HomeMy WebLinkAbout20191121_ApplicationCommunity Development Department
Planning Permit Application
1. Check Permits Requested:
D Approval-in-Concept -AIC # D Lot Merger
Iii Coastal Development Permit D Limited Term Permit -
D Waiver for De Minimis Development D Seasonal D < 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 - D Major D Minor
D Lot Line Adjustment D Parcel Map
2. Project Address(es)/Assessor's Parcel No(s)
I lcli?i/~f WPORT BEACH
1 00 Civic Center Drive
Newport Beach, California 92660
949 644-3200
newportbeachca.gov/communitydevelopment
?!\-1-0\ q -)_ Li /
D Staff Approval
D Tract Map
D Traffic Study
D Use Permit -DMinor DConditional
D Amendment to existing Use Permit
D Variance
D Amendment -DCode DPC DGP DLCP
D Other:
I ~2 -2(2--q ?:> ON 440-l-32 -toz._ ' zq'D UxtNlrj7rN (!;ecu
3. Project Description and Justification (Attach additional sheets if necessary):
Removal and replacement of exisitng 19' 9" x 52' 1" mobile home with 24' x 45' 8" mobile home. Installation of 1 O' 6" x 27' carport awning and steps.
I Steve Almquist I
4. Applicant/Company Name"------------------------------'
1
5742 Research Drive I I
Mailing Address~----------------------' Suite/Unit
City jttuntington Beach Statel ,_C_A _______ I Zip j 92649 j
Phone 1714891 9798 Fax1 --7-14-89_1_9_2_8_2 ___ 1 Email .--,o-ff-ic-e@-co_a_s-tli-n-ec-a-.c-o-m----.::.-------1
5. Contact/Company Name I Steve Almquist I
122481 Goldrush Sui·te·n •ni·tl --------, Mailing Address.,___ ___________________ __, iu _
City /Lake Forest State .-IC_A _______ I Zip 192630 j
1
714 392 9665 .----------, Phone Fax Email.,___ ____________ _.
I Susan Hoffman
6. Owner Name.,____ _________________________________ __,
Mailing Address/ 3cn €. l'c.,sr
City I Ive rie-&w If
Phone I qvrq ~ 3 1q'b 7
/ivy . H 2'fv lrk!IV&fa/V 0, e. . Suite/Unit.,__, ___ ___,
I State lcA I Zip ,~ CfWldJ
I Fax ,--------1 Email I 5qsl'rf'v. lfarFmltt'V
I Susan Hoffman
7. Property Owner's Affidavit*: (I) (We).,___ _____________________ ___.
depose and say that (I am) (we are) the bwner(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.
Signature(s): ~~C-::::::. Title: /owner I Date: I 1i/z 6 /lq ~ DD/MO/YEAR
Signature(s): Title: I 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.
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PA2019-241
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:
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
11.21.2019
5
RM
PC1
Bayside Village HOA
PA2019-241
D2019-0613
CD2019-060
440 132 62
PA2019-241
PA2019-241