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HomeMy WebLinkAbout20190815_Application1- Check Permits Bequested: I Approval-i;r-Concept - AtC # fJ Coastal Developmenl Permit E U'iaiver tor Da Mlnimis Development E Coastat Residerrtial Development I Condcminium Conversion il Comprehensive Sign Program n Development Agreement n Developmenl Plan I tot Line Adjustment I tot Aturger fft-imitea Term Permit-:[ S"rsonaj [<90oay -El'gocays f| Modification Permit n Otf-Site Parking Agreement f] Planned Communig Development Plan fJ Planned Development Permit D S;te Development Review- E Major E Mnor fJ ParcelMap Community Development Department Planning Permit Application ;-lr' . l:' -:a---'.. ::';' - :.-.:.' 100 Civic Center Ilrive Newporl Beach, Califnrnia 92660 949 64+3200 oewportbeachca.gov/communitydevelopmgot il Staffepprovat I Tract Map I Traff,c Study I Use Permit -f]!v:incr Ec+nditionaf I] Amendment to existing Use Permit I Variance D Amendnrent-[Code I]PCElcp ELCPf} or,e,: 2- Project Address(es[Asse*sor's Parcel No{s} JJir:f, Frsur pa€t BLUS , trlEWfast fr{frcd J and Justification additional sheets if 4. .ja,t € S'il,{{-t q{rl\i LAI UJ Suitdunit f\tt.Lt State, *C n ; ,.tp :qi 6iN Email L Address il City { t a Phone Fax E lr Name, L-,S City r u_tu Eofr 96fi{_?t t<'rre &tN( f0u {.{ State {A Address 4 SuitelUnit zip {42a['e Ernair',{6ou4 1 $o* 136 @ W Wy1g'iy',".Co t 6. Owner City: Phone 7. Property Owner's Affidavit": (t) {We} Signalure(s): Title: i Suite/Unit t'- Date: ] '- i* '"*-i i*"--'srarei i mpi- ; i-. i r**u iSfeve\)hrp3 tsz@-'J arrnn,r-ot't, rrtre, i ryYm,^e. W;Wr] o**,&7 43 Fax depose and say am) (we are) the owneris) of the property (ies) involved in fiis application. {l) (VVe} turther certify, under perjury. that the foregoing statements and an$,uers herein contained and the information herewith in all respects true and mnect i0 the be$t of {myi {our) knowledge and belief" DD/I"IOftEAR "May be signed by the lessee ar by an authorizeC agent if written authorization from the owner of record is filed concunently with the application. Please note. the ownerls)' signatufe {or ParcellTract Map and Lot Line Adjustrnent Appiication rnust be notarized. F:\U*s,CD0rchars{\4dmp.Lebm(g_&vishn\Appiicathns!4fpJ,aiEr_GuddrreslRaonir€ Permt Appilcatcn - CDP addqr.ao* Reu A1.Q4tr7 " +!)v\ r-rtii sa, C'p;ffis': .}rrio?l TH 4lq,