HomeMy WebLinkAbout20171027_ApplicationCommunity Development Department
Planning Permit Application
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
~ Comprehensive Sign Program D Planned Community Development Plan
D Development Agreement D Planned Development Permit
D Development Plan D Site Development Review -0 Major D Minor
D Lot Line Adjustment D Parcel Map
2. Project Address(es)/Assessor's Parcel No(s) l 2121 W Balboa Blvd/047-151 ~01 .. -. ·-------·· ~-···~-~-~---~--~-~--·
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 -DMlnor Oconditional
D Amendment to existing Use Permit
D Variance
D Amendment -OCode OPC OGP OLCP
D Other:
.. · .... .-......... ,_ ..... ·---·---· .... ·-··'"·"--·--"'-.... , .. __ . __ _._]
3. Project Description_and_ Justification (Attach additional sheets if necessary): --·--········ --··-·1
Sign program to allow 3 or more signs
----------¥-----··-·--~------~--·----... -~ J _, __ . 4. Applicant/Company Name l AKC Services Inc
Mailing Address I 18650 CoUier Ave S~ite ~ __ ] . Suite/Unit --------=j
Cityl LakeElsinor~ -·· _____ ..... -·-··-· _-1 State_l _c_A ____ ~I ?lpj 92530 J X
Phone f 951-471~~41~----·-··-·-·-----J Fax -~---·-·_=i Email f info@akcservices.net _ .. ·--·-·-···---.. -~
5. Contact/Companr Name I ___!~_8
as Appljca~·---.. ·============J=i----:--~~, ===========r
Mailing Address.---···--·-· ...... , ··-·----~-------,_..,.... _______ S_u_ite/Unit -;::.:-=·· =-========='·,
City _____ -------------.. -....... ···---·-·---·-··---.. --------··--] State·--~---·-____ .... __ .. ______ ] . Zip__ I
Phone r------J Fax l I Email r~----~----·---.. . -~
6. owner Name ,-~~;··Place LLC /M_ar!_o_~aE~vic_ __ _ ______ . __ ]
I -------1 I I Mailing Address __ 3334 East Coast Hwy #~~------e--· _ . _ ---·---. . Suite/Unit--.----·------.:--.--.. ·-···
City r . Corona DeJ_Mar State L~~~~-·-------·--·-"-....1 Zip I 92652 ·1
Phone r-949-813~5683 -. .J Fax ·------~---=1 Email L_.~~~i-~~~~~.~=-~~~~-~--·c_om ____ ---'
7. Property Owner's Affidavit*: (I) (We) ~ttr1(, }14£.tJJ!.L~---··---I
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 respects true and correct to the best of (my) (our) knowledge and.belief. [-·------·-----j f--~-z~t-J
Signature(s): ~ Title: PJ.A.l'f a.J,'rtJ /l(t!tflbef . Date: _'1/2:6/J.f ___ _
• • DD/MO/YEAR
Signature(s):~;( ¥,d Title: ~...t" -U!(fl Pe..ilJ Date:[¥~
.,..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 Lotline Adjustment Application must be notarized.
F \Users\CDD\Shared\Adrr~n\Planning_D,v1s1on\Apphcations\Application_Gu1delines\Plann,r9 Permit Application -CDP added.doc)( Rev: 01124117
FOR OFFICE USE ONLY\
Date Filed: ) tJ/J9-//7
APN No: __ QY~3:...._·-_\~5~l-~o_,__\ --
Council District No.:---'--\ ____ _
General Plan Designation: f{\V·'\,J)
Zoning District: ---~'---\)_-_W ....... ~----
Coastal Zone:WYes D No
J2]2100-sooo Acct.
D Deposit Acct. No. _________ _
For Deposit Account:
Fee Pd: ----------------
Receipt No:------------
Check #: ___ _
Visa D MC D Amex D # -----
D .COM Res.idents Association ~a~
Communitt' Association(s): Cu ~
YwM-~('J\,%C\1j ~. Development No: Da-ol g. -O'/Ci/l.f
ProjectNo: }J/t"ou)7{--J-d-(o
Activity No: LS~ I"]--Q("$
Related Permits: -----------
APPLICATION D Approved D Denied D Tabled:
Remarks:
0Planning Commission Meeting
0Zoning Administrator Hearing
Ocommunity Development Director
ACTION DATE
APPLICATION WITHDRAWN: Withdrawal Received (Date): ----------
APPLICATION CLOSED WITHOUT ACTION: Closeout Date: ----------
Remarks:
F:\Users\CDD\Shared\Admin\Planning_Division\Applications\Office Use Only.docx
Updated 08/15/17