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HomeMy WebLinkAboutPA2023-0077_20230404_PLANNING PERMIT APPLICATIONCommunity Development Department Planning Permit Application 1. Check Permits Requested: D Approval-in-Concept -AIC # D Lot Merger Iii 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 D Comprehensive Sign Program D Planned Community Development Plan D Development Agreement D Planned Development Permit D Development Plan D Site Development Review -D Major D Minor D Lot Line Adjustment D Parcel Map 2. Project Address(es)/Assessor's Parcel No(s) I 20 BALBOA COVES 100 Civic Center Drive Newport Beach, Cahforn1a 92660 949 644-3200 newportbeachca gov/communitydevetopment D Staff Approval D Tract Map D Traffic Study D Use Permit -□Mrnor □conditional D Amendment to existing Use Permit D Variance 0 Amendment •□Code □PC □GP 0LCP □ Other. 3. Project Description and Justification (Attach additional sheets if necessary): NEW SINGLE-FAMILY RESIDENCE WITH ATTACHED GARAGE 4_ Applicant/Company Name I CRAIG S. HAMPTON I Mailing Address I 5500 E. QUARTERSAWN STREET I Suite/Unit I City I BOISE I State I ID I Zip I 83716 I Phone I 949-209-8883 Fax I I Email I craiq@craiqshampton.con 5. Contact/Company Name I C~AIG S. HAMPTON Mailing Address I 5500 E. QUARTERSAWN STREET Suite/Unit I -;=====: City I BOISE I State I ID I Zip I 86716 Phone I 949-209-8883 Fax I I Email lcraiq@craiqshampton.corrl 6. PropertyOwnerName l HOANG BAO VINH/BRIAN LIBERTO \ Mailing Address I 3419 VIA LIDO I Suite/Unit I 323 I City I NEWPORT BEACH State I CA I Zip 192663 _ _ I Phone I 714-931-3287 I Fax l I Email I brianliberto@qmail.com I 7. Property Owner's Affidavit": (I) (We).__ _____________________ _, depose and say that (I am) (we are) the owner{s) of the property (ies) involved in this application. (I) CNe) 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. Signature(s): Title: I Date: I MM/OD/YEAR Signature(s): Title: l oate: I '"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. 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: ________________________________________________________________________________________