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Home My WebLink AboutMS 09-04; DOS COLINAS - 3RD EXTENSION; Minor Subdivision (MS). , (. City of Carlsbad LAND USE REVIEW APPLICATION P-1 Development Services Planning Division 1635 Faraday Avenue (760) 602-4610 www.carlsbadca.gov APPLICATIONS APPLIED FOR: (CHECK BOXES) Development Permits D Coastal Development Permit D Conditional Use Permit D Minor D Extension D Day Care (Large) D Minor D Environmental Impact Assessment D Habitat Management Permit D Hillside Development Permit D Minor D Minor D Nonconforming Construction Permit D Planned Development Permit D Minor D Residential D Non-Residential D Planning Commission Determination D Reasonable Accommodation D Site Development Plan D Special Use Permit D Minor D Tentative Parcel Map (Minor Subdivision) IX] Tentative Tract Map (Major Subdivision) D Variance D Minor (FOR DEPT. USE ONLY) Legislative Permits ?'f'd\ t:,-,...-\-".! .c-=. ¼...-1\A s {') qonoo... ' . -. D General Plan Amendment D Local Coastal Program Amendment D Master Plan D Specific Plan D Zone Change D Amendment D Amendment D Zone Code Amendment South Carlsbad Coastal Review Area Permits D Review Permit D Administrative D Minor D Major Village Review Area Permits D Review Permit D Administrative D Minor D Major (FOR DEPT. USE ONLY) B NOTE: A PROPOSED PROJECT REQUIRING APPLICATION SUBMITTAL MUST BE SUBMITTED BY APPOINTMENT". PLEASE CONTACT THE APPOINTMENT SPECIALIST AT (760) 602-2723 TO SCHEDULE AN APPOINTMENT. *SAME DAY APPOINTMENTS ARE NOT AVAILABLE ASSESSOR PARCEL NO(S): 209-060-70 LOCATION OF PROJECT: West of Fut. College Blvd on the north side of Sunny Creek Road and South of Cannon Road (STREET ADDRESS) NAME OF PROJECT: Dos Colinas Senior Living Site BRIEF DESCRIPTION OF Request for an extension of time for Tentative Parcel Map MS 09-04, a 46-acre project with 305 PROJECT: Commercial Dwelling Units on three parcels. (3rd extension) PROJECT VALUE (SITE IMPROVEMENTS) TBD ESTIMATED COMPLETION DATE TBD FOR CITY USE ONLY Development No. DEl/ oq 00.S, Lead Case No. C-RA o9-o2= P-1 Page 1 of 6 Revised 03/17 OWNER NAME INDIVIDUAL NAME (If applicable): (PLEASE PRINT) COMPANY NAME (If applicable): WSL Dos Colinas R/E, LLC MAILING ADDRESS: 5800 Armada Drive, Suite 100 -------'-------CITY, STATE, ZIP: Carlsbad, CA 92008-4694 TELEPHONE: (760) 602-5827 EMAIL ADDRESS: kwickham@westpartners.com APPLICANT NAME INDIVIDUAL NAME (If applicable): (PLEASE PRINT) COMPANY NAME (If applicable): WSL Dos Colinas R/E, LLC MAILING ADDRESS: 5800 Armada Drive, Suite 100 CITY, STATE, ZIP: Carlsbad, CA 92008-4694 TELEPHONE: .._(7_6_.0) ... 6_0_2_-5_8_27 ______ _ EMAIL ADDRESS: kwickham@westpartners.com I CERTIFY THAT I AM THE LEGAL OWNER AND THAT ALL THE ABOVE I CERTIFY THAT I AM THE LEGAL REPRESENTATIVE OF THE OWNER INFORMATION IS TRUE AND CORRECT TO THE BEST OF MY AND THAT ALL THE ABOVE INFORMATION IS TRUE AND CORRECT TO KNOWLEDGE. I CERTIFY AS LEGAL OWNER THAT THE APPLICANT AS THE BEST OF MY KNOWLEDGE. SET FORTH HEREIN IS MY AUTHORIZED REPRESENTATIVE FOR PURP ES OF THIS APPLICATION. SIGNATURE ~/J;t l;,..o bAte J APPLICANTS REPRESENTATIVE (Print): West Nonpublic Holdings LLC, Kurt Wickham, Vice President MAILING ADDRESS: 5800 Armada Drive, Suite 100 CITY, STATE, ZIP: Carlsbad, CA 92008-4694 TELEPHONE: ._(7 .... 6=0)._6 ___ 0=2 __ -5 __ 8=27 __________________________ _ EMAIL ADDRESS: kwickham@westpartners.com 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 KNOWL 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. IM'E 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 ~~ESSORSIN INTEREST. PROPERTY OWNER SIGNATURE FOR CITY USE ONLY P-1 Page2 of6 FEB 21 2020 CiTY OF: CARLSBAD DATEij~~~~~1aLXbi1 ~Jbe1VED RECEIVED BY: Revised 03/17 {city of 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. 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 Kurt Wickham Corp/Part West Nonpublic Holdings, LLC Title Vice President Title --------------Address 5800 Armada Drive, Suite 100, Carlsbad, CA 92008 Address 5800 Armada Drive, Suite 100, Carlsbad, CA 92008 2. OWNER (Not the owner's agent} P-1(A) 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 WSL Dos Colinas R/E, LLC Title Owner Address 5800 Armada Drive, Suite 100 Carlsbad, CA 92008-4694 Corp/Part West Nonpublic Holdings, LLC Title Sole Member & Manager Address 5800 Armada Drive, Suite 100 Carlsbad, CA 92008-4694 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 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? D Yes 1111 No If yes, please indicate person(s): __________ _ NOTE: Attach additional sheets if necessary. I certify that all the above information is true and correct to the best of my knowledge. ~/tobo ~ .2/tej.:i Signature of owner/date 7 Signature of applicant/date 0 Kurt Wickham Kurt Wickham 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) Page 2 of 2 Revised 07/10