The URL can be used to link to this page

Home My WebLink AboutRP 16-04; RELM CURB CAFE; Redevelopment Permits (RP)#cC. .Y°11 164101 LAND USE REVIEW *6*1 Development Services Planning Division\77 CITY 0 F APPLICATION ?LA 1635 Faraday AvenueCARLSBADP-1 (760)602-4610 www.carlsbadca.gov Use. fee.41. 222 yie-per-.f.-paw )1 2 =4-2, VI/ APPLICATIONS APPLIED FOR:(CHECK BOXES) Development Permits (FOR DEPT. USE ONLY)Legislative Permits (FOR DEPT. USE ONLY) D Administrative Permit 0 General Plan Amendment O Coastal Development Permit (*)0 Minor Local Coastal Program Amendment (*) Conditional Use Permit (*)0 Master Plan Amendment0Minor0Extension O Environmental Impact Assessment 0 Specific Plan 0 Amendment O Habitat Management Permit 0 Minor 0 Zone Change (*) O Hillside Development Permit (*)0 Zone Code Amendment Planned Development Permit 0 Residential 0 Non-Residential South Carlsbad Coastal Review Area Permits 0 Planned Industrial Permit El Review Permit D Administrative 0 Minor 0 Major El Planning Commission Determination O Site Development Plan Village Review Area Permits 0 Special Use Permit M Review Permit 1219 pAdministrative 0 Minor 0 Major LI O Tentative Tract Map/Parcel Map 11)alte O Variance 0 Administrative (*) =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).:2-0 -2-73 -/o PROJECT NAME:s ----- BRIEF DESCRIPTION OF PROJECT:A-aid 5.4)(iLe pfrio _skree4-5 /de.-Cm" ea*. BRIEF LEGAL DESCRIPTION: LOCATION OF PROJECT:2///Skte.,c/ree_f-,# /06 aris64.d 92002 STREET ADDRESS ON THE:Mr/41.—SIDE OF s74z te.S (NORTH, SOUTH, EAST, WEST)(NAME OF STREET) BETWEEN gra.nd 4Ve AND 04#45ha -by/1/6 (NAME OF STREET)(NAME OF STREET) P-1 Pam 1 of 6 Revised 11/12 OWNER NAME (Print):‘...44CRIAI LIZA P..APPLICANT NAME (POW eejAi TO.Sho MAILING ADDRESS:ecox E _chappi4n.e6-00 MAILING ADDRESS:24/7cI i s CITY, STATE, ZIP:ont774p 00 citagda CITY, STATE, ZIP:C I5bed ,zoo g" TELEPHONE:j7/1/^.-E3 TELEPHONE;/40 -3 Y -916 3 EMAIL ADDRESS:EMAIL ADDRESS:r 0.7 .car I CERTIFY THAT I THE L GAL OWNER AND THAT ALL THE ABOVE WAND T AT I AM ESENTAT1VE OF THE OWNER INFORMATION TRUE ECT TO THE BEST OF MY ND THAT A L THE OVE INFORMATION IS TRUE AND CORRECT TO KNOW THE BEST MY OWL I3 E. /60-Ymzeag A-t -zoA URE DATE SIG TURF DATE APPLICANTS REPRESENTATIVE (Print): MAILING ADDRESS: CITY, STATE. ZIP: TELEPHONE: EMAIL ADDRESS: I CERTIFY THAT I AM THE LEGAL REPRESENTATIVE OF THE APPLICANT 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.LANE CONSENT TO ENTRY FOR THIS PURPOSE. NOTICE OF RESTRICTION:PROPERTY OWNER ACKNOWLEDGES AND CONSENTS TO A NOTICE OF RESTRICTION BEING RECORDED ON E TITLE TO HIS PROPERTY IF CONDITIONED FOR THE APPLICANT.NOTICE OF RESTRICTIONS RUN WITH THE •ii =IND ANY SUCC SORS IN INTEREST. PROPERTY OWNER SIGN FOR CITY USE ONLY FEB 0 5 2016 DATE STAMP APPLICATION RECEIVED RTrlyEiD BY:_ J110-1(10W5 P-1 Page 2 o(6 Revised 11112 • 11111111111111111111111111111111111111 amororm isomilievilildlowl•was oinr.(11.ror - 11111•11.11.111= (, -I -.STATEMENT DISCLOSURE Development Services <I Planning Division Y F P-I (A)1635 Faraday Avenue CARLSBAD (760) 502-4610 www.carisbadca.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 thisinformation 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 er_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 pa e may, be attached if necessary.) Person Weni tti1/1.11 Corp/Part Title OAriekr.