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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, VAW' c At. cif 8/10/2022 U a'Ait) s�t,cta� S 8/10/2022 tgr�2'a4°racalr. Date &t�7D72a 1 E Date 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 no 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: