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HomeMy WebLinkAbout20200205_ADU QuestionnaireCITY OF NEWPORT BEACH ACCESSORY DWELLING UNIT (ADU) QUESTIONNAIRE ,,"j~·~i;,i~J~·~ .. ~.i,~~;t~!i9>,~~iJroom'···, · · j;:9,4,ntof;yoqf}~PY.:,', · ---~---0_7 ___ square feet ( bedrooms -------- .J.~;Jh~:,l?'it.i~l}~~~!1g~ttgfJrf\@:il~~g/±'..· . •·· for.cj\senior;p~rs9r(Ag·ec1 fti5,\;~,: · · y~arst )YJ.~·c,1f ~ijf.t~4.'"~·p,tiffiity·.re~~()n:.fCl.r .• g~v~l<>J)ing t~:~rAB~t . . . Utilities included? Yes □ No )(. Yes f□--No □ Rental / Supplemental Income □ Permanent housing for relatives □ Permanent housing for caretakers □ Permanent housing for household employee lZ.~1' \ V~ !<-Guest housing for visitors {-se.rv' )O ) □ Other: -------- ~ Main house □ Accessory Dwelling Unit ~P<tz fZ'-( \~ L..-\L--6~ Print Name Please scan and email completed questionnaire to me at: (ln$e,J /;mail) D N tC It Q t' . BI Th' L' 0 0 ompee ues 1onna1re eow IS me-F Off''IU 01 or 1c1a se nrv PA No. fA.2.:::>\q -o<{(p Zoning Clearance No. Building Permit No. Building Permit Issued Date Planner Date F:\Users\CDD\Shared\Admin\Planning_Division\Current_Templates\ADU_Questionnaire_Master_Original 06-07-2019 ZC Approval Date Income Category Remarks