _ 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 igNo If yes, please indicate person(s): __________ _ NOTE: Attach additional sheets if necessary. II the above information is true and correct to the be Jo~ m . \/a u.J\1\h:> Print or type name of owner 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) Page2of2 Revised 07/10 ( Cicyof Carlsbad TIME LIMITS ON DISCRETIONARY PROJECTS P-1(E) PLEASE NOTE: Development Services Planning Division 1635 Faraday Avenue {760) 602-4610 www.carlsbadca.gov Time limits on the processing of discretionary projects established by state law do not start until a project application is deemed complete by the City. The City has 30 calendar days from the date of application submittal to determine whether an application is complete or incomplete. Within 30 days of submittal of this application you will receive a letter stating whether this application is complete or incomplete. If it is incomplete, the letter will state what is needed to make this application complete. When the application is complete, the processing period will start upon the date of the completion letter. If you have any questions regarding application submittal requirements (i.e., clarification regarding a specific requirement or whether all r quirements are necessary for your particular application) please call (760) 602 10. Applicant Signature: Staff Signature: Date: To be stapled with receipt to the application P-1(E) Page 1 of 1 Revised 07/10