HomeMy WebLinkAbout202101_Application_Updated_,.,,•'"" '1C/P .. ,,,.,~.,,
@ ) Community Development Department
Planning Permit Application
CITY OF !\lEWr>oHT BE/.\(H
100 Civic Center Drive
Newport Beach, California 92660
949 644-3200
newportbeachca.gov/communltydevelopment '\l.
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1. Check Permits Requested:
D Approval-in-Concept -AIC # D Lot Merger ,.e Coastal Development Permit D Limited Term Permit -
D Staff Approval
0 Tract Map
0 Waiver for De Minimis Development D Seasonal D < 90 day 0>90 days
D Coastal Residential Development D Modification Permit
D Condominium Conversion O Off-Site Parking Agreement
D Comprehensive Sign Program D Planned Community Development Plan
D ·oevelopment Agreement D Planned Development Permit
D Development Plan D Site Development Review -D Major D Minor
D Lot Line Adjustment I) Parcel Map
2. Project Address(es)/Assessor's Parcel No(s) I APN: 052-082-06
0 Traffic Study
0 Use Permit -□Minor □Conditional
D Amendment to existing Use Permit
D Variance
0 Amendment -□Code □PC □GP 0LCP
0 Other:
3. Project Description and Justification (Attach additional sheets if necessary):
I
New Duplex to Condo
.304 Goldenrod Ave.
4. Applicant/Company Name :...IN_ic_h_o_ls_on_co_m_p_a_n_ie_s_(N_a_n_c_i G_l_a_ss_) ____________ :========::.::.::.-:::,1
Mailing Address 11 Corporate Plaza Drive Suite/Unit 1110 I
City !Newport Beach Statel ,_C_A _______ I Zip";::19=2=66=0======:::=i,
Phone 1949-756-8393 Fax 1949-756-8394 I Email lnanci@nicholsoncompanies.com I
!Nanci Glass I 5. Contact/Company_N_a_m_e_ ,__ _____________________________________ -_-_________________________ --=i""-----..... -_ --=--=--------=--=-=..:::;-'
Mailing Address __ I 1_c_o_rp_o_ra_t_e_P_1a_z_a _D_riv_e ___________ ---_ -_ -------..=-..=-' __ S_u_it_e/Unit __ j-1_1_0-::..-::..-::..-::..-::..-::..-::..-::..-::..""::'.il
City !Newport Beach State lcA I Zip 192660 I
Phone 1714-865-4465 Fax 1949-756-8394 I Email lnanci@nicholsoncompanies.com I
0 N 304 Goldenrod, LLC & The Deborah J O' Connor Living Trust established Juen 26,2019
6. wner ame '-----;:::::==========================================~-----;::...=-=-=-=-=-=-=-=-=-=-==:
Mailing Address c/o Nicholson Companies, 1 Corporate Plaza Dr. Suite/Unit .:.-l-1_1_0-::..-::..-::..-::..-::..-::..-::..-::..-::.~
City jNewport Beach I State jCA I Zip 192660
Phone 1949-756-8393 Fax 1949-756-8394 I Email jnanci@nicholsoncompanies.com
7. Property Owner's Affidavit*: (I) (We) Thomas Q. Nicholson and Deborah O'Connor
depose and say that (I am) (we are) e owner(s) of the property (ies) involved in this application. (I) (We) further
certify, under alty f perjury, at e foregoing statements and answers herein contained and the information
herewith sub · e af1 in all re e true ~nd correct to the best of (my) (our) knowledge and belief.
I Date: I 11 / 30 /-2.oz..ol
DD/MO/YEAR
I Date: I Oa I OS h.o-i. 1
*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\Admln\Plannlng_DMslon\Applicalions\Applicalion_Guldelines\Plannlng Permit Application -CDP added.docx Rev: 01/24/17
PA2020-352
ACKNOWLEDGMENT
A notary public or other officer completing this
certificate verifies only the identity of the individual who
signed the document to which this certificate is
attached, and not the truthfulness, accuracy, or validity
of that document.
State of California
County of Oroi llje..... } ss. c ._ V /)
On N o v e-111 bu 3 o , 20 20 before me, u ner"' / · t2; ,o L,./V\ ,
Notary Public, personally appeared ~m c:...!> G . N ; c..,,"1 o I s o " who
proved to me on the basis of satisfactory evidence to be the person~ whose nameGs') is/are
subscribed to the within instrument and acknowledged to me that het.sheltAey executed the same in
his/-AefAAeir authorized capacity~), and that by his/~Fltheir signatures~ on the instrument the
person¢), or the entity upon behalf of which the person(~ acted, executed the instrument.
I certify under PENAL TY OF PERJURY under the laws of the State of California that the foregoing
paragraph is true and correct.
WITNESS my hand and official seal.
Signature
ACKNOWLEDGMENT
A notary public or other officer completing this
certificate verifies only the identity of the individual who
signed the document to which this certificate is
attached, and not the truthfulness, accuracy, or validity
of that document.
State of California
1············f SHERYL V. BROWN
: . ' '· Not,•y PubHc -CaHfornia Z
,.,,. t,' Or,ng~ County !
. Ctmmission t 2215006
(seal)
County of O ro.n,e. } ss. ·
On O I / Oi /'2...cri..1 , 20 :1.1 before _me, 6 hC:1:'t t V. /3 ro Wt'\
Notary Public, personally appeared * * e,,-loo ra '1 ::r. 0 \ C.on"o..-* ,
proved to me on the basis of satisfactory evidence to be the person whose name(,81 is/a,:e
subscribed to the within instrument and acknowledged to me that -Re/she/tbe.¥ executed the same in
his/her~r authorized capacity(ies'), and that by -Ris/her/Uleir signatures{,1 on the instrument the
person($'), or the entity upon behalf of which the person'81 acted, executed the instrument.
I certify under PENAL TY OF PERJURY under the laws of the State of California that the foregoing
paragraph is true and correct.
WITNESS my hand and official seal.
Signature (seal)
PA2020-352