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Home My WebLink AboutARP 96-06; DuShaune Addition; Redevelopment Permits (RP)'E^ BAD REDEVELOPMENT AGENCY I ADMINISTRATIVE PERMIT APPLICATION & DISCLOSURE STATEMENT • • • • • APPLICATION APPLIED FOR: (CHECK BOXES) New Constnjction of bullding(s) or addition(s) to the building footprint which have a building permit valuation which is equal to or less than $60,000. Interior or Exterior Improvements to existing structures which result in an intensity of use. Provisional Land Uses, where a minor or major redevelopment permit is not required. Changes in permitted land uses which result in site changes, increased ADT, increased parking requirements, or result in compatibility issues/problems. Signs for existing businesses or facilities. Repair or Maintenance Activities which are not exempt from obtaining a permit. 2. LOCATION OF PROJECT Address: ^l^^b 'T^\CJC S+. ^ C^cHSb^.^ . O ^ 20Og Bordering Streets: ^ ^ North: 0(Xi< . South:. East: West: 5> Assessor Parcel No.: Q>D^^)\h^':>^C)0 Legal Description: W.l^ rV^lp<^r\ . # HMS Within Coastal Zone: Within Appealable Area of Coastal Zone: Land Use District within Village: Yes Yes • 1 • • 40 • 7 • • • No No • • CAIIBAD REDEVELOPMENT AGENCY ADMINISTRATIVE PERMIT APPLICATION & DISCLOSURE STATEMENT Project Name: DESCRIPTION OF PROJECT Please provide a complete description of the project proposed for approval under this application. Provide any details necessary to adequately explain the scope and/or operation of the proposed project. You may attach additional pages to this application if necessary to explain the project: PROJECT SUMMARY DUSHAUNE ADDITION: NUMBER OF UNITS: 1 addition to single family dwelling. TYPE OF UNIT: Single family dwelling. SCHEDULE OF SIZE: RENT: Adding 1 bedroom, 1 bathroom Single family dwelling will now be 2 bedroom, 2 bathroom. $550.00 HOUSEHOLD SIZE: 3 persons TRAFFIC GENERATED: Will not generate traffic 4. AUTHORIZATION TO INSPECT PROPERTY In the process of reviewing this application it may be necessary for members of City Staff, Design Review Board Members, or City Council members to inspect and enter the property that is the subject of this application. 1/we consent to entry onto the subject property for this purpose. Name: j€SSlca Date: / //-yy~ 9^ Applicant^ or Owner :/^SBAD REDEVELOPMENT AGENC\A 'E PERMIT APPLICATION & DISCLOSURE 3 Ci ADMINISTRATIVEFERMIT APPLICATION & DISCLOSURESTATEMENT 5. PROPERTY OWNER INFORMATION/CERTIFICATION Name: Mailing Address:_ 3)50 R(X)5<^/cll•^^ ST Daytime Telephone No.: ('>29-IQZy List the Names and Addresses of all persons having an ownership interest in the property involved: SAU^ /\S fVg^VE. If any person identified above is a corporation or partnership, list the names and addresses of all individuals owning more than 10% of the shares in the corporation or owning any partnership interest in the partnership: If any person identified above is a non-profit organization or a trust, list the names and addresses of any person serving as an officer or director of the non-profit organization or as trustee or beneficiary of the trust: Have you had more than $250 worth of business transacted with any member of City Staff, Boards, Commissions, Committees, and/or Council within the past twelve (12) months? • Yes Qi^o If yes, please indicate person(s):. Certification Statement 1 Certify that I am the Legal Owner of the subject property for this application and that all of the above information is true and correct to the best of my knowledge. This application is submitted with my consent and I agree to accept and abide by any conditions placed on the subject property, including use of buildings, as a result of approval of this applieation S\gn3f^^eZ^2^'^'!^<^-^-^Ut^.^^ Date: //^—/^^/^ Oy^SBAD REDEVELOPMENT AGENC>^ ADMINISTRATIVEKRMIT APPLICATION & DISCLOSURKTATEMENT 6. APPLICANT INFORMATION/CERTIFICATION Name: JesSiCa Mailing Address: 3i5D RooS^ei^ Daytime Telephone No.:_ List the Names and Addresses of all persons having a financial interest in the application: If any person identified above is a corporation or partnership, list the names and addresses of all individuals owning more than 10% ofthe shares in the corporation or owning any partnership interest in the partnership: If any person identified above is a non-profit organization or a trust, list the names and addresses of any person serving as an officer or director of the non-profit organization or as trustee or beneficiary of the trust: Have you had more than $250 worth of business transacted with any member of City Staff, Boards, Commissions, Committees, and/or Council within the past twelve (12) months? • Yes Q-No" If yes, please indicate person(s): Certification Statement: I Certify that I am the Legal Owner's representative and that all of the above information is true and correct to the best of my knowledge. I have been authorized by the legal owner of the subject property to submit this application and I agree to accept and abide by any conditions placed on the subject property, inciuding use of buildings, as a result of approval of this application. * SBAD REDEVELOPMENT AGENOA RMIT APPLICATION & DISCLOSURE S C; ADMINISTRATIVETERMIT APPLICATION & DISCLOSURFSTATEMENT The remainder ofthis application shall be completed by City Staff: 7. RECEIPT OF APPLICATION Date Application Received: 11/14/96 Application Received by: Debbie Fountain Permit No. Assignedj ARP 96-06 8. FEES FOR APPLICATION PROCESSING The following fees shall apply to this application; list type of fee and amount: $220.00 - Eiwiroiiinei ildl Review $150.00 - Administrative Redevelopment Permit $ 50.00 - Public Facililies Fbie AgieemeHt(^^^ $500.00 - Nuliuiiy DupusilC^> y\ $ 19.74 - Noticing Costs - to be reimbursed by applicant (42 notices X .32 = $13.44 + 42 notices X .15 $6.30: Total $19.74) Total Fee(s) required forthis application: $169.74 Date Fee(s) collected by City Staff Receipt No.: ACTION ON THE APPLICATION The following action has been taken by the Housing and Redevelopment Director on this application: Approved subject to conformance with plans submitted as part of application, dated |l/l\ • Approved, with conditions. See conditions noted below. • Denied. Reason Housjpg and Redevdopment Director Signature: CD Director Initials: Date: 10. CONDITIONS OF APPROVAL (IF APPLICABLE) February 12, 1997 TO: BARBARA HONIG, FINANCE FROM: DEBBIE FOUNTAIN, HOUSING AND REDEVELOPMENT DEPOSIT CHECK FOR FEES RELATED TO ADMINISTRATIVE REDEVELOPMENT PERMIT Would you please take the actions necessary to deposit the attached check in the amount of $169.74 from Jessica DuShaune? The check is for fees related to processing of an administrative redevelopment permit (ARP 96-06) which was approved on January 23, 1997. If you have any questions, let me know. Thanks for your help! • " ^ ^ '6^/1220 ^olla^^^^.^,. '•800-224.