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HomeMy WebLinkAboutPA2023-0040_20230214_Discretionary Application Owner's AffidavitCommunity Development Department Discretionary Application Owner's Affidavit 1. Check Permits Requested: D Approval-In-Concept -AIC # D Lot Merger D Coastal Development Permit O Limited Term Permit- □ waiver for De Minlmis Development D Seasonal D < 90 day 0>90 days D Coastal Residential Development D Modification Permit D Condominium Conversion D Off-Sile Parking Agreement D Comprehensive Sign Program D Planned Community Development Plan Iii Development Agreement D Planned Development Permit D Development Plan Iii Site Development Review -Iii Major D Minor D Lot Line Adjustment D Parcel Map 2. Pro·ect Address es /Assessor's Parcel No(s 1401 Quail Street, Newport Beach, CA 92660 I APN # 427-332-04 CITY OF NEWPORT BEACH 100 Civic Center Drive Newport Beach, California 92660 949 644-3200 newportbeachca.gov/communitydevelopmenl 0 Staff Approval Iii Tract Map D Traffic Study 0 Use Permit -□Minor □Conditional 0 Amendment to existing Use Permit D Variance Iii Amendment -□Code lilPC lilGP □LCP 0 Zoning Clearance • □ADU D Use D Other: 3. Project Description and Justification (Attach additional sheets if necessary): Preliminary application for a residential development of the 1401 auai I Street site. Currently, the site is zoned as PC-11 within the Newport Place Planned Community overlay. There has been increased residential activity within this zone. The proposed application is for a 78-unit residential for-sale condominium development which complies with the minimum density of 30 du/acre to 50 du/acre (max density) and would provide 30% of the product as affordable rate housing. This proposal would help the City meet RHNA numbers that has been assigned by the State of CA. 4. Property Owner's Affidavit*: (I} (We) ._IJ_a_m_e_s_L_i_gh_t _________________ ....... 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, at the foregoing statements and answers herein contained and the information herewith submitt in aill.J~1oet:ts tru and correct to the best of (my) (our) knowledge and belief. Title: [ f~ I !)ate: ,__J 917_12_2 _ ___, -f-,,...'1--tff=-fi;;,-..~----------MM/DD/YEAR Title: ._I ______ __,] r.>ate: 1917122 *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. llenb.lelldala\UltQ\COO\Sha,ed\Admin\Planning_OMsion\Applications\Application_G~ideline1\Planning Permil Ownei'I Affadavil 2022.docx Rev: 07/05122 CALIFORNIA ACKNOWLEDGMENT CIVIL CODE § 1189 U:.Ci!l lll888IEll8till ~ 81!!& RX PAGA NW4JIJOZFM ! J 7 8 7 @ 8 8 B@ 8 § ! e 6 J j 8N JlkGLJ!XkZ...._iiilJIIA4} 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 _ _,C)R.....,._--. .... :Pp--1-L·~..::,u._~~~--- On O?-, I \5 / ?:-:-c?-.:0 before me, ~ldtfH:-6~. A NPT'AR::r's:\.PWC:.... Date Here Insert Name and Title of the Officer personally appeared :::}+:\~ \_.\ 8-~ Name(s) of Signer(s) who proved to me on the basis of satisfactory evidence to be the person(~) whose name(&!) is/ar.l! subscribed to the within instrument and acknowledged to me that he/stfe/they executed the same in his/h4!!r/t~ir authorized capacity(i~). and that by his/hllf/tt~ir signature{i) on the instrument the person(S'j, or the entity upon behalf of which the person(~ acted, executed the instrument. ~-eeeeeoeeooof .. SKAMI J011NSOII _ No1ary Pulllle • Callfornl• I I Otantt Cown1y Camm!HIOft I 2H 1716 -~ = = "',! c:':i i:1: :' 1,'•;02;, l 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. Place Notary Seal and/or Stamp Above Signature ~t~ta,y PubHc 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: ::U~t)~('.B:17,:D}.,.,} DocumentDate: ~ (16 ['l.~~ ~ ~mber of Pages:_-'--- Signer(s) Other Than Named Above: ______________________ _ Capacity(ies) Claimed by Signer(s) Signer's Name: ___________ _ Signer's Name: ___________ _ o Corporate Officer -Title(s): ______ _ □ Corporate Officer -Title{s): ______ _ o Partner -o Limited o General D Partner -D Limited 0 General o Individual □ Attorney in Fact D Individual □ Attorney in Fact o Trustee □ Guardian or Conservator o Trustee □ Guardian or Conservator D Other: D Other: Signer is Representing: _________ _ Signer is Representing: _________ _ 11.• M 9 ! no:; [J(O~-i lH! ! M• Mtr?:fn:OS:77NOI: 3 --E j :n.- ©2019 National Notary Association 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: ________________________________________________________________________________________