6C CITY OF PACIFIC GROVE Community Dcvelop1ncnt .0-cpartrnent - Planning Division 300 Fo:c,;;r Avenue, Padfic Gron.:, C.A 93950 RECEIVED 17 T :: 831.MEU190 • F :: R11.648318-l ~ \"t,M~"\.V.Ci,f1-!::,C:t.\.lii.:dd Permit & Rcqucf.t Application COMMUNITY DEV. DEPT. r--·---·----------···~----~--·--------···-····----·-·-.. -··--·-··"-·-··--·----·--· i Project Pennil(s) & Fees (Staff to Complete) I ____Pen11it: --· Fee: ----·- ____"_Mul§WPvrmit Discount .... [_-~~~-: ~=-~~~ . ~~~---~-~~~=-;~==:= i Pmjed D~WiFlion: j Appiic;t;it N3me ; Mad;,1g Address: i Email Addmss· i.,.,, 1 / I Owner Name: ( IMrniiag Address: .,..._I Ernai Address: GP: ...:':.G.'.....{ l' -·'' - /\pp.#: Dato. Received By: Total Foo: IL -oz_Z-':;, ._c:i12-.JlLZ.., __ ... .. /.._Q .$!>Yt':J oc0 __ _ I ,~ ! _____________ -- I _.~~r~--~i~fe._~0~_1:~~-~~1~~~-LQY.£~~a,~?J· \ I Pcrmit(s)/Requcst(s) · --- - -- 1 [jCRO.· C.:;unte Di::urr.:n~;'iM [lUP. Use Pe:mit filiHS lnit.~il H6l(t;,;~ Scn'.'\..flif\il [JVAR Vni"lanw l [J,-\P; ArdA,x.t.HJ': Pe!'1T\)f []AuP: Ai,'J',in),;tr:itiv\: ur ~JHPP. H::,;!Ci';c: rrs:!\Ctvnt~m f'i'.-rmi! []AV/..H: Athtifli"dta'.1Vf! \'AR. I ! [JAAP: AdnHnG:lrative AF ['-JUPA UP AmernJtnt:nl [ JHOP· H.k.!rnic normli!ia:)n Pl"fmit [']VAH-A: VAR Amt.1\ctmn1! 1 LJALX;: AP l.)es:gn CM,"lf}l1 [JAUP-A AUP AJn..;ndr1h:n1 l 1 ' '-P.. Hr:tl<>1iC R!!kx::JU.tn Pc1111~ 0AV/,H-A:. AVAR Am0nd1nrnt ! []SP; Sign Pt.-'f!ni! De,1lnk,p. of PcrnAhx.l Us:~.; !{stof'.:; Oil-!tfm'.natitX1 []!S &MJ/MNO. lr·itiui Stv.1y 1 1 [l.t>~SP: Admirl;$trativo SP []SU. Secc.ind Uni! LJTFfr Troe Perm;! w/ O,iv't DEIR F1w !mp.:u.,1 F{tfXl.'l QTHk Tenla'.f,,o Trad. Map OLLA: to! Ufki M(1;stnt:nt OTP. TH:..12 l\;,m111 ~v,'u Di::v t OMM?. M!i·;;ett0:1 Monrtwng [JFTM. Fina! Trocl lv\.1fl []LM: lo! Mstnm 0GP/<: G.enunl Pbn Arr,;.Jtdnw:n! 00Uw,_____',-----·--··-- l__[lSPR: s;tft P1;~1-~_y4.w f]COC: Cf;f!l~~aw .0: _CC%T}Dl;,11w.,--e _______"0?CAJ'.o.1;r:9..C~xje Af!itndmeot ·"- _.. _[j911ier. __ ··"·" /·._, ..J rCEQI\ Determination . . R·t;,inwAuthority___Ooesthe properiy'ii-ive?. -ls tli,,property within? I0Cat. Exr,rnpt, Cl,ss: OS1uif 0NRC []Aclivc Planning Permit []ASA: llrclmeologica'ly Scnsiuvu Amii' ; []ND: Nt.,gn1iv~Dvdt::Jti('l} 0Z6. 0HHG []Actvo Building Pc1mit QGZ: Coa"itnl Zone2 j 0MND t,fa~1atr1d ND [JSPRC 0PC 0Act:-vc Code Vfdnticn []ASBS: Drdma90 into ASBS Wt1t0nJwi·il r,h::idy Ptcp,:;od !fOf t.~o sub!ect PfO!