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Home My WebLink AboutSA 01; MEHDI BEHMARD; Satellite Antenna Permit (SA)• . ' LAND USE PLANNING APPLICATION ADMINISTRATIVE AcrIONS ' -#-( REQUEST B Administrative Variance Planned Industrial Pennit [J Satellite Antennae Permit ~omplete Descrlptlon of ProJect (attach addltlonal sheets if necessary) f--. . _ . - Locatlon of ProJect S6J:( P/ -h', e '~i-~ \",.-r 'Ii ;-, ~ #-;/ 1/; -If?" ,?./. ,.(!. ',; ,",' '\ .. r _... ,"" < I I Legal Description (ccmplete) ;p.?L£: _ 4/Y' \ t) //"''';-/;J l . , / /' /J /.I/I .... :;1/'?it. /"'_'.",: '/ " , ......-.". ..... ~"j " "- Assessors Parcel Number Zone General Plan ExlStlng Land Use Slte Acreage CMner Applicant Name (Print or ~) , ~ Nam~" (;;int o~?~~) ~I .," , 1-' I ..... , m~#t -'~)??-Pf;A1; mdJ .&!Mmrp·", $ ~.-' / "'-"" '~ ",,' .... ,.',:J~- Mal 1 lnCJ_ Affiss, ~fiJ.l),2?~ $/;ZS '/t//j. ,', , '. Malllng Address ~ ;i/,2s /-//u//L;RJ/vLJ c:J. Clty and State Zl;f Telephone CIty am State zy Telephone ~"~??JPfiJ/,?~Jt-7~!/1 C44L5.11/J4 CA-/9200 721P7fJ// ,,' "', , "/ _ -, r C, ~ '" ' , I CERTIFY '!HAT I lIM '!HE rEGAL CMNER AND I CERTIFY '!HAT I lIM '!HE avNER' S REPRESENTATIVE THAT ALL '!HE ABOVE INFORMATION IS 'TIlliE AND '!HAT ALL '!HE ABOVE INFORMATION IS TRUE AND CORREcr 'IO '!HE BEST OF MY KNCmLEOOE. AND CORREcr 'IO '!HE BEST OF MY KNOWLErx;E. SIGNA~ (;f ~~ ~~//r r ~ SIGNATURE ~ DME J~. ' '.l'~ tI /.;;! /,w DaM' Appll..catl.on Rec'd' 'Reqel.ved By ---'F~ecel;Ved~"-,-Rece~pt 'No. ' " ?;j;/?6 b~· '~" ;eii> G/?/tfJ6 Date·Appl~catl.on·~eCrd ' :Sta.ff 'AsSlgned ' , Gase NJ.1nt>e:r:.--. :. 'SA #1 I. SPECIFIC RE'QUI.REMENTS Planned Industrial Permit 1. Application Form 2. General Requirement Items four (4) copies of items A-C items E-G, J & K 3. Fee: $100.00 Administrative Variance 1. Application Form 2. General Requirement Items: four (4) copies of items A and C(if applicable) items D, F - I 3. Variance Supplemental Sheet 4. Fee: $100.00 Single Family $330.00 Other Satellite Antennae Permit 1. Application Form 2. General Requirement Items: two (2) copies' of items A - C item G Additional Information Cross-section showing adjacent property and existing streets. * NOTE -SATELLITE ON COMMERCIAL BUILDING REQUIRES A BUILDING PERMIT 3. Fee: $ 25.00 II. GENERAL REQUIREMENTS. A. Site Plan: Shall include the following information: Name and address of applicant, engineer and/or architect, etc. ' All easements Dimensioned locations of: access, both pedestrian and vehicular, showing service areas and points of ingress and egress offstreet parking and loading areas shdwing- location, number and typical dimension of spaces, and wheel stops .. • distances between buildings and/or structures building setbacks (front, rear and sides) location, height, and materials of walls and fences location of freestanding signs all driveways to scale on properties adjacent and across the stre~t, for a distance of 100 feet beyond the limits of subject site existing curbs, gutters, sidewalks and existing paving widths within 100 feet on properties adjacent and across the street typical street section any existing median islands within 100 feet of subject site nearest cross streets on both sides with ,plus or minus distances from subject site location of all buildings within 100 feet of subject properties a vicinity m~p showing major cross streets a summary table indicating the following information: site, acreage existing zone and land use proposed land use total building coverage building sq. footage percent.landscaping number of parking spaces sq. footage of open/recreational space (if applicable) cubic footage of storage space (if applicable). B~ Preliminary Landscape Plan (24" x 36") shall include the following information: 1. Landscape zones per the City of Carlsbad Land- scape Guidelines Manual ~ Typical plant species and their sizes for each C/ planting zone 3. An estimate of the yearly amount of irrigation (supplemental) water required to maintain each zone 4. Landscape maintenance responsibility (private or common) for all areas 5. Percent of site used for landscaping. C. Building Elevations and Floor Plans* (24"x36") floor plans with square footages included location and size of storage areas .-- all buildings, structures, walls and/or fences, signs and exterior lights. *NOTE: ALL EXHIBITS MUST BE FO'LOEO IN A SI ZE NOT TO EXCEED 81/2" x 11". D. E. F. G. H. I. J. K. • One (1) copy of 8 1/2"x11" location map (suggested scale 200" -vicinity maps on the site plan are not acceptable). Environmental Impact Assessment Form ($175). Public Facility Agreement: 2 copies: One (1) notarized original, One (1) reproduced copy. Disclosure Statement. Pro ert Owners' List and Addressed Starn ed Envelo¥es 1 a typewr~tten ~st 0 t e names an a resses 0 all property owners and occupants within a 300 foot radius of subject property (including the applicant and/or owner). The list shall include the San Diego County Assessor's parcel number from the latest assessment rolls. 2) Two separate sets of legal size (#10), addressed stamped envelopes (four sets for condominium conversions) of the property owners and occupants within a 300-foot radius of subject property. For any address other than single family residence, apartment or suite number must be included. DO NOT TYPE ASSESSOR'S PARCEL NUMBER ON ENVELOPES AND LEAVE RETURN OF ADDRESS BLANK. 