HomeMy WebLinkAbout20190326_ApplicationPA2019-053
Community Development Department
Planning Permit Application
1. Check Permits Requested:
D Approval-in-Concept -AIC # D Lot Merger
~ Coastal Development Permit D Limited Term Permit -
D Waiver for De Minimis Development D Seasonal D < 90 day 0>90 days
Coastal Residential Development D Modification Permit
LJ Condominium Conversion D Off-Site Parking Agreement
D Comprehensive Sign Program D Planned Community Development Plan
D Development Agreement D Planned Development Permit
D Development Plan D Site Development Review -D Major D Minor
D Lot Line Adjustment D Parcel Map
2. Project Address(es)/Assessor's Parcel No(s)
CITY OF NEWPORT BEACH
100 Civic Center Drive
Newport Beach, California 92660
949 644-3200
newportbeachca .gov/communitydeve lopment ~I+~ Ol°J-oS-3
0 Staff Approval
0 Tract Map
0 Traffic Study
0 Use Permit -OMinor 0Conditional
D Amendment to existing Use Permit
0 Variance
0 Amendment -DCode OPC OGP OLCP
0 Other:
I tJ ?JOO MESA ~we, NEWPORT e,eKH, CA; 12.~~o . AP"1 # 43~. 05/. DJ
3. Project Description and Justification (Attach additional sheets if necessary):
A oD111ot-J k g.eMoDeL or ~P<.tJTliNG OU.SJ • ~eHooi , '1 .s . · C , tDM
sf~ A1'D -)ltTCHEN (4~°T .s .f.), rbA~etE~T (4, l l q s.f.\ UijOOMDtneijer, ,roL Howe l1 8Cf8 s.r;) g~~, J.f
4. Applicant/Company Name '--I _G_L_I D_l:_W_E_L_L _U_M_rl_A_1i_Dtz_l_EJ ______________ ~j
Mailing Address I ii/ /cl). M1tHELSOlol DRWE Suite/Unit ~' tJ-~---~I
City i / t?-V/Ne State ~, C-A----, Zip I qQ(p12. I
Phone l[f14 ) z,4-tD58 Fax1 ~ -N/;_A ___ I Email I Ytn .. \~. AYrot-1@ GLJDeW.fLL.~N"Ql... a»t
5. Contact/Company Name '-I '7'_u_l. l_s_____,_A_Y_m.l _____________________ ~
Mailing Address I ~, h2 N ICHei..,oN DTZ\Vf Suite/Unit '--1 -~J_~---~
State ~, C-A----, Zip I 'f :2b/2. City , , tlVINe
Phone ~,c~~)4~)2~3'f~-~f{)~5~8~ Fax ~, -~~~---, Email IYuw. A~-roH@Gw,eweJ..LIJENTAL. CoM
6. Owner Name I ~f<... JAM!=S bLI DEWELL
Mailing Address I 2Ut> M1:sA DR.we Suite/Unit ~' -~~_A ___ ~
City I ~fWPCtzT l::>£:KH State I CA I Zip I q 2.b6D
Phone i o~~) i~O-2:FlO I Fax ~---~I Email IJ1M. GLIDE.WSLL@6LtDfW.EU.l$rfAl .et,J,f I
7 . Property Owner's Affidavit*: (I) (We) IJ~ ,8$ /<. G£/Z>e71/e ( C -
depose and say that (I am) (we are) the owner(s) of the property (ies) involved in this application. (I) (We) further
certify, under penalty of perjury, that the foregoing statements and answers herein contained and the information
herewith submitted are in all respects true and correct to the best of (my) (our) knowledge and belief.
Signatu~4 Title:---------~ Date:'-------~
DD/MO/YEAR
Signature(s): --------------Title:---------~ Date:'-------~
*May be signed by the lessee or by an authorized agent if written authorization from the owner of record is filed concurrently with the
application . Please note, the owner(s)' signature for Parcel/Tract Map and Lot Line Adjustment Application must be notarized.
F:\Users\CDD\Shared\Admi n\Planning_Division\Applications\Application_Guidelines\Planning Permit Appli cation -CDP added .docx Rev: 01 124117
\\cnb.lcl\data\Users\CDD\Shared\Admin\Planning_Division\Applications\Office Use Only.docx
Updated 08/15/17
FOR OFFICE USE ONLY\
Date Filed: _______________________ 2700-5000 Acct.
APN No: __________________________ Deposit Acct. No. ________________________
Council District No.: _________________ For Deposit Account:
General Plan Designation: ____________ Fee Pd: _______________________________________
Zoning District: _____________________ Receipt No: ____________________________
Coastal Zone: Yes No Check #: __________
Visa MC Amex # ____________
CDM Residents Association and Chamber
Community Association(s): _______________________ Development No: __________________________
_____________________________________________ Project No: ________________________________
_____________________________________________ Activity No: _______________________________
Related Permits: ___________________________
APPLICATION Approved Denied Tabled: _________________________
ACTION DATE
Planning Commission Meeting
Zoning Administrator Hearing
Community Development Director
Remarks:
__________________________________________________________________________________________
__________________________________________________________________________________________
APPLICATION WITHDRAWN: Withdrawal Received (Date): ________________________
APPLICATION CLOSED WITHOUT ACTION: Closeout Date: ________________________
Remarks:
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
PA2019-053
3/26/2019
439 051 01
3
RS-D
SP-7
2825-2018
D2019-0145
CD2019-014
N/A