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Home My WebLink AboutCT 03-01X1; LA COSTA RESORT AND SPA; Tentative Map (CT)Ccicyof, Carlsbad APPLICATIONS APPLIED FOR: (CHECI< BOXES) Development Permits D Coastal Development Pennlt D Minor D Conditional Use Pennlt D Minor O Extension D Day Care (Large) D Environmental Impact Assessment D Habitat Management Pennlt D Hillside Development Permit D Minor D Minor D Nonconfonning Construction Pennlt .. Planned Development Permit D Minor D Residential D Non-Residential · D Plannlng Commission Detennlnation D Reasonable Accommodation D Site Development Plan D Minor D Special Use Pennit D Tentative Parcel Map (Minor Subdlvlsfon) !Z] Tentative Tract Map (Major Subdivision) D Variance D Minor ------, -, LANO USE REVIEW APPLICATION Development Services Planning Division P~1 1635 Faraday Avenue, {760) 602-4610 www.carlsbadca.gov D General Plan Amendment D Local Coastal Program Amendment D Master Plan D Specific Plan D Zone Change OAmendment D Amendment D Zone Code Amendment (FOR DEPT. USE ONLY) Soutli Carlsbad Coastal Review Area Penn/ts D Review Permit . . D Administrative D Minor D Major -VIiiage Review Area Permits D Review Pennit D Administrative D Minor o· Major B 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).: 216-590-18-00 and 216-590-19-00 '" PROJECT NAME: La Costa Resort and Spa -----------------------------------BRIEF DESCRIPTION OF PROJECT: Two year extension of approved City of Carlsbad Tentative Tract CT 03-01 ·La Costa .,\ I . lA: vosrA: Jc.~ ~ ~P~' BRIEF LEGAL DESCRIPTION: Portions of secion 26 and section 25, both intownship 12 south range 4 west san bemardino MeJ?:\Q,'~, ,'~ ::lli:E:--Ltty oE: ~Mbl LQvuty t?~5AN Dtef,,('.))~ or:C4. LOCATION OF PROJECT: 2100 Costa Del Mar Road, Carlsbad, CA ON THE: East (NORTH, SOUTH, EAST, WESD BETWEEN La Costa Ave (NAME OF STREED P-1 STREET ADDRESS SIDE OF El Camino Real (NAME OF STREED AND Arenal Road (NAME OF STREED Paoe 1 of 6 Revised 03/16 OWNmNAME (Print): MAILING ADDRESS: -1/..:0:,.:0:::....~~.f:!.J..Ll.j~~...::::JL!::!:lt:.!...:~~ cTTY, STATE. ZIP: C o 3 o.5 TB.EPHONE: 3 /':i. -2 y y -3 5 0 I EMAIL ADDRESS: wiiri~ Q) {In:. //CI Can MAILING ADDRESS: CITY, STATE, ZIP: TaEPHONE: EMAIL ADDRESS: I CERTIFY THAT I /lM THE REPRESENTATIVE OF THE APPLICANT FOR PURPOSES OF THIS CATION AND THAT ALL THE ABOVE INFORMATI IS CORRECT TO THE BEST OF MY I CERTIFY THAT I AM THE LEGAL REPRESENTATIVE OF THE OWl'ER AND THAT ALL THE ABOVE INFORMATION IS TRUE AND CORRECT TO THE BEST OF MY KNOWI..EDGE. IN THE PROCESS OF REVIEWING THIS APPLICATION IT MAY BE NECESSARY FOR MEMBERS OF CITY· STAFF, PLANNING COMMISSIONERS OR CITY co'UNCIL MEMBERS TO INSPECT AND ENTER THE PROPERTY THAT IS THE SUBJECT OF THIS APPLICATION. ~ CONSENT TO ENTRY FOR THIS PURPOSE. NOTICE OF RESTRICTION: PROPERTY OWNER ACKNOWLEDGES AND CONSENTS TO A NOTICE OF RESTRICTION BEING RECORDED.Ytrn,c11.i TITLE TO PROPERTY IF CONDITIONED FOR THE APPLICANT. NOTICE OF RESTRICTIONS RUN WITH. TI-lE LAND D ANY .....,..,...-:;,oORS IN TEREST. P-1 Page 2 of6 RECEIVED MAY 31 2016 CITY OF CARLSBAD DA TE ~~WJ~EIVED RECEIVEO BY: Revised 03/16 {:cicyof Carlstiad DISCLOSURE STATEMENT P-1(A) Development Services Planning Division 1635 Faraday Avenue (760) 602-4610 www .carlsbadca.gov Applicant's statement qr disclosure of certain ownership interests on all applicatlons which will require discretionary action on the part of the City Cou·ncil or any appointed Board, Commission or Committee. The following information MUST be disclosed at the time of application submittal. Ypur 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 politicat 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) Person ____ --,'-____ _ Title -----------Address _________ _ OWNER (Not the owner's agent) Provide the COMPLETE. LEGAL names and addresses of & persons having any ownership Interest In the property involved. Also, provide the nature of the legal ownership (i.e., partnership, tenants in common, 1 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._________ Corp/Part {/ F-osfll-,t, L Trtle_________ Title o--c. !,./prcJ/t,b, Address__________ T-....:..:~--=;.......~:cc..,o;......._-=-=~---~--.S 5u 1,l C &3 oS Page 1 of2 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 ~ 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.___________ Trtle ________________ _ 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 ~ If yes, please indicate person(s): __________ _ NOTE: Attach addltional sheets if necessary. that all the above information is true and correct to the best of my knowledge. -3 t -I sh~.,.. H ~ L ~bl.b-t £-/1.u!J 6i-• .,t' w l Print or type name wnel'.applicant's age ' / P-1(A) Page 2 of 2 Revised 07/10 PROJECT DESCRIPTION p .. 1 (B) Development Services Planning Division 1635 Faraday Avenue (760) 602-4610 www.carlsbadca.gov PROJECT NAME: La Costa Resort and Spa b . APPLICANT NAME: "\ ti..·n1,'J rffl1'{ · Em:l::-1--:PKl¼k J L Ll-~ ~~ Please describe fully the proposed project by appllcatlon 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 ~pplication. Use an addendum sheet if necessary. Description/Explanation: --r--w.o 'l'E-~ E=,~~~\·O~ 0~ .,(,.:~~~ c_. \ ~1 o F-. c_ A-~,~~ ,A,,.D --re..~,~ "T\'\/E:-T TZ-ACr ~\ Q3-o \' P-1(8) Page 1 of 1 Revised 07/10 .. ,-Ci f ~istiad 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 Refated to Hazardous Wastes (Certification of Compliance with Government Code Section 65962.5) Pursuant to state of Csllfomla 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): Ill The development project and any alternatives proposed in this appllcatlon are not contained on the lists compiled pursl.J::lnt to Section 65962.5 of the State Government Code. D The development project and any alternatives proposed In this application !!! contained on the lists . compiled pursuant to Section 65962.5 of the State Government Code. PROPERTY OWNER Name: . ...L..I.L..L..~~~~....:::.t-lU,.J~~ C. NameJ/Rr-le:{~sTfl-/_, l {__, Address~!4/0 :J!rz,lfzu~w/ StJ1-A C (,1:-__:~{l _117 ~ & ~ Phone Number: / L/ -2-V</-3, r; 0 / Address of Slte;2100 Costa Del Mar Road, Carlsbad, CA Local Agency (City and County):_C_ity_o_f_C_a_r_ls_ba_d _____________ _ ~sor's book. page, and parcel number: 216-590-18-00 and 216-590-19-00 . Specify list(s):._N_IA ______________________ _ Regulatory Identification Number:._N_I_A __________________ _ Date of List N/a ·-------------------------- The Hazardous Waste and Substances Sites List (Cortese List) Is used by the State, local agencies and developers to comply with the Cslifornla Environmental Quality Act requirements in providing information about the location of hazardous materials release sites. P-1(C) Page 1 af2 Revised 02/13 '"a f ~istiad 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 wlll 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., clartftcatfon regarding a specific requirement or whether all requirements are necessary for your particular application) please call ( 60) 602-461 0. Applicant Signature: Staff Signature: Date: To be stapled with receipt to the application l, P-1(E) Page 1 of 1 Revised 07/10