HomeMy WebLinkAboutPA2021-288_20211206_ApplicationCommunity Development Department
·Planning Permit Application
1. Check Permits Requested:
D Approval-in-Concept -AIC # D Lot Merger
D Coastal Development Permit Ii] Limited Term Permit -
D Waiver for De Minimis Development D Seasonal jj] < 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 .. Pro·ect Address es)/Assessor's f>ar~el No(s)
100 Civic Center Drive
Newport Beach, California 92660
949 644-3200
newportbeachca.gov/communitydevelopment
D Staff Approval
D Tract Map
D Traffic Study
D Use Permit-DMinor □Conditional
D Amendment to existing Use Permit
D Variance
□ Amendment -□Code □PC □GP □LCP
D Other:
2118 West Oceanfront, Newport Beach, CA 92663 (APN 047-151-07)
3. Pr<>j~c:t Description and Justification (Attach additional sheetsJf necessc1r■y):
Temporary extension of existing outdoor patio due to ongoing Covid Pandemic. Maintain current size and hours.
4. Applicant/Company Name::~ B=l=ac=k=ie=s=b=y=t=h=e=S=e=a=========:::;-------======:::;'I
Mailin Address I 3~34 E. CoaSt Hwy Suite/Unit _1_4-=-1-=-8-=--=--=--=--=---=--=-~j
City j ~orona del Mar State -, C-A-. -------1 Zip 192625 I
Phonel~4 ~~~13-55~~ Fax ..... J _____ .....,.I Email lf\.llc:1rio@l?u~~~~~?~P-Cc:)rl'l I
5. Contact/Company Na111~=j M=···•···=c:1=•ri=•o=M=•· .... =a=ro=V=•ic=···• ============:====""""'"""~~=====::;-j
Mailing Addres" j 3334 E. CoaSt Hwy I Suite/Unit _l_4 ....... ···_1 ..... 8_···_· -======~I
City I Corona del Mar Statel _ c_P-._········-·· .... -....... -.... -....... -....... -...... -........ -........ -l' Zie 192625 !
Phone 1949-813-56~3 I Fax~' -----~I Email I Mario@}loungewouJ?.com I
6. Property Owner Name _I M_."""'cF'""'"a"""'d'""'"d"""'e""'"'n"""'p'"'"". ····_,a_c_e_L_L_c_·· -------------"""""""""""""'"'"-""""...,.. """"'---~--..... -----------:I
Majlj1Jg Addres" j 3334 E. CoaSt ~wy Suite/Unit -;::1
4=1=··~=· ===:=ii
City jcorona del rv,ar ....... J State I (;,6. .. . J Zie =l 9_ ... ?=?==?5 ......... ~==I
Phone l~49-81 ~-!56~~ Fax-' ----"""""'"""--"'"'"'I Email~ f\.llari?@}lo~ng~w()up.Cc:)rl'l I
7. Property Owner's Affidavit*: {I) (We) I Mario Marovic J
depose and say that (I am) (we are) the owner(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 submitte are in all respects true and correct to the best of (my) (our) knowledge and belief.
Signature(s) ~...,.._-~-""t:::;,',;~-:r-~-~--"'-::---Title: ·1 Owner l Date: 111/1512021
MM/DD/YEAR
Signature(s): ______________ Title:,__] _________ ..... I 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 Parcel/Tract Map and Lot Line Adjustment Application must be notarized.
PA2021-288
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:
________________________________________________________________________________________
PA2021-288