CITY OF PACIFIC GROVE Community Development Department - Planning Division 300 Forest Avenue, Pacific Grove, CA 93950 T :: • F :: • www.ci.pg.ca.us/cdd Permit & Request Application Project Permit(s) & Fees (Staff to Complete) Permit: Fee: Multiple Permit Discount: :r~ :> >:\\ ;}.9L.l Project/Property Information ..- . App.#: Date: Received By: Total Fee: ProjectAddress: /I:'?'::> 4-\ \35" f-ur-es+-Avu APN: _____ Tract: Lot: Block: Project Description: Applicant Name: Mailing Address: Email Address: ZC: c-1 GP fH c.. Lot Size: IJ.·l~·lt. Owner Name: Do you prefer to be contacted by email? Ca...rc>kjD G:ir-ebl~j Phone# Sat -2-/pl -'i:~5'SO Mailing Address: Email Address: email? Permit(s)/Request(s) OCRD: Counter Determination OAP: Architectural Permit OAAP: Administrative AP 0ADC AP Design Change OSP: Sign Permit OASP: Administrative SP OTTM: Tentative Tract Map OFTM: Final Tract Map OSPR: Site Plan Review CEQA Determination 0Cat. Exempt, Class: ONO: Negative Declaration 0MND: Mitigated ND OUP: Use Permit 0AUP Administrative UP OUP-A: UP Amendment OAUP-A: AUP Amendment OC-1 lnterp. of Permitted Uses OSU: Second Unit OLLA: Lot Line Adjustment OLM: Lot Merger Ococ: Certificate of Com liance Review Authority 0Staff 0NRC OZA DHRC 0SPRC 0PC DEIR: Environmental Impact Report DARB 0CC ~ : Initial Historic Screening t]HPP: Historic Preservation Permit OHDP: Historic Demolition Permit 0HRP: Historic Relocation Permit OHO: Historic Determination OTPD: Tree Permit w/ Dev't OTP: Tree Permit w/o Dev't OGPA: General Plan Amendment OZCA: Zonin Code Amendment OVAR: Variance 0AVAR: Administrative VAR OVAR-A: VAR Amendment 0AVAR-A: AVAR Amendment DIS &ND/MND: Initial Study DEIR: Env. Impact Report OMMP: Mitigation Monitoring OOther_______ OOther Does the property have? 0Active Planning Permit 0Active Building Permit 0Active Code Violation Is the property within? OASA: Archaeologically Sensitive Area' Dez: Coastal Zone' 0AS8S: Drainage into ASBS Watershed OHRI: Historic Resources Inventory'-' DBP: Butterfly Preserve Buffer 1. If proposed work will require any ground disturbance, a Preliminary Archaeological Reconnaissance shall be required if one has not been already prepared for the subject property. Speak to aplanner to see if areport is on file. 2. Projects in the Coastal Zone will require California Coastal Commission approval after City discretionary permit approval. 3. If a building has an undetermined historic status) an Initial Historic Screening (!HS), Historic Determination (HD), or Historic Assessment may be required prior to, or concurrent with, development permit application submittal. Speak to a planner for more details. 4. Unpermitted work conducted on HRI structures may have penalties levied on the subiect prooertv pursuant to PGMC S23.76.130. Rev. 8/15/12 , OCR Text: CITY OF PACIFIC GROVE Community Development Department - Planning Division 300 Forest Avenue, Pacific Grove, CA 93950 T :: • F :: • www.ci.pg.ca.us/cdd Permit & Request Application Project Permit(s) & Fees (Staff to Complete) Permit: Fee: Multiple Permit Discount: :r~ :> >:\\ ;}.9L.l Project/Property Information ..- . App.#: Date: Received By: Total Fee: ProjectAddress: /I:'?'::> 4-\ \35" f-ur-es -Avu APN: _____ Tract: Lot: Block: Project Description: Applicant Name: Mailing Address: Email Address: ZC: c-1 GP fH c.. Lot Size: IJ.·l~·lt. Owner Name: Do you prefer to be contacted by email? Ca...rc>kjD G:ir-ebl~j Phone# Sat -2-/pl -'i:~5'SO Mailing Address: Email Address: email? Permit(s)/Request(s) OCRD: Counter Determination OAP: Architectural Permit OAAP: Administrative AP 0ADC AP Design Change OSP: Sign Permit OASP: Administrative SP OTTM: Tentative Tract Map OFTM: Final Tract Map OSPR: Site Plan Review CEQA Determination 0Cat. Exempt, Class: ONO: Negative Declaration 0MND: Mitigated ND OUP: Use Permit 0AUP Administrative UP OUP-A: UP Amendment OAUP-A: AUP Amendment OC-1 lnterp. of Permitted Uses OSU: Second Unit OLLA: Lot Line Adjustment OLM: Lot Merger Ococ: Certificate of Com liance Review Authority 0Staff 0NRC OZA DHRC 0SPRC 0PC DEIR: Environmental Impact Report DARB 0CC ~ : Initial Historic Screening t]HPP: Historic Preservation Permit OHDP: Historic Demolition Permit 0HRP: Historic Relocation Permit OHO: Historic Determination OTPD: Tree Permit w/ Dev't OTP: Tree Permit w/o Dev't OGPA: General Plan Amendment OZCA: Zonin Code Amendment OVAR: Variance 0AVAR: Administrative VAR OVAR-A: VAR Amendment 0AVAR-A: AVAR Amendment DIS &ND/MND: Initial Study DEIR: Env. Impact Report OMMP: Mitigation Monitoring OOther_______ OOther Does the property have? 0Active Planning Permit 0Active Building Permit 0Active Code Violation Is the property within? OASA: Archaeologically Sensitive Area' Dez: Coastal Zone' 0AS8S: Drainage into ASBS Watershed OHRI: Historic Resources Inventory'-' DBP: Butterfly Preserve Buffer 1. If proposed work will require any ground disturbance, a Preliminary Archaeological Reconnaissance shall be required if one has not been already prepared for the subject property. Speak to aplanner to see if areport is on file. 2. Projects in the Coastal Zone will require California Coastal Commission approval after City discretionary permit approval. 3. If a building has an undetermined historic status) an Initial Historic Screening (!HS), Historic Determination (HD), or Historic Assessment may be required prior to, or concurrent with, development permit application submittal. Speak to a planner for more details. 4. Unpermitted work conducted on HRI structures may have penalties levied on the subiect prooertv pursuant to PGMC S23.76.130. Rev. 8/15/12 , Heritage Society of Pacific Grove,Historical Collections,Buildings by alpha folder,Forest,1133-1135 Forest,1133 and 1135 Forest,1133-1135 Forest IHS_redacted_redacted.pdf Page 1, 1133-1135 Forest IHS_redacted_redacted.pdf Page 1