HomeMy WebLinkAboutPA2022-070_20220329_ApplicationCommunity Development Department
Planning Permit Application
PA>,J)••fO
Newport s!iiJ!i!,!?-~
949 644-3200
newportbeachca,.gov/communitydevelopment
1. Check Permits Requested:
D Approval-in-Concept -AIC # D Lot Merger D Staff Approval
D Tract Map 0 Coastal Development Permit O Limited Term Permit~
D Waiver for De Minimis Development D Seasonal D < 90 day 0>90 days D Traffic Study
0 Coastat Residential Development D Modification Permit 0 Use Permit -□Minor □Conditional
D Condominium Conversion D Off-Site Parking Agreement D Amendment to existing Use Permit
0 Variance 0 Comprehensive Sign Program D Planned Community Development Plan
D Development Agreement D Planned Development Permit 0 Amendment -□Code □PC □GP □LCP
0 Other: D Development Plan D Site Development Review -D Major O Minor
D Lot Line Adjustment D Parcel Map
2. Project Address(es)/Assessor's Parcel No(s)
I 798 Dover Dr. Newport Beach, CA 92663
3. Project Description and Justification (Attach additional sheets if necessary):
Preschool Modular Units to be converted from temporary to permanent
4. Applicant/Company Name I 12.cbL.'2...T fz 12:JUA~J .J;,,Z e.,t~-lR (I'< :-K ""'"' , XA./c:
Mailing Address l:ui,3 £t.Jc.tl!: ~ 'j'i_11;-C.S:... I Suite/Unit.~I ==========~
City I l.,"M;Q__ [l'l.r;sB t &i9 State IC.. 4 I Zip
Phone ~'l'f-'131-'1/ ~ 1' I Fax I ,,.....-----I Email I ~ Fee~.::_ g G-,,,.11-~
I
Suite/Unit ~'r--_______________ --ii
5. Cqntact/Company Name \ Newport Harbor Lutheran Church
State I CA I Zip \ 92663 I
Fax -------1 Email\ KCC@Kimberly-Layne.com \
·1 798 Dover Dr. Mailing Address .
City J Newport Beach
Phone~I ____ 9_4_9_54_8_3_63_1___.
0 N I Kimberly Layne I
6. wner ame ,!....--;:::============================================i-------;:.=.-=-====::'.::.===-=;
Mailing Address j 2211 Fortuna Suite/Unit"';::!=========~!
City J Newport Beach State -, _C_A _____ I Zip ,__\ _9_2_6_60 __ _
Phone J 949 939 0248 Fax ,_J _____ __.I Email . ._! _K_c_c_@_K_i_m_b_er_ly_-_La_y_n_e_.c_om ___ _
7 P · rty O , . Aff.d •t* (I) (W .. ). Kimberly Layne, as President of the NHLC Council , rope· wner s I av, : e .!----------------------------
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 res s true and correct to the best of (my) ( our) knowledge and belief.
Signature(s): ;Kimberly Layne Title:\ Council President I Date: ~I __ 0__,30,__6_2_2 ~
DD/MO/YEAR
Signature(s): ______________ Title:------------~ Date: _j __ ·······-···· ___ __,
'"'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 Parcelrrract Map and Lot Line Adjustment Application must be notarized.
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PA2022-070
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:
________________________________________________________________________________________
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PA2022-070