-Title Address 7 Six-6.Siree-/-Address b ae-,9 zovI 2.OWNER of iPie 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 (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.) Person Z-e_:?1./114/cce'l - ,Corp/Part Tifie 7)1(2r7a9€Title Address PS02.5 chcrtile-Address 0 *?ry-f2 69-qz.20 P-1(A)Page 1 of 2 Revised 07110 Indemnification and Insurance Re uirement 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 Test's Rating Guide" of "Pe"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 o "dewalk.This agreement is a condition of the issuance of this administrative permit for the subj of this permit n the public 'derstand that an approved administrative permit shall remain 'effect for as Ion at out displays are permitted within the Village Review Area and the permittee remain in com lance the s jec_ved permit_ Sig nature Date: Certification Statement:• 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 compliance ith the s "ect proved permit. Signature Date:AI-F--2-413 P-1 Page 3 of 6 Revised 11/12 .Iii..MONOftwomomnimml 0 0 • 3.NON-PROFIT ORGANIZATION OR TRUST If any person identified pursuant to (1) or (2) above is a nonprofit organization or a trust. listlist 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 pars on(s): NOTE:Attach additional sheets if necessary. I certify that I the above information is true and car 0 the st of my kn e. t ir—e---.• Signature of owner/date ...---,..)Siglature of applicant/date /.6c23fr___42rit/yyi...fel/WillPrint or peei me of ownei Print or type name of apOicant Signature of owner/applicants agent if applicable/date Print or type name of owner/applicant's agent PAN Pap 2 of 2 Revised o7/10 PROJECT Development ServicesDESCRIPTIONPlanning Division "7/CITY OF P-1 (B)1635 Faraday Avenue CARLSBAD (760)602-4610 www.carlsbadca.gov Curb Ca-P-c. PROJECT NAME:SI-Yee).-S;eie Otaderve red?a .2-9/7 Se-&-a?-41.4 92-ebe _ APPLICANT NAME:fahn i/Oor.7.•00,/_-/-TP1-73 ho •1.-ene /7i1 q 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: 02-auf,WitaiWireb Lel 1 -• sciklem5ReA PrA4-1761 -e— /I/70 121 -trail - P-1(B)Page 1 of 1 Revised 07/10 Q HAZARDOUS WASTE",Development Services AND SUBSTANCES Planning DivisionSitteCITYOFSTATEMENT1635 Faraday Avenue CARLSBAD P-1(C)(760)602-4610 www.eari8barice.gov Consultation of Lists of Sites Related to Hazardous Wastes (Certification of Compliance with Government Code Section e5962.5) 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 nnA): l The development project and any alternatives proposed in this application are not contained on the fists complied pursuant to Section 85962:5 of the State Government Code_ The development project and any alternatives-piupased in this application are contained on the lists compiled pursuant to Section 85062.5 of the State government Code. APPLICANT PROPERTY OWNER itz..- 2110.1**Name: 12.6.4 -7 --- e5)stro At -6e4/1 Name:Ple'7.5771if yr..-it --I Address:21Y 69-0.-te 9-yeef Ad dr•as:C- 17"1Yw74-C74-,41----4/4517"- g2i0i7 ---/-YiscVs"( (3./Z11 Phone Number:7bd -V3Y -1V4 3 Phone Number:- 74.0 -33 Address of Site:9.521 S cS 1-Yee_71:-°706 Local Agency (City and County):er44-215-----41 Assessor's book, page, and parcel number:.20.3 —213 -/e) Specify list(s): Regulatory Identification Number: Dat ) Applicant $ignatureiDete Property Owner SignaMTeiDate-- 1 The 'Ha ardour Waste and PivhstAnces 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)Pape 1 of 2 Reviser;(1.211:1