HomeMy WebLinkAbout20201201_ApplicationCommunity Development Department
Planning Permit Application
~ )· Check Permits Requested:
ltd" Approval-in-Concept -AIC #
D Coastal Development Permit
D l_ot Merger
D Limited Term Permit ..
0 Waiver for De Minimis Deve lopment O Seasonal O < 90 day 0 >90 days
D Coastal Residential Development D Modificati on Permit
D Condominium Conversion D Off-Site Parking Ag ree ment
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 [W"Minor
D Lot Line Adjustment D Parcel Map
2. Project Address(es)/Assessor's Parcel No(s)
'/A-JJ ID 0
-_-s ~o -:;ub \2--I 0
100 Civic Center Drive
Newport Beach, California 92660
949 644-3200
newportbeachca.g ov/communitydevelopment
~ff Approval
D Tract Map
D Traffic StudY.
D Use Permit @,inor □Conditional
D Amendment to existing Use Permit
D Variance
0 Amendment -□Code 0PC □GP 0LCP
D Other
r·--l~-3~ 13i21srt>L .s ·r . 1\-£uff Jar-:3i4c-il ··e4-...
······························· .... .. .. .... ........ I .. ---······· ... ·······-·-··-··• ....... .
3. Project Description and Justification (Attach additional sheets if necessary):
[-,, .. ;l;tf t-)_ ift_ pAt?.e-cr L-O .p / ,,,., ,! , tu t,-t:o-;;r !I,., iLd ;;, :r' 7b /J. 5'r() t2A 6-c •
-~_-j-_·-fl__~ ~ l!?~/Nl,-~c!. ~ ... ~, s~~ ~~~ ~'~D 8 1>~~~~~~t!ft>-1b/As.r_!J__11 &t;l
4. Applicant/Compa~y t-Jame ' µ U A} t,,A__ N__ H ft,;I ~?~/-! fl..".., /!y C::..
:.... v••······,·····--··~----~~---··-·· -.......... -~-·1 l
Maili;~-~ Addr~s~ i ·p 0 . 'Bo ~ r:;-,·i 1211i/it?~~ <'?..~ $,.T'/J1j d~ Suite/Unit ~:~---_-_-_-_-_:::-_:::-_:::-_
City i 1)1:: ~I ()o:fc.,/ 6 r /+e-1f State 1· ... c:..A-- . ! Zip I q-ttR 5' q
Phone It? i{,q-~· q b' I ~ 7bl q Fax · Email iJ '-/NC,,/,t,-~ @@-ob..o..A:0..~6..~t<!oH
............. ........... I
5. Contact/Compan~t~~r11e .· ~ tVC·/1,~ }!eI,-.J Tb~/f _C2_~.F t1>JUt-_;.J )/CL;[~)()~ f) 4;, ;AJJ_.
Mailing Address 1 r ................................................................. .
i
City L
Phone
6. Owner Name !-J.?~--m( ~/ft._--ij..6
State
Suite/Uni I l[=·····=-···-===========
Zip /.__·---·-.
I
·········--··-····-·· .. -···· ..... ···-·••·•-· ...... -___ _J
I
Mailir~JJ ~~d~e~:>: /fJ'J) m~c.. 4~~-:B /1 :ft/~r).
City I 7!=~(..~;I C,'f
Phone ! {1 1ll)Ji6 /--J7J/
Suite/Unit I (~c, ........... I
CL/. :1 Zip [_~?~/Z State
I
Fax :
······1 r· i
! Email I CV7e.,·i;J-tZfl.-p <£-p({e.ft~~~
... --···---·-·---------
7
· :;~i!'1!n~:;y";~!t~:f~~)v;:e !~e\~~ o~~=~s) ~the ";,~y'f ~i:Volve:=~~tio~~) (W~)f~rth~r
certify, under penalty of perjury, that the foregoing statements and answers herein contained and the information
herewith submitted are in all respects tru and corr to the best of (my) (our) knowl edge and belief.
/; .=:·:.::., ........ . .............. ·: ............................................................. 1
Signature(s) Title: • .V~~~tz-I Date: l__l(/;i:,~ ____ J '~f-!.-XIL.'f£Hi'rµ--,~~!K,~~H L___--:-_ t t=rtr:iotYEAR
I Date: [<1 /~~7~-]
*May be signed by the lessee or by an au thori zed agent if written au thorization from the owner of record is filed concurrently with th e
application . Please note, the owner(s)' signature for Parcel/Tract Map and Lot Line Adjustm ent Application must be notarized.
PA2020-348
I:\Users\CDD\Shared\Admin\Planning_Division\Current_Templates\Office Use Only Form Updated 01/27/2020
2700-5000 Acct.
Deposit Acct. No. ________________________
For Deposit Account:
Fee Pd: _______________________________________
Receipt No: ____________________________
FOR OFFICE USE ONLY
Date Filed: _______________________
APN No: __________________________
Council District No.: _________________
General Plan Designation: ____________
Zoning District: _____________________
Coastal Zone: Yes No Check #: __________
Visa MC Amex # ____________
CDM Residents Association and Chamber
Community Association(s): _______________________ Development No: __________________________
_____________________________________________ Project No: ________________________________
_____________________________________________ Activity No: _______________________________
Related Permits: ___________________________
Remarks:
________________________________________________________________________________________
PA2020-348
; -----~ _____ :_. ___ -
I l
....___,,
: -i ~-. \li
V\ ~---
;,,(, dJ;
L.l
<:'> 'C) .
,I-....._~ I'✓~-
1 '
.... , ~=c~•"·-~•• ••=•·
I ~2 l~ x ~] r~ ~ i4 r~~ Jc:-~-~,
~I~f~<>Cr
~ j_~_-_--_[0_-_x_S_<_~~-~ "'" ~,-z. /~> '-r,r,;:~,~~l
-----. <i \/~;, --~ / ~~/~ --C ·-•· • ·o5J (Y -3--'i/7 f;> -~l2
; -----··---------
I ;
-----------·---·-'··--~---·-·
........ PA2020-348