HomeMy WebLinkAboutPA2022-039_20220211_Applicationfe6 11 2Dl1
Community Development Department n1-/:\ I') D'l 1 ~ O':>a . . . y t. t,, l ·1 00 C1v1c Center Dnve Planning Permit Application Newport Beach, California 92660 · 9,,9 644-3200
newportbeachca.gov/comrnunitydeveloprnent
1, Check Permits Requested:
D Approval-In-Concept -AIC # 0 Lot Merger
0 Coastal Development Permit ~ Limited Term Permit -
0 Waiver for De Minlmis Development D Seasonal ~ < 90 day 0>90 days
0 Coastal Residential Development D Modification Permit
D Staff Approval
O Tract Map
0 Traffic Study
D Use Permit -□Minor· □Conditional
0 Condominium Conversion D Off-Site Parking Agreement
0 Comprehensive Sign Program D Planned Community Development Plan
D Amendment to existing Use Permit
0 Variance
0 Development Agreement D Planned Development Permit
D Development Plan D Site Development Review -D Major D Minor
0 Amendment -□Code □PC □GP □LCP
D Other:
D Lot Line Adjustment D Parcel Map
2. Project Address(es)/Assessor's Parce,I No(s)
1047-143-12' i 1CO w CC6v:1NF<7-0NT VN IT 6
3, Project Description and Justificiltlon Attach additional sheets If necessary):
Temporary outdoor dining area
4. Applicant/Company Name j 22nd Street Pizza
Malling Address j 1803 Hummingbird Drive.
8ct dctys
feb /1 -/11~ II
=i Suite/Unit ';::=======:::::::='j,
State I CA j Zip 1
92626
I City I Costa Mesa
Phone j 949-500-0763 j Fax __ I N_I_A ____ __. Email I Laura@22ndstreetpizza.com j
I
I Laura Marroquin .,
5. Contact/Company~N~a~m~e:..:::================================,----;::========::::=:::,'
I Same as above I Malling Address Suite/Unit ';:::::==========::,
City ---;====================::;----;::::r=:========~State ~-;:::::========::::::'...1-=z:'.!ip::-=:========;I
Fax .,__ _____ __,I Email .,__ ____________ ___. Phone .,__ ________ ~
I CKW Enterprises I
6. Property Owner N~a~m~e~======· ===========================,------;:.=-=-=======-=;"
M .1• d 128121 Crown Valley Parkway j j a, mg A dress Suite/Unit ';:::::======::::===',
City j Laguna Niguel State I CA I Zip j 92677 I
Phone j asB-336-4854 I FaJ NIA I Email I Marcus.handelsoc@gmail.c_om __ l
7. Property Owner's Affidavit*: (I) (We) I 0_~\l\l ~w~\W I
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 su itted are in all respects true and correct to the best of (my) (our) knowledge and belief.
Signature(s): --4,1,-::__::,,,i=~=-=-------Title: I ~c,.--/J)~j Date: I )_-J.1!~,1
MM/DDMEAR
Signature(s): ______________ Title: .,__ ________ __, 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.
l:\Vsers\COD\Shared\Admln\Plannlng_ Divislon\Appllcatlons\Applicalion_ Guidellnes\Planning Permit Appllcation_2021.docx Rev: 01/24/17
PA2022-039
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:
________________________________________________________________________________________
PA2022-039
PA2022-039