--X-"fty S_pcnk to apLmncr tosM if arepc-rt is on i:h : 2. Prc}(,cts in the Gc,astai Zone v.iil roquirn Caldorni:1 Cc.1-:.tal Comn:k>sic-n Zf,pfrr;al n:t(Jf Cily d(i,ctcliunMy pLifHill <1pp;ovu!. : 3. H~1 t:dJng h:rs ;1.:1 undetermined hi-.::lm;{: s!nt.1s. an /n;tiJl I krtonc ~"1-1\.XYl:~1 {IHS). }--h:s:U:is:: Dn'::m1:n;.,bcn (HD}, er H1:;h:-nc A':.){;·&',mt·nt rr,:.:f t>v 11~)\1.;d-.: r,rio; 1:...1. 0r concutrcn! with, Yt':J oc0 __ _ I ,~ ! _____________ -- I _.~~r~--~i~fe._~0~_1:~~-~~1~~~-LQY.£~~a,~?J· \ I Pcrmit(s)/Requcst(s) · --- - -- 1 [jCRO.· C.:;unte Di::urr.:n~;'iM [lUP. Use Pe:mit filiHS lnit.~il H6l(t;,;~ Scn'.'\..flif\il [JVAR Vni"lanw l [J,-\P; ArdA,x.t.HJ': Pe!'1T\)f []AuP: Ai,'J',in),;tr:itiv\: ur ~JHPP. H::,;!Ci';c: rrs:!\Ctvnt~m f'i'.-rmi! []AV/..H: Athtifli"dta'.1Vf! \'AR. I ! [JAAP: AdnHnG:lrative AF ['-JUPA UP AmernJtnt:nl [ JHOP· H.k.!rnic normli!ia:)n Pl"fmit [']VAH-A: VAR Amt.1\ctmn1! 1 LJALX;: AP l.)es:gn CM,"lf}l1 [JAUP-A AUP AJn..;ndr1h:n1 l 1 ' '-P.. Hr:tl<>1iC R!!kx::JU.tn Pc1111~ 0AV/,H-A:. AVAR Am0nd1nrnt ! []SP; Sign Pt.-'f!ni! De,1lnk,p. of PcrnAhx.l Us:~.; !{stof'.:; Oil-!tfm'.natitX1 []!S &MJ/MNO. lr·itiui Stv.1y 1 1 [l.t>~SP: Admirl;$trativo SP []SU. Secc.ind Uni! LJTFfr Troe Perm;! w/ O,iv't DEIR F1w !mp.:u.,1 F{tfXl.'l QTHk Tenla'.f,,o Trad. Map OLLA: to! Ufki M(1;stnt:nt OTP. TH:..12 l\;,m111 ~v,'u Di::v t OMM?. M!i·;;ett0:1 Monrtwng [JFTM. Fina! Trocl lv\.1fl []LM: lo! Mstnm 0GP/<: G.enunl Pbn Arr,;.Jtdnw:n! 00Uw,_____',-----·--··-- l__[lSPR: s;tft P1;~1-~_y4.w f]COC: Cf;f!l~~aw .0: _CC%T}Dl;,11w.,--e _______"0?CAJ'.o.1;r:9..C~xje Af!itndmeot ·"- _.. _[j911ier. __ ··"·" /·._, ..J rCEQI\ Determination . . R·t;,inwAuthority___Ooesthe properiy'ii-ive?. -ls tli,,property within? I0Cat. Exr,rnpt, Cl,ss: OS1uif 0NRC []Aclivc Planning Permit []ASA: llrclmeologica'ly Scnsiuvu Amii' ; []ND: Nt.,gn1iv~Dvdt::Jti('l} 0Z6. 0HHG []Actvo Building Pc1mit QGZ: Coa"itnl Zone2 j 0MND t,fa~1atr1d ND [JSPRC 0PC 0Act:-vc Code Vfdnticn []ASBS: Drdma90 into ASBS Wt1t0nJwi·il r,h::idy Ptcp,:;od !fOf t.~o sub!ect PfO!--X-"fty S_pcnk to apLmncr tosM if arepc-rt is on i:h : 2. Prc}(,cts in the Gc,astai Zone v.iil roquirn Caldorni:1 Cc.1-:.tal Comn:k>sic-n Zf,pfrr;al n:t(Jf Cily d(i,ctcliunMy pLifHill <1pp;ovu!. : 3. H~1 t:dJng h:rs ;1.:1 undetermined hi-.::lm;{: s!nt.1s. an /n;tiJl I krtonc ~"1-1\.XYl:~1 {IHS). }--h:s:U:is:: Dn'::m1:n;.,bcn (HD}, er H1:;h:-nc A':.){;·&',mt·nt rr,:.:f t>v 11~)\1.;d-.: r,rio; 1:...1. 0r concutrcn! with,