HomeMy WebLinkAboutThe Link (276 Tank Farm) - Planning ApplicationDocu:
3-D8A6-4BA3-80E8-F8F1 D9BF70E4
CITY OF SHII LUIS OBISPO
PLANNING APPLICATION
Community Development Department - 919 Palm Street • San Luis Obispo, California 93401 • (805) 781-7170
Project Address and Assessors Parcel Number(s): 276 Tank Farm Road
076-383-001 076-381-021 076-382-005 076-383-002 076-352-062 & 076-352-061
What do you want to do? What is your final goal? Obtain City entitlements for a development proposal for the i)ropejy including, but not li
a General Plan Amendment & Prezoning, AASP Amendments Development Agreement, Annexation, and Supplemental E1R see detailed pro
Applicant (Who is proposing the project?): Covelop, Inc. Day Phone: 14OL78.1-3133
Applicant's Address: 1135 Santa Rosa Street #210 San Luis Obispo. CA 93401
Representative (if any): Damien Mavis Day Phone: (805) 781-3133 _
Representative's Address: 1135 Santa Rosa Street #210 San Luis Obispo, CA 93401
Property Owner (if other than applicant): Union Oil Company of California Day Phone: (925) 842-4853
Owner's Address: 6001 Bollin er Canyon Road B1192 San Ramon A. 945$ -2324
Email Address Contact: dmavis covefo .net '54e '
Please send all correspondence to: The Applicant x❑ The represents ive ❑ The property owner
Property Owner Authorization: Applicant/Representative Certification:
By signing this application I certify that I have reviewed this completed By signing this application I certify that the information provided is accurate.
application and the attached material and consent to its filing I agree to allow I understand the City might not approve what Inn applying for, or
the Community Development Department to duplicate and distribute plans might set conditions of approval, t agree to allow the Community
to interested persons as it determines is necessary for the processing of the Development Department to duplicate and distribute plans to interested
'DWO inn d by: rsu finer} by: determff ines is necessary or processing othe application,
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Permission to Access Property: Interior Inspection Contact Information:
This section is to be completed by the property owner and/or occupant who Occasionally, Comnnmity Development Department staff may need access to
controls access to the property, To adequately evaluate many project proposals one or more buildings on the project site. If this is the case, Staff' will use the
Community Development Department Staff, Commissioners and City Council contact information below to grange an appointment.
Members will have to gain access to the exterior of the real property in order
to adequately review and report on the proposed project- Your signature below Name: Bryan hlulburd (Must coordinate any property visit through Bryan F
certifies that you agree to give the City permission to access the project site
from 8 a.m, to 5 p.m., Monday through Friday, as part of the normal review of this planning application. Address: 1135 Santa Rosa St., Suite 210, San Luis Obispo, CA. 93401
Signed Date
Cheek Review Application No. Fee Paid
� ❑ Rezoning/PD
^' ❑ Use Permit
Q❑ Variance
❑ ARC Review
❑ Env. Review
❑ Subdivision
❑ GP Amendment
rr, ❑ Annexation
e❑ Other
O Application fee paid by:
[—]the applicant [-]the representative [:]the property owner
Received by: Date:
Day Phone:805-45-0753
Indemnification Agreement:
The Owner/Applicant shall defend, indemnify and hold harmless the Citv or its
agents or officers and employees from any claim, action or proceeding against
the City or its agents, officers or employees, to attack, set aside, void, or annul,
in whole or in part, the City's approval of this project. In the event that the City
fails to promptly notify the Owner i Applicant of any such claim, action or pro-
ceeding, or that the City fails to cooperate fully in the defense of said claim, this
DdtUB hA-dttiythereutter be of no further force or effect,
pmit,vu IIVI,MM's
otes to
8/10/2022
Date
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DocuSign Envelope ID: CE8E9633-D8A6-4BA3-80E8-F8F1D9BF70E4
t� 1 Community Development
l; 919 Palm Street, San I ws 0hispu, CA 93401-32.49
805 781.7170
!:liil:ll'l.Ilfil
City of San Luis Obispo
Community Development Department
Authorization of Agent
Please fill in the following form including signatures. All signatures must be completed. If one
or more of these signatures are the same, simply re-sign. Thank You.
1 hereby authorize the following person to act as my agent for the property located at:
STREET ADDRESS: 276 Tank Farm Road
CITY, STATE, ZIP CODE: San Luis Obispo, CA 93401
ASSESSOR'S PARCEL NUMBER: 076-383-001, 076-381-021, 076-382-005, 076-383-002, 076-352-062, & 076-352-061
OWNER:
NAME: Union Oil Company of California
STREET ADDRESS: 6001 Bollinger Canyon Road, B1192
CITY, STATE, ZIP CODE: San Ramon, CA. 94583-2324
DAYTIME PHONE: (925) 842-4853
PRINT NAM 'VdRtzgerald
SIGNATUR : fi �l.i AL
TITLE: Real P yf4�,W41F
(PROPERTY OWNER, PARTNER, CORPORATION OFFICER, SPECIFY OTHER)
DATE:
AGENT:
NAME: Damien Mavis - Covelop, Inc
STREET ADDRESS:1135 Santa Rosa Street, Suite 210
CITY, STATE, ZIP CODE: San Luis Obispo, CA 93401
DAYTIME PHONE: (805) 781-3133
PRINT
NAME: Damien Mavis
SIGNATURE EN
DATE: 811012022
DocuSignud by:
Community Development
919 Palm Street, San Luis Obispo, CA 93401-32,19
805.7B 1. 7170
91nr.ily ul lJ
City of San Luis Obispo
Community Development Department
Authorization of Agent
Please fill in the following form including signatures. All signatures must be completed. If one
or more of these signatures are the same, simply re-sign. Thank You.
I hereby authorize the following person to act as my agent for the property located at:
STREET ADDRESS:
CITY, STATE, ZIP CODE: _
ASSESSOR'S PARCEL NUMBER:
OWNER:
NAME:
STREET ADDRESS:
CITY, STATE, ZIP CODE:
DAYTIME PHONE:
PRINT NAME:
SIGNATURE:
TITLE:
(PROPERTY OWNER, PARTNER, CORPORATION OFFICER, SPECIFY OTHER)
DATE:
AGENT:
NAME: F
STREET ADDRESS: ' Grlg—_-
CITY, STATE, ZIP CODE: �r},� ef,� �-� V&j R' '[ L
DAYTIME PHONE: `q Z & $
PRINT
NAME:
SIGNATURE -AGENT:
DATE: