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Home My WebLink About20190501_ApplicationCommunity Development Department Planning Perm'it Application 1. Check Permits Requested: D Approval-in-Concept -AIC # D Lot Merger D Coastal Development Permit D Limited Term Permit - D Waiver for De Minim is Development D Sea~onal D < 90 day 0>90 days D Coastal Residential Development D Modification Permit D Condominium Conversion D Off-Site Parking Agreement ~ 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 ~ddr~ss{e~)/Assessor's Parcel No(~) 3404-3406 Via Lido, Newport Beach, CA 92663 Parcel #423-122-09 CITY OF NEWPORT BEACH 100 Civic Center Drive Newport Beach, California 92660 949 644-3200 newportbeachca.gov/communitydevelopment '::>-1-l't D Staff Approval QA W\l\ --OBLt D Tract Map D Traffic Study D Use Permit -□Minor □Conditional D Amendment to existing Use Permit D Variance 0 Amendment -□Code □PC □GP □LCP D Other: 3. -Project JJes,(!,ription and JlJS,tifi(?ati<ln ("tta(?h c1dditi<:>11ctl sheets,Jf n~(?~ssc1ry): j /!lvw -"1jj-,,;4-Pr frtc 4. Applicant/Compa11y ~c1me""""i =· ...... /I_'"""'" ... ~-··· f ...... _f../a.r_ ........ _e __ f_l ..... J .. _ .. c ____ ........... ~""""""""'"""""""'-----,:::::.=:::::::::::::::::==='::'..j Mailing A.ddressl Lft;z. p,,;,z.o L,do Suite/Unit j I City I Ale.we_.,,.f-Bec.t. , Cf State I 0 .. ...... ....... J 2:ip I 'J-¼6~ Phone 1 f'f?-.t/¥5--:~?}? I Fax ....-1 ~~--............... 1 Email Jo1,,; .. .,-14°"'"5 ..Zt.zt@i•l,I. ~ 5. Contact/Company,_..:..:N~a:.:.,:m~e..=G=··. ··=e=r.=-ar.=d=·~=rr;==~=·=· t=::::.=~==u-e...==~=~=~====;""~~~~====:::::::::i' Maili11g. "dclr~ss, ......... ~~-o~o~/1~~-qc-e,,~f_t;_~~-'~-~--=;...-:::....~ ..... =""""'~ ..... -....... ~ ..... -::::-s ..... u_ite/Unit ,___/,..:::-..,,.. --~-~-____ ~_._:-_ ........ ___ City j Z?f,~ ,l(,sal I State [ o/ ] Zip [ ~)-? Phone j c,.-,9-67!-:J-¥'19 Fax j 9'M'-9-18-?K~ Email Woe-@J'era,,/~jr1>. 4'w, 6. Owner Name ]A Square LLC --;::::===========================--~--~====== Maiii11gAc:1clr~s,s, ...... J4 - 12 -...... -.~-i~-~z_a_L_id_····~-. ~-------~~--..... -=..-=..-...... -"""'-.... -"""-..... -.....,---:::~S .... u .... i ..... te/Unit ........ l. ____ """"_,.,,,,_ ..... -.... ---------..... ~---- Clty !Newport Beach State jcA I Zip ~2663 Phone 1949 945 8739 I Fax I Email jdianathomas2121@gmail.com . . Jrnana Thomas 7. Property Owner's Aff1dav1t*: (I) 0f'/e) =-~-~~~~~~~~~-~~~-~-~~~ depose and say that (I am) (we are) the owner(s) of the property (ies) involved in this application. (I) 0f'/e) further certify, under penalty of perjury, that the foregoing statements and answers herein contained and the information herewith submitted are in pects true and correct to the best of (my) (our) knowledge and belief. Signature(s): ~ , Title: !Managing Member I Date: j31712019 DD/MO/YEAR Signature(s): ______________ Title: ....... l _________ __.J Date: ,_J _____ ___, *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. 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: __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________