3) For Condominium Conversions, two separate sets of legal size (#10), addressed l;tamped envelopes of all existing tenants is required. 300 Foot Radius Map . A map to scale not less than 1" = 200' showing each lot within 300 feet of the exterior boundaries of the subject property. Each of these lots shall be consecutively numbered and correspond with the property owner's list. The scale of the map may be reduced to a scale acceptable to the Land Use Planning Manager if the required scale is impractical. Preliminary Title Report (current within the last six months). Colored Elevation Plan. , = " ,:,.If after the iilformatio.ou hav~ submitted. has been raWed , it is determined , .t.hat further informatio s requl.red,· you wl.ll be so a .sed_ APPLICANT AGENT: Business Address Telephone Num]::)eJ: . fit,' ?u---fI 4 felL ~ {> t ~ o.AJ . Name 51!) 7. /\/ _ IV>' «iii? 1$ e> ,0/ Busin.ssAddr~s~ (·gt V·5··7l~~o 4.-1- Name '(individual, partner, joint_ venture, corporation,. syndicati.on) -Business Address Telephone Number 3~siness Address Telephona Number' venture, corporation, syndication) .' Home Adaress. Telep~one Number Home Address Telep~ne ~lu:ml::ler (Attach more sheets if necessary) , l/r.,.le 9,ecla.::e under. penalty of perjury that the information contained in this dis- closure is true and correct and that it will remain true and correct and may be" relied upon as being true and correct until amen~ed • . ~~ /' . Applicant 7 BY ____ ~ ______ ~ ____ ~~~----~------------Agent, O;lI'ner, Par~n~r ttwPLEMFNrAL INFORMATION FORM e 1) Gross .Acr~s (or • square footage, if less tl1an acre) ___ ...,. _______ _ 2) Zone ______________________________________________________ __ 3) General p~an Land uSe Designaticn ____ -:--:~-_:___:___:__-------- 4) By law a Variance may be approved cnly if certain facts are fOll'ld to exist. Please read these requirements carefully and explain bJw" tle proposed, . project meets ~h of these facts. ~e additicnal. sheets if necessary. a) Explaii1 wt¥ theie are excepticnal. or extraordinary circumstances or c::x:nditicns applicab1.a to t.ha property or to thI! :intended usa that do not. apply' 9ene.r~ly to the other PrPperty O.r class' of use in 'the same. vicinity and zale: . . b) Explain why such variance is necessary for tl'e preservati.cn and EnjOj'rnent of a substantial'property right:. possessed by ot.her property in the same vici."lity and ZQ'le but which is denied to tl'e property in qtlesticn: 'c) Expla:in wl'¥ the grant:ing of such variance will not be materially detri.rcental to the public ~lfar.! or injurious to 'de property or :improvements :in such vicinity and ZOle in which t'M property is located d) Explain why the granting of such variance ".Jill not adversely affect the canprehensive general plan: _______________ . ______ _ - ~I " '. APPLICANT DISCLOSURE FORM In order to assist the members of the Planning Commission and City Council to avoid possible conflicts of interest, all appli- cants are required to complete this disclosure form at the time of submitting their application. When 'this form has been com- pleted and signed, the information will be relied upon by them in determining if a conflict may exist, so please ensure that all of the information is completed and accurate. If at anytime before a final action on your application has been rendered, any of the information required by this disclosure changes, an amendment reflecting this change must be filed. If the applicant is an individual, or a partnership (either gen- eral or limited) or a joint venture, please state the £ull name, address and phone number of each pe~son or individual (including trusts) who own any beneficial interest in the property which is the subject of this application. Should one or more parties to the application be a partnership or joint venture, then please state the full legal name of the partnership or joint venture, its legal address and the name and address of each indivi'dual person who is a general and/or limited partner or member of the joint venture. . Should one or more of the parties be a privately held corporation (10 shareholders or less) or a real estate syndication, then please indicate the state of incorporation or syndication, corporate number, date of incorporation or syndication, corporate or syndicate address, and the full names and addresses of each individual shareholder or syndicate member. Should the corpor- ation be a publicly held corporation, then state the full name and address of the corporation, the place of its incorporation, number of shareholders, and the name and address of the officers of the corporation. Should you feel that additional information needs to be provided in order to provide a full disclosure, please include it • .. . -- e CITY OF CARLSBAD e 1200 ELM AVENUE CARLSBAD, CALIFORNIA 92008 438·5621 c' ~' 1 '_ REC'DFROM ___ /~~_)~,':~:~/~~'~A~)~A~'A~:\~Cr) ______________________ DATE~:~'_-_~~:-__ ~C~' __ _ ACCOUNT NO. DESCRIPTION AMOUNT I t) ) ) -.) ) ) j. \,// I --.... ., -//·t , ] l i i) /)/:\ .J -I ' .' I ) .r , /--/ I ,r.-)_ .c. I J -1'-) <--.1 , , , . .- I '.)t. ' I '-r I J 1\ ~)) I I RECEIPT NO. S14t16 TOTAL -) r