HomeMy WebLinkAbout20191125_ApplicationCommunity Development Department
Planning Permit Application
1. Check Permits Requested:
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CITY a}~ jJ!1r BEACH
100 Civic Center Drive
Newport Beach , California 92660
949 644 -3200
newportbeachca. gov/ com mun itydevelopment
D Approval-in-Concept -AIC # D Lot Merger ~ Coastal Development Permit D Limited Term Permit -
D Staff Approval
D Tract Map
/ D Waiver for De Minim is Deve lopment D Seasonal D < 90 day 0>90 days D Traffic Study
D Coastal Residential Development D Modification Permit D Use Permit -DMinor 0Conditional
D Condominium Conversion D Off-Site Parking Agreement D Amendment to existing Use Permit
D Variance D Comprehensive Sign Program D Planned Community Development Plan
D Development Agreement D Planned Development Permit D Amendment -DCode DPC DGP DLCP
D Other: D Development Plan D Site Development Review - D Major D Minor
D Lot Line Adjustment D Parcel Map
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2. Project Address(es)/Assessor's Parcel No(s)
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3. Project Description and Justification (Attach additional sheets if necessary):
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4 . Applicant/Company Name .--1 --.3--~-~-·e.------,------------------1
Mailing Address I ~ ~J,14-?{\l, Suite/Unit I
City I d~ I State I CA I Zip lqu $4 I
Phone I r'! l i '?)O ~ 'M111 I Fax I Email I J"1o {!~ ~q}tM
5 . Contact/Company Name I -li~'1 kA:u.bM:(t,j\.) j l.-D ~ J
Mailing Address I ~ I Suite/Unit I
City .,___ ______________ ___, State ------~I Zip I
Fax ~------, Email ~-------------~
6. Owner Name I 1' 11'! iiiiiil SM 11-H' fJx?7/ UL
Mailing Address I \ ec,1,£ vJ ~ ~-I Suite/U~it I
City I t-J 'fr/£0/J{' ~ I State ~ I Zip I ~-'~
Phone I I Fax I Email I ~s'f,iiJ~mtJ
7 . Property Owner's Affidavit*: (I) (We) -'------===----"--"-_,,_ _ _-,:;_-=--....JJ.--1---4i,__,.~~~-=-----""------"-__.l<....l
depose and say that (I am) (we are) the owner(s) of the property (ies) involved i is 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 nd correct to the best of (my) (our) knowledge and belief.
Signature( s ): S r · 1e: I Date: I //·ZS •i9
DD/MONEAR
Signature(s): Title: I Date: I I
*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 Pa rcel/Tract Map and Lot Line Adjustment Application must be notarized .
F:\Users\CDD\Shared\Adm in\Planning_Division\Appl ications\Application_Gui delines\Plann ing Permit Application -CDP added.docx Re v : 0 1/24/17
PA2019-245
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:
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
Units A, B and C
11.25.2019
047 202 23
1
RT
R-2
PA2019-245
Cenral Newport Beach D2019-0595
CD2019-063