HomeMy WebLinkAboutPA2022-0253APPENDIX B
LOCAL AGENCY REVIEW
PA2022 - 02 53
SECTION 1 (TO BE COMPLETED BY APPLICANT OR AGENT)
I-Isa
Description ect
Location 5UA SAae E
Assessor Parcel Number L123 - Ob5-08
SECTION 2 (TO BE COMPLETED BY LOCAL PLANNING OR BUILDING INSPECTION
DEPARTMENT)
Zoning Designation 'R-2 dwelling units/acre
General or Community Plan Designation -T dwelling units/acre
Local Coastal Program Amendment ❑ Required ❑Submitted to Coastal Commission
LOCAL DISCRETIONARY APPROVALS
❑Proposed development meets all zoning requirements. No further permits required
other than building permits.
� roposed development requires local discretionary approvals. CHECK ALL
APPLICABLE requirements below. Attach a copy of each approval.
Design/Architectural
❑Required Applicant Submitted ❑Review Complete
Variance for describe)
❑RequiredApplicant Submitted Review Complete
Zoning change (describe)
❑Required Applicant Submitted LJReview Complete
Tentative Subdivision/Parcel Map No.
❑Required❑ Applicant Submitted QReview Complete
13
Grading/Land Dev. Permit No.
❑Required Applicant Submitted Review Complete
Planned Residential/ Commercial Development Approval
❑Required❑ Applicant Submitted ❑Review Complete
Plan Review
Required❑ Applicant Submitted RReview Complete
Qqpdominlum Conversion Permit No.
Required[:] Applicant Submitted DReview Complete
PDpditional, cial, or Major Use Permit No.
Required�Applicant Submitted ❑Review Complete
Other (describe) CD? ?A2o22 -02?8
❑Required Applicant Submitted Review Complete
CEQA COMPLIANCE
Type (Exempt, Categorically Exempt, Mitigated Negative Declaration, EIR, etc.)
EXemVt S"4v) V5 3071 CIaSS 3 LNed CGIAC,1NCii," Ir fftAVUSe� uF SW. fl
Statutory or Guideline Section Relied On
State Clearinghouse or other Document No.
Action or Adoption Date "V'99
CERTIFICATION
Prepared for the City/County of N eoPork Beach
by (print name) A4sWn Alaonv-
Title aSs�s}ark P)aohev
Date 12 26Z3
14