HomeMy WebLinkAboutPA2023-0168_20230921_Discretionary Application and Lot Line Adjustment with ExhibitsCommunity Development Department
Discretionary Application
Owner's Affidavit
1. Check Permits Requested:
D Approval-in-Concept -AIC #
D Coastal Development Permit
D Waiver for De Minim is Development
D Coastal Residential Development
D Condominium Conversion
D Comprehensive Sign Program
D Development Agreement
D Development Plan
liZI Lot Merger
□ Limited Term Permit -
D Seasonal D < 90 day 0>90 days
D Modification Permit
□ Off-Site Parking Agreement
D Planned Community Development Plan
D Planned Development Permit
D Site Development Review -
[J Major D Minor
ii Lot Line Adjustment D Parcel Map
2. Project Address(es)/Assessor's Parcel No(s)
12319 Heather Ln. APN:119-321-22 & APN:119-321-52
Cl
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
□ Amendment -□Code □PC □GP □LCP
D Zoning Clearance -□ADU □ Use D Residential Project Using Senate Bill 6
D Other:
3. Project Description and Justification (Attach additional sheets if necessary):
Combine APN:119-321-22 & APN:119-321-52.
Per planning department existing house is protruding into APN: 119-321-52 and no work is allowed at these areas. Planning recommendation is to merge parcels so
that the setbacks will be adjusted accordingly.
4. Property Owner's Affidavit*: ii) (We) ,e.t\ \ Q,. VV\I t\ 0 (..y "'Le ~'(
depose and say that (I am) (we arWthe owner(s) of the property (ies) invol ed 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.
Signature(s): Title: I 01,JY\ e Y II Date:-'==---~~ ~ MM/DONE AR
Signature(s): _______________ Title:"===========-' Date: -'=I========!
*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. ff 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.
Please be further advised, application representatives who are not exempt and are considered a "lobbyist' pursuant to the
City's Ordinance No. 2020-3 must file a lobbyist registration form. Click here or contact the City Clerk's Office at 949-644-
3005 for more information.
. See Proper California Nqtaria\
wording Next pag~ attached
1·\Users\COD\Shared\Admin\Plannino Divlsion\Aoolications\Aoolication Guidelines\Plannino Permit O\M"ler's Affar:l;wit ?O?? rlnr.Y RP.v' OR/~nl?~
CALIFORNIA JU RAT
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 Orange ----------~
Subscribed and sworn to (or affirmed} before me on this f ~ ~ay of Sep/&!Ib J-JJZ,"5 , /J,.. ,,./1 ; [) _ Date Month Year
by __ ___.Vlpt}~a.----'-m ..LLL:..1n---=--,~___,;;_,oi~~....r....:..A ___ u""'--f--/>&.:+-a.;n;,~Z------
Name of Signers
proved to me on the basis of satisfactory evidence to be the personJ,r'who appeared before me.
JI EANNE K DODGE-KROWS " S COMM # 2318077 ~
:; NOTARY PUBLIC CALIFORNIA ,e
i: ORANGE COUNTY S
,, My comm. e,p,res Jan. 8, 2024 It
,.. ♦• ♦ ♦ •••••
• • t :t: ♦ • ♦ ♦ ♦
Deanne K Dodge-krows, Notary
Seal
Place Notary Seal Above
---------------------------------------------------OPTIONAL---------------------------------------------------
Though this section is optional, completing this information can deter alteration of the document or fraudulent
attachment 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: ___________________________ _
Recording
Requested by and Mail to:
City of Newport Beach
Public Works Dept
Attn: Subdivision
100 Civic Center Drive
P.O. Box 1768
Newport Beach, CA 92658 This S ace for Recorder's Use Onl
Lot Line Adjustment/Lot Merger
Address( es) or Property Involved: _2_3_1_9_H_e_a_th_e_r_L_a_n_e,;_N_e_w-'p'--o_rt_B_ea_c_h_, _C_a_9_2_6_6_0 ____ _
Owner(s) Affidavit
I (We) hereby certify under penalty of perjury that 1) I am (we are) the record owner(s) of all parcels
proposed for adjustment by this application, 2) I (We) have knowledge of and consent to the filing of
this application, 3) the information submitted in connection with this application is true and correct; and
4) I (We) consent to the recordation of these documents.
