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HomeMy WebLinkAboutPA2023-0058_20230306_Discretionary Application Owner's Affidavit signedCommunity Development Department Discretionary Application Owner's Affidavit 1. Check Permits Requested: D Approval-in-Concept -AIC # D Lot Merger D Coastal Development Permit D Limited Term Permit - D Waiver for De Mini mis Development D Seasonal D < 90 day D >90 days D Coastal Residential Development D Modification Permit D Condominium Conversion D Off-Site Parking Agreement [.i Comprehensive Sign Program D Planned Community Development Plan D Development Agreement D Planned Development Permit □ D Site Development Review -Development Plan D Major □ Minor D Lot Line Adjustment D Parcel Map 2. Project Address(es)/Assessor's Parcel No(s) j101 Bayview Place, Newport Beach, CA 92660 CI-V OF NEWPORT BEACH 100 Civic Center Drive Newport Beach, California 92660 949 644-3200 newportbeachca. gov/comm un itydevelopment D Staff Approval D Tract Map D Traffic Study D Use Permit -□Minor □Conditional D Amendment to existing Use Permit D Variance □ Amendment-□Code □PC □GP □LCP D Zoning Clearance -□ADU D Use D Other: 3. Project Description and Justification (Attach additional sheets if necessary): A comprehensive sign program including 1 balde sign on Bristol Street, 2 small monument placards and address numbers along Bayview place, and 1 Parking Garage-clearance sign within the property. P O , Aff"d . * Ryan Cain (YESCO Signs LLC), on behalf of Clearwater at Newport Beach Owner LLC 4. roperty wner s I av1t : (I) (We)'-------------------------~ 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 respe true a d correct to the best of (my) (our) knowledge and belief. MM/DD/YEAR Signature(s): ______________ _ Title: ~---------~Date:,___ _____ __, *May be signed by the lessee or by an authorized agent if written authorization from the owner of the 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. "Under the Levine Act, Section 84308 of the Government Code, a party to a proceeding before the City involving a license, permit, or other entitlement for use is required to disclose on the record of the proceeding any contribution in an amount of more than two hundred fifty dollars ($250) made within the preceding 12 months by the party or the party's agent to any elected or appointed officer of the City. If you have made a qualifying contribution, please ensure to make this disclosure on the record. Please review Senate Bi/11439 -Statues 2022 for further information" llcnb.lclldata\UserslCOD\Shared\Admin\Planning_Division\ApplicationslApplicalion_Guidelines\Planning Permit Owners Affadavit 2022.docx Rev: 01/24123 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: ________________________________________________________________________________________