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Home My WebLink AboutSA 04; SAM SHAFT; Satellite Antenna Permit (SA)( ) LAND USE PLANNING APPLICATION A.I:»lINISTRATIVE AcrIOOS REQUEST D Administrative Variance 0 Planned Industrial Permit 6a Satellite Antennae Permit [,-ornplete Descrlptlon of ProJect (attach a:JdltlOnal~ets lf necessary) ~119 r -'1-L L t --r7? p;t;2",..v-78-A../ ~ e c-e /VI / 7- ..... ~~ , J/'_ ;' -/ 1/ ~ \ j ) f6F"r_~5£'5? /,&..:J.//'T'-,~ '--L 7-"-7 ......., -(5 /"2-r .I Fr ;C:=~b#Vl ~~() I? L:::'" /e rv LI.-J ~ .-I--crJ r i)G -9-/Z b/'1 -If ..-$': / De: W /f L.<'-.s r-/f' e /'1 ~ ~c>pr-~ - Locatlon of ProJect ·~c/b-L!#,e Ls B /5' (( .:< b g 3 .:::5'.;9-v 5 '4 L / To .t) --9 ),...-dd Legf Descriptl.on (canplete) .!If G '/ bY -~4C;r 8'¥ ~'3S--'" / i'v[rrP' ' #= // ~-N/ .---C~~ ~ _SfiJ;v~/C={;-o C(5 v..rv' 7y " Assessors Parcel Nurrber Zone General Plan Exl.st1ng Land Use Sl te Acreage Owner Applicant Name (Print or Type) Name (Print or Type) 5'/9 "1 S-PrlFr 3d?-/Vi Sg;gr-r-- Ma111ng Address Malllng Address if G;rs, )hvJ ;?~ C1ty and State ZlP Telephone Clty am State ...:-Zip Telephone C.o:> ;'~&> /V" 11 ~o '1'7/11 y ... S'"7Jr Y-?c3 e 5rr~ I CERTIFY '!EAT I AM '!HE lEGAL <lVNER AND I CERTIFY 'IHAT I AM '!HE c::wNER' S REPRESENTATIVE THAT ALL '!HE ABOVE INFORMATlOO IS 'ffiVE AND 'IHAT ALL '!HE ABOVE INFORMATION IS mJE AND mRRECT 'IO '!HE BEST OF MY KN<::mLEIXlE. AND CORREcr 'IO WE BEST OF MY I<NOOLEDGE. S:A 7 DATE U;; SIGNATURE DATE ~ / q/it ~d~_ --"'1?' -, IDate AppllcatloIf Rec'd Recel. ved By iFees ReceJ:j@Q Recelpt No. Date Appllcatlon ~ec'd Staff Asslgned Case;~~ ( I. SPECIFIC REQUIREMENTS 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· 1-0U-;-O-()-s-i-a Family $330.00 Other Antennae Permit Application Form General Requirement Items: two (2) copies of items A - C item G ~dditiona Cr~section streets. adjacent property and existing * 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 offst~eet parking and loading areas showing 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 street, 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 sJ.te 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 map showing major cros~ 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 2. Typical plant species and their sizes for each 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 P1ans* (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 FOLDED IN A SIZE 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 typewr1tten 1st 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 stamped 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 th~ last six months) • Colored Elevation Plan. after the information you have s~itted has been reviewed, it is determined t furtheJ;' informatictn "is required" you will be so a'dv}sed. APPLICANT: AGENT: MEl-mERS: Name (individual, partnership, joint venture, corporation, syndication) Business Address Telephone Number Name Business Addres~ Telephone Number Name '(individual, partner, joint. venture, corporation~ syndication) Business Address Telephone Number 3~siness Address Telephone Nu=ber Home Address Telepho~e Number Home Address (Attach more sheets if necessary) .' lINe declare 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 amended. BY ____ ~--____ ------____ ----~------------Agent, O;·:ner, Par~n~r r ( SUPPLEMENrAL IN:roRMATION FORM ' 1) Gross Acres (or ~e footage, if less than acre) __________ _ 2) ~e ____________________________________________________ __ 3} General Plan Land Use Designaticn ____ ~------------- 4) By law a Variance may be approve1 cnly if certain facts are fCQld to exist. Please read these requirements carefully and explain b::M tIe propJSed project. meets ~h of these facts. qse additicnal sheets if necessary. a) Explain Wtrf thEe are excepticnal or extraordinary circunstances or cx:nditialS applicable to the property or to the intended use that do not aI=Ply' generally to the other prOperty 6!: class' of use in 'the sam.. vicinity and ZO'le: ' ' b) Explain why such variance is necessary for t1'e preservaticn and mjoyment of a substantial property right:. possessed by ~r property in the same vici.."'lity and ZQ'le but which is denied to the property :in ~esticn: c} Explain why the granting of such variance will not be materially detrimental to the .PUblic welfare or injurious to t~ propel::tyor improvements in such vicinity and ZO'le in which the property is located d) Explain why the granting of such variance "'lill not adversely affect th:! 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 applic·ation. 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 full name, address and phone number of each person 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 indi~idual 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. .. " CITY OF CARLSBAD (') 1200 ELM AVENUE CARLSl3AD, CALIFORNIA 920Q8 438·5621 / -. REC'DFROM ______ ~,~'-_~_-__ '_"_· ____ :-_,_·_·c __ ,-_'/ ___ ~ ________________ ~DATE ____________ ~~ ACCOUNT NO. RECEIPT NO. 63855 '" " DESCRIPTION , " ., • ~ ~ II'"F~'/._~.t~ ".,,/~ • t: ~J 4, TOTAL I' I I /1',,-, 1 , ,I ! "