HomeMy WebLinkAbout20210520_Application(
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Community Development Department
Planning Permit Application
1. Check Permits Req:uested:
D Approval-in-Concept -AIC # D Lot Merger
0 Coastal Development Permit ~ Limited Term Permit-
□ Waiver for be· Minim is Develop1nent , D Seasonal ~ < 90 day 0>90 days
D Coastal Residential Development D Modification Permit
D Condominium Conversio~ 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 Rev~ew -D Major D Minor
D Lot Line Adjustment D Parcel Map •
2. Project Address(es)/Assessor's Parcel No(s) .
fA"hJvt-ltt cny Of NfWPOi:l Bf:,f.\{,·;
100 Civic Center Drive
Newport Beach, California 92660
949 644-3200
newportbeachca.gov/communitydevelopment
D Staff Approval
D Tract Map
D Traffic Study
0 Use Permit-OMinor □Conditional
D Amendment to existing Use Permit
D Variance
0 Amendment -□Code □PC □GP OLCP
D Other:
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3. Project Description and Justification (Attacli ~dditional sheets if necessary): r--·-~ R~tv1'4 -,e,~•-o..:,f-~ h ;·feeb ~. &\-t:.-\c!-CQoL-.(:tf~ ·Foe-"Ttfl::. ~i~:·:J~
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4. Applicant/CompanyName1J2oJi\\OV\5 . &QCeq,g .jflQy:;I
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Mailing Address L'"3~-.Ob.J O . . . Suite/Unit· . ____ J ·
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5. Contact/Company Name j_1J_5-{2"'-_-_jj_(l[J~q / At~:l3al.!L_ -~-___ __ ~~-~:-:-]
Mailing Address L3)-9Q __ .AJ.1.JX:~L&zCi-~..6L~[L_____ ·-_ ·--J Suite/Unit L_____ ~-~~]
City /_,Qt:;~'2@12..L &~H-. ! State L~ . J Zip [q~Zkh3-"]
Phone [?'fi:Ii==~J_q~_J Fax l'f<l1.c;,.J_£-:_~j} Email ~-~-q~ @~~fr1~~;~::-.]
6. Owner Name L._~±~. . Lt-hJJ)il'J..t_~ ... -~-~-U~. .. .. :-.-~::-~:·.:•.-.. :-.] I '. f --.. ··--• .. ··-·-·--·1
Mailing Address··----~~ ~/Y-..... fl_~~'..;)_f?f!~L .... _.~c'e_t.2:i_~~---··_L)f1 ie. · Suite/Unit, ..... , ..... :~~... . .....
CityL _____ ;s{~Plfr'f ~-~(, ..... _._j Statel {;A--_J Zip[?[~~~ __ :
Phone ,~ 't-qcn __ ~ '777 LI F:x I . . :: ·· _ _. _J Email j ll}J_~_~ri{IJa /k.)/Jlt'(:5;,·ec:q--.-~
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certify, under penalty perjury, that the foregoing statements and answers herein contained and the information
herewith sub · ed a in all respects true and correct to the best of (my) (our) k owledge and belief. ~
w w Si9n~ture(s): ~~~+--,,,,:::;,.__--=-----Title: L~ll"~~--· !'.f __ . Date: Lf['1.fat_J
DD/MO/YEAR
~ig.~ature(s): ______________ Title: L_"·-·•--~-------.. ·-••·-.. ·---. __ J Date-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 Parcel/Tract Map and Lot Line Adjustment Application must be notarized.
F:\Users\CDD\Shared\Admin\Plannlng_Dlvislon\Applicalions\Applicalion_Guidelines\Planning Permit Application .. CDP ·added.docx Rev: 01/24117
PA2021-114