RECORD OWNERS:
APN: 119-321-22 Parcel
NAME: 4&e,"-:j <AM ; "'-(jZ_o ~,,,.-fr-it ( (Jt t -f-
Siqnature of parcel owner S iqnature of parcel owner
Parcel APN:119-321-53
NAME: & e.-Ad t:l 1h; t'\ fZ.?s d A-2 e{a. ( r
~Affe
Signature of parcel owner Signature of parcel owner
Parcel '
NAME:
Signature of parcel owner Signature of parcel owner
Parcel
NAME:
Signature of parcel owner Signature of parcel owner
NOTE. Each of these signatures must be notarized, usmg the appropriate Ju rat attached and completed by a Notary Public.
Approved for Recording CITY OF NEWPORT BEACH
City Engineer: Date:
F:\Users\CDD\Shared\Admln\Planning_Dlvislon\Applicatlons\LA&LM\lnfo LA LM Rev 040218.docx
---Updated 4/04/18
ACKNOWLEDGMENT
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.
I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing
paragraph is true and correct.
IMTNES~oial seal. S COMM # 2318077 ;,;
::i; l ' NOTARY PUBLIC CALIFORNIA ~ ~ '-,.. ORANGE COUNTY "' 1 '• • My comm. exp1res Jan.8.2024 jt
i O $ C O O $ 0 U ¥ ♦ 0 ; + -
Signature
ACKNOWLEDGMENT
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 _________ --J ss.
On ___________ , 20 __ before me,
Notary Public, personally appeared
(seal)
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 signatures(s) on the instrument the
person(s), or the entity upon behalf of which the person(s) acted, executed the instrument.
I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing
paragraph is true and correct.
WITNESS my hand and official seal.
Signature (seal)
EXHIBIT " "
OWNER EXISTING PARCELS
AP NUMBER
PROPOSED PARCELS
REFERENCE NUMBERS
BENJAMIN ROGER AZELART, A SINGLE MAN 119-321-22 PARCEL 1
BENJAMIN ROGER AZELART, A SINGLE MAN 119-321-52 PARCEL 1
LEGAL DESCRIPTION
REAL PROPERTY SITUATED IN THE CITY OF NEWPORT BEACH, COUNTY OF ORANGE, STATE
OF CALIFORNIA DESCRIBED AS FOLLOWS:
LOT 36 OF TRACT NO. 3138, IN THE CITY OF NEWPORT BEACH, COUNTY OF ORANGE, STATE
OF CALIFORNIA, AS PER MAP RECORDED IN BOOK 103, PAGES 31 THROUGH 33, INCLUSIVE
OF MISCELLANEOUS MAPS, TOGETHER WITH THE SOUTHEASTERLY 1/2 OF TUSTIN AVENUE
(60 FEET IN WIDTH) ADJOINING SAID LOT 36, VACATED PER RESOLUTION OF THE BOARD
OF SUPERVISORS OF SAID ORANGE COUNTY RECORDED JULY 17, 1958, IN BOOK 4353, PAGE
157 OF OFFICIAL RECORDS, IN THE OFFICE OF THE COUNTY RECORDER OF SAID COUNTY.
CONTAINING 11,258 S.F. OR 0.258 ACRES MORE OR LESS.
EXHIBIT "B" IS ATTACHED HERETO AND BY THIS REFERENCE MADE A PART HEREOF.
PARCEL 1:
A
PROFES SIO N A L LAND
S
U
R
V
E
YORPAUL D O M INICK
C
R
A
FT
PAUL D. CRAFT, P.L.S. 8516
LICENSE RENEWAL DATE: 12/31/24
PREPARED BY ME OR UNDER MY DIRECTION
THERE MAY BE EASEMENTS OF RECORD DELINEATED AND REFERENCED ON THE UNDERLYING
MAPS OR THERE MAY BE OTHER RECORDED EASEMENTS WITHIN THE AREA BEING ADJUSTED
THAT ARE NOT SHOWN ON THIS DOCUMENT THAT COULD ENCUMBER SAID PARCELS HEREIN.
NOTE:
09/21/2023
LOT LINE ADJUSTMENT LL 2023-
SHEET 1 OF 1
TR
A
C
T
N
O
.
9
7
7
6
99.00'
N3
9
°
5
7
'
5
5
"
E
28
.
5
9
'
LO
T
1
M.M
.
