HomeMy WebLinkAbout20191115_ApplicationPA2019-232
Community Development Department
Planning Permit Application
1. Check Permits Requested:
D Approval-in -Concept -AIC #
D Coastal Development Permit
D Lot Merger
D Limited Term Perm it -
r.lTY OF EWPO BEACH
100 Ci vi c Cente r Dri ve
Newp ort Be ach, Californi a 92660
94 9 644 -32 00
new po rtbeachca .gov /co mmun ityde velo pment
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D Staff Approval
D Tract Map
0 Waiver for De Minimis Development O Seasonal D < 90 day 0>90 days D Traffic Study
D Coastal Residential Development D Modification Permit D Use Permit -□Minor □Conditional
D Condominium Conversion D Off-Site Parking Agreement D Amendment to existing Use Permit
D Comprehensive Sign Program D Planned Community Development Plan D Variance
D Development Agreement D Planned Development Permit D Amendment -□Code □PC □GP OLCP
Q Development Plan D Site Development Review -D Major D Minor D Other:
.,i Lot Line Adjustment D Parcel Map •
2. Project Address(es)/Assessor's Parcel No(s)
I qo~ C,of l o-+\-(J.., )'1~ p o14 ·t3e..,QC,k fwtel :#: LJ-4 D-311 --11
3. Project Description and Justification (Attach additional sheets if necessary):
4. ~pplicant/Company Name ,_._l))""---=e _V\-'--~-·s=-· _h-'-"-"--' q_,__'j)-F-5-=----------------:=.==-=--=--=--=--=---='-'
Mailing Address J L(D~ C.,(l( l D-fta_ I Suite/Unit ';::::..---=---=--=-----_-_-_-_,~I
City I Ne.a.u~r+ ·t)~O.CM. State I C..lt . , I Zip I qJ-{p{d) I
Phone J q4q ._ ~"'f> 5 ~ {o 5 CP<-/ I Fax I Email lDc)\YU.'7> .. b ;:f}:7 51 @_9 VU.Qd, #r'-
5 . Contact/Companyf.-.:..:.N~a~m'..'...:e~=================:,------;::======i'
Mailing Address Suite/Unit ';=========~
City ~=================,----;:=========-_::.:State ~-;::::::==========='~Z~i~p-==========:=,
Fax ~-----~' Email '-----------------' Phone ,__ _______ __,
6 . Owner Name J 17135'=> 1 Dett Vvl0 T f<._ 1he. lo19Sr5'°fQv\Lll1_{1Y IA:5t I
Mailing Address J L/C8 ~Oil{)~ I Suite/Unit I
City I "-l ~ po<f 1:)ga_~ ' I State I CJ4 ' I Zip I q "J.-lp(Q_Q I
Phone Jqwq -935-{o5 (p ~ Fax I Email lbe,-uu5«b i3=15Elttu:ptttlil.~
7. Property Owner's Affidavit *: (I) (We) I J).,e)\.YU..5 l\. ~ l 1.'5 ~-iz~b'v\A.-8 'Th't: S ·
depose and say that (I am) (we are) the owner(s) of the property (ies) involved in this applica1i n. (I) (We) further
certify, under penalty of perjury, that the foregoing statements and answers herein contained and the information
herewith submitt are in all espects true and correct to the best of (my) (our) knowledge and belief.
"'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 and Lot Line Adjustment Application must be notarized.
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:
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
11.15.2019
440 311 11
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RS-A
R-1
PA2019-232BLUFFS H. O. COMMUNITY ASSOC.
LA2019-003
D2019-0604
PA2019-232
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