HomeMy WebLinkAbout20191023_ApplicationCommunity Development Department
Planning Permit Application
1. Check Permits Requested:
D Approval-in-Concept -AIC # D Lot Merger
~ Coastal Development Permit D Limited Term Permit -
0 Waiver for De Minim is Development O Seasonal O < 90 day 0>90 days
D Coastal Residential Development D Modification Permit
D 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 -0 Major O Minor
D Lot Line Adjustment D Parcel Map
2. Project Address(es)/Assessor's Parcel No(s)
I 1;, 7 £, -g;ky J<V 'G
CITY OF \\JE\NPORT BEA CM
100 Civic Center Drive
Newport Beach, California 92660
949 644-3200
newportb eachca .gov/communitydevelopment
VA~~-1,,14
Svb \0 f--i:~f 1q
D Staff Approval
D Tract Map
D Traffic Study
D Use Permit -□Minor □Conditional
D Amendment to existing Use Permit
D Variance
0 Amendment -□Code □PC □GP OLCP
D Other:
3. Project Des_cription and Justificati_on (Attach additional sheets if necessary):
I D in---to e:;,q .;.---n 1'0i=t 4 f/ N 1, "B v 11.,,1:> r tJ q
4. Applicant/Company Name I ~ ~/t4·, t-J ~WPDV 1 U.--l,,; I
Mailing Address I ,qo u~ ~ I Suite/Unit ';::. ====:::=======I
City I ~M_ State I C!£l I Zip\ q?&; ?-7 I
Phone l•'J\Lf ·l,>b<l De ~2-., Fax ~ __ ___,I Email j~\v.e.dab,u_tJ.avs [~@ ~~
5 . Contact/Company Name I .JttMi . t>..e,u,41~ I
Mailing Address I ,q O \-J..Q ... ~.,,.H-~Y\ W · Suite/Unit I
City I Q)>'3~~ )'\lll,Sb\. State I ~ I Zip I O[dV "> 1 I
Phone I tiLtq SSLl qq Dq I Fax ~-----'I Email ~I tJ-~--0--~· -~--'---f.S\}../l.J~·--1
6. Owner Name I ~((.,(' +-µ .u.u_ , Uh I
Mailing Address I·, ot.o \.J Suite/Unit ';:.-=--=--=--=--=--=--=--=--::::'...'
City I ~--X\A.&: <;A Statel-~--~-I Zip I q )'{p} 1 I
Phone h lY u~ 011;L I Fax ~---~' Email ,.__ ________ _
7. Property Owner's Affidavit*: (1) fYVe) 1~ NV>.JV&Y} ( 1,Lu J2,u_,44 WC::}v~ I
depose and that (I am) (we are) the owner(s) of the property (ies) involved in this application . (I) fYVe) further
certify, un er p nalty of perjury, that the foregoing statements and answers herein contained and the information
herewith ubmi ed are in all respects true and correct to the best of (my) (our) knowledge and belief .
. I Date: I to \ig,] )~
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 Parcelffract Map a;1d Lot Line Adjustment Application must be notarized .
PA2019-219
F:\Users\PLN\Shared\Staff_Dir\Garciamay\Ruby\desktop\DESKTOP_\CUT_PASTE_DRAG_COPY\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:
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
10.23.19
PA2019-219
CD2019-052
CENTRAL NEWPORT BEACH COMMUNITY ASSOC.
1
048 092 08
RT
R-2
BALBOA VILLAGE MERCHANT ASSOCIATION
UNITS A-D
PA2019-210 ?
D2019-0506