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HomeMy WebLinkAboutPA2022-0208_20221005_Discretionary Application Owner's AffidavitCommunity Development Department Discretionary Application Owner's Affidavit 1. Check Permits Requested: 0 Approval-In-Concept -AIC # 0 Coastal Development Permit 0 Waiver for De Minimis Development 0 Coastal Residential Development D Condominium Conversion 0 Comprehensive Sign Program 0 Development Agreement 0 Development Plan D LotMerger D Limited Term Permit - D Seasonal O < 90 day 0>90 days D Modification Permit 0 Off-Site Parking Agreement D Planned Community Development Plan D Planned Development Permit D Site Development Review - D Major O Minor D Lot Line Adjustment D Parcel Map 2 .. Project Address(es)/Assessor's Parcel No(s) 6800 W. Coast HWY, Newport Beach CA 92653 100 Civic Center Drive Newport Beach, California 92660 949 644-3200 newportbeachca.gov/communitydevelopment D Staff Approval D Tract Map 0 Traffic Study Iii Use Permit -ll!IMinor l!!]Conditional Iii Amendment to existing Use Permit D Variance 0 Amendment -□Code □PC □GP □LCP 0 Zoning Clearance • □ADU O Use D Other: 3. Project Description and Justification (Attach additional sheets If necessary): Amend existing use permit, to allow sales of Beer and Wine, and entertainement. No live music nor late hours of operation requested 4. Property Owner's Affidavit : (I) (We) Abder Amokrane 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 submitted are in all respects true and correct to the best of (my) (our) knowledge and belief. Signature(s): ---~--~4·~-'~~~,,.1--+-==;a:;:,;,... __ Title: President ~~ ./ Signature(s): ______________ Title: Date: 1 / 19/20 MM/OD/YEAR Date: 1 / 19/20 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. \lrnh lrnrl.it:,\l 1 .. ,...,1r,nrn.~h"mrl\Arlmin\Plc,nninr, n;,,;,.inn\Annlir-::.tinn<:.\Annlir-:,tinn "' ,irl,.~nA<:IPl:,nninn p,.rmil llwn..,..<t Afl'"rl:,vit :m?? rlrv,~ R,-v· n71n.'il?? 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: ________________________________________________________________________________________ □ □ □ □ □ □ □ □ PA2022-0208 September 28 , 2022 City of Newport Beach 100 Civic Center Drive, Newport Beach, CA MME, LLC Authorization Letter Project Name: Address: APN: Casablanca The Restaurant Corporation -Newport Beach 6800 W. Coast Highway, Newport Beach, CA 92663 424-433-12 To Whom It May Concern, MME, LLC is the Owner of the property located at 6800 W. Coast Highway, Newport Beach, CA 92663 This letter will confirm that Abder Amokrane Owner of Casablanca The Restaurant, Corporation, has full authority to deal with the City of Newport to pertaining to matters above-noted, including managing all City or County processes related to issuance of building permits and execution of any City or County documents required for that purpose and will act of the behalf of the Owner. Sincerely, Michael Mugel CEO ~ 1234East 17th Street• SantaAna,CA92701 • (714)245-7400office • (714)245-7401 fax PA2022-0208 CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE § 1189 8ffi08:{ll~~Fe(Bll81ttl890~~ 0 0 [)OIIO,O(lffl Jill lffl€ DB[):~ 0 [J 00'.P®C:3@ 30~ 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 D<-t<. Ill §,e-- On ~~~before me, --+=~~.l..!!:..----l~~.q.+_µ....i..::::'.!...E::"1C=-=\-=-µ.....a..:;;i...\:,~- Oate personally appeared ,~ c cit< i:a-el \J-. Name(s) of ,gner(s) who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature{s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. Place Notary Seal and/or Stamp Above 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. OPTIONAL Completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attached Document Title or Type of Document: ____________________________ _ Document Date: ______________________ Number of Pages: ____ _ Signer(s) Other Than Named Above: _______________________ _ Capacity(ies) Claimed by Signer(s) Signer's Name: Signer's Name: □ Corporate Officer -Title{s): ______ _ □ Corporate Officer -Title(s): ______ _ □ Partner -□ Limited □ General □ Partner -□ Limited □ General □ Individual □ Attorney in Fact o Individual o Attorney in Fact □ Trustee □ Guardian of Conservator □ Trustee □ Guardian of Conservator □ Other: □ Other: Signer is Representing: _________ _ Signer is Representing: _________ _ ~.ft!Jl!ffl:ii~!Jffi00.'6:!6!81l~~~~~U{Jj~l@O@@lc!®jffi}ljl!ffl~~8ffll~l!f.llllffllll!llSU~ ©2017 National Notary Association