4
2
6
/
1
5
-
1
6
(P
R
I
V
A
T
E
S
T
R
E
E
T
)
32.27'
N3
9
°
5
7
'
5
5
"
E
1
1
1
.
8
9
'
30.00'N50°0
2
'
0
5
"
W
1
2
9
.
0
0
'
118.52'
Δ=43°54'58"
L=30.66'
R=40.00'
N71°39'10"W 150.7
9
'
EXHIBIT " "
OWNER EXISTING PARCELS
AP NUMBER
PROPOSED PARCELS
REFERENCE NUMBERS
BENJAMIN ROGER AZELART, A SINGLE MAN 119-321-22 PARCEL 1
BENJAMIN ROGER AZELART, A SINGLE MAN 119-321-52 PARCEL 1
PROFES SI O N A L LAND
S
U
R
V
E
YORPAUL D O M INICK
C
R
A
FT
PAUL D. CRAFT, P.L.S. 8516 DATE
LICENSE RENEWAL DATE: 12/31/24
PREPARED BY ME OR UNDER MY DIRECTION
LEGEND:
PROPOSED PARCEL BOUNDARY
EXISTING PARCEL LINES TO REMAIN
PARCEL LINES TO BE REMOVED
B
MAP
NOTE:
THIS PLAT WAS PREPARED FROM RECORD
OR CALCULATED FROM RECORD DATA
PER TRACT NO. 3138, M.M. 103/31-33.
S
C
A
L
E
:
1
"
=
3
0
'
09/21/2023
LOT LINE ADJUSTMENT LL 2023-
SHEET 1 OF 1
~ }-. I
CJ.) I kJ i2 :;:
I so, J I I PARCEL 1 (!:H
{ij : I
}-. I lLOT 36> ~ I 'J /.-.
~ I ~
kJ
I ~
lLOT 35 \
\
B
TR
A
C
T
N
O
.
9
7
7
6
EXISTING
DWELLING30'
C
LO
T
1
M.M
.
4
2
6
/
1
5
-
1
6
(P
R
I
V
A
T
E
S
T
R
E
E
T
)
10'
3'
A
B
3.
8
'
20.2'
4.4
'
3.5
'
6'
3'
21.9'
EXHIBIT " "
OWNER EXISTING PARCELS
AP NUMBER
PROPOSED PARCELS
REFERENCE NUMBERS
BENJAMIN ROGER AZELART, A SINGLE MAN 119-321-22 PARCEL 1
BENJAMIN ROGER AZELART, A SINGLE MAN 119-321-52 PARCEL 1
LEGEND:
EXISTING BUILDING OUTLINE
C
SITE PLAN
EASEMENT LINE
PROPOSED PARCEL BOUNDARY
EXISTING PARCEL LINES TO REMAIN
PARCEL LINES TO BE REMOVED
PROFES SI O N A L LAND
S
U
R
V
E
YORPAUL D O M INICK
C
R
A
FT
PAUL D. CRAFT, P.L.S. 8516 DATE
LICENSE RENEWAL DATE: 12/31/24
PREPARED BY ME OR UNDER MY DIRECTION
NOTE:
THIS PLAT WAS PREPARED FROM RECORD
OR CALCULATED FROM RECORD DATA
PER TRACT NO. 3138, M.M. 103/31-33.
S
C
A
L
E
:
1
"
=
3
0
'
EASEMENT NOTES:
A - 6' WIDE UTILITY EASEMENT PER TRACT NO. 3183,
M.M. 103/31-33. (PLOTTED HEREON)
PER ???????? TITLE COMPANY PRELIMINARY REPORT
ORDER NO. ?????????, DATED ????? ??, 2023.
B - UTILITY EASEMENT PER TRACT NO. 9776,
M.M. 426/15-16. (PLOTTED HEREON)
C - SOUTHEASTERLY 1/2 OF TUSTIN AVENUE (60' WIDTH)
AS SHOWN ON TRACT NO. 3138, M.M. 103/31-33,
VACATED PER RESOLUTION RECORDED 7/17/1958 IN
BK. 4353, PG. 157, O.R. (PLOTTED HEREON)
09/21/2023
I
I
I
I
I
I
I
I
I
LOT LINE ADJUSTMENT LL 2023-
I
I
lLOT 31
PARCEL 1
0 ~=~ --ll -----------------------
lLOT 3i5
SHEET 1 OF 1
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