HomeMy WebLinkAboutPA2023-0069_20230327_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 D Limited Term Permit -
D Waiver for De Minimis Development D Seasonal D < 90 day 0>90 days
D Coastal Residential Development D Modification Permit
D Condominium Conversion D Off-Site Parking Agreement
D Comprehensive Sign Program D Planned Community Development Plan
D Development Agreement D Planned Development Permit
□ Development Plan !XI Site Development Review -00 Major D Minor D Lot Line Adjustment D Parcel Map
2. Project Address{es}/Assessor's Parcel No{s)
CITY OF NEWPORT BEAC!i
100 Civic Center Drive
Newport Beach, California 92660
949 644-3200
newportbeachca.gov/communitydevelopment
D Staff Approval
D Tract Map
D Traffic Study
D Use Permit -□Minor □Conditional
D Amendment to existing Use Permit
D Variance
0 Amendment -□Code □PC □GP □LCP
D Zoning Clearance -□ADU D Use
O(] Other: Preliminary Application for
Residential Development
4667 MacArthur Blvd., Newport Beach, CA 92660 (Assessor Parcel No. 427-111-08)
3. Project Description and Justification (Attach additional sheets if necessary):
New development of a 90-Unit multifamily building consisting of 4,370 SF of ground floor retail and 5 levels of
apartments totaling 104,300 SF over 3 levels of garage parking (2 levels above grade and 1 level subterranean).
4. Property Owner's Affidavit*: (I) (We) I Checkerprop and Terence Scheckter
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 pe~ury, 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.
I President I I ~3/27/2023 Title:. Date:~----~ Signature(~
Signature(s): ______________ _
MM/DD/YEAR
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 Parcelrrract 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"
\\cnb.lclldata\Users\CDD\Shared\Admin\Planning_Division\Applications\Applicaton_ Guidellnes\Planning Permit Owne~s Affadavit 2022.docx Rev: 01 /24/23
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:
________________________________________________________________________________________