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HomeMy WebLinkAboutPA2022-092_20220429_Application----------,ciTY 0 1-Ncvvrv", --~'."-· rt nt 100 Civic Center Dnve I pment Depa me Newport Beach, California 92660 Community Deve o • 1• ation 949544.3200 Planning Permit App IC newportbeachca.gov/communitydevelopment 1. Check Permits Requested: □ Lot Merger □ Staff Approval O Tract Map D Approval-in-Concept -AIC ~ D Limited Term Permit - D Coastal Development Permit D Seasonal D < 90 day 0>90 days D Waiver for De Mlnimls Development D Modification Permit D Coastal Residential De~elopment D Off-Site Parking Agreement D Condominium Conversion D Planned Community Develo~ment Plan D Comprehensive Sign Program D Planned Development Permit D Development Agreement D Site Development Review -0 Major O Minor D Developme~t Plan □ Parcel Map D Loi Line AdJustment 2. Project Address(es)/Assessor's Parcel;o(sCA 92625 3333 East Coast Highway, Corona Del ar, □ Traffic Study Ii] Use Permit -liJMinor □conditional ·t 0 Amendment to existing Use Perm1 O Variance OLCP □ Amendment -□Code □PC □GP O Other: 3 Project Description and Justification (Attach additional sheets if necessa . . . . A I . for a beer and wine license. Nikkei Restaurant Concept servicing small dine in and take out dmmg. pp ymg \ ~~~l~L~im~a~R~o~ll~L;L~C===================r~~~S ========7\ 4. Applicant/Compa_!!Y Name !...I=====:; 11044 10th Ave Suite/Unit ,. \ Mailing Address I I Zip 196816 City /Honolulu State HI . . \ I I . lkirakochi@me.com 1949-732-8290 Fax . Email L------------ Phone L------=-=-~=::_~=-=~-=-=-=-=-=-=----_-_-=. ______________ I \ !Leonard Chan , 5. Contact/Company Name l \ 1221 Orange Blossom Suite/Unit i;· ·=====::;-Mailing Address \ ·1 \ II . State jcA Zip 92618 -City rvme 1 Phone /949-433-3854 Fax .!....' -----~,I Email l1eonard@thealchemistshq.com1 ' Mike Evans :\ 6. Property Owner N~a~m~e_b=======:=====::=::==:=======================i----1 p========,\ j9197 Nadine River Circle Suite/Unit .!....I ======i Mailing Address \ ,,. "_I_ C·,ty !Fountain Valley State jCA Zip 192708 J Phone 1714-334-1151 I I . lm_evansconsulting@ao_I.com '\ Fax .,___ _____ ___,_ Email !...1 _______________ _ . . I Mike Evans \ 7. Property Owner's Aff1dav1t*: (I) (We) · · · . 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 ~!~'t..~~rl ~~~Se and beli~f. Signature(s): ~u t:;.__ Title: l:+11ke ?-+~t~'1 I Date:l r----:-1e--J2-....,.z-.-1 MM/&0/YEAR Signature(s): ______________ Title: __ I _________ ....,I 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 Lot Line Adjustment Application must be notarized. 1 \UserslCDD\Shared\Admin\Plaming_Oillision\Applications\Application_Guidelines\Plaming Permtt Application_2021.docx Rev: 01124/17 PA2022-092 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: ________________________________________________________________________________________ PA2022-092