CITY OF Application # 95" 06
Community Development Department - Planning Division [ E
' 300 Forest Avenue, Pacific Grove, CA 93950 Date: t 0 2a! 25
Tel- 831.643.3190 - Fax1831fi483184 www.cityofpacificgroveorg row Fees:
Permit Application
Project Address: 123 1_2th Street APN: 096i84-010
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Historic Determination
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Q Will the project create, add, or replace impervious surface? DYes BIND
Will the project impact any tree(s) on site? DYes No
Agglicant Owner
Name: Aaron Tolieison Name; Vince @drigues §5 Berit Eriersen
phone:v831‘578'3450 phone;415-307—9915 _
Email: aarontoiley@sbcglobemet Ema"tiberitped_ersen@g_rn§fl:orri
Maiiing Address: 95_7 Angelus way Mailing Address: 12th Strfiet
Dei Rey Oaks, CA 93940 Pacific Grove, 93950
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Permit Type (staff only): Hi Horn c Del/e r m‘i nah 0 Vi
CEQA Determination: Review Authority: Active Permits: Overlay Zones:
5 IE/EXemPt EIStaff MARC I] Active Planning Permit CI Bunerfly Zone
3 [3 initial Study Mitigated {32A UPC D Active Building permit {Q’Area of
Speciai Biologicai
um, Negative Declaration DSPRC UCC El Active Code Violation Significance
(A555)
3 1] Environmental Impact BARB E] Perm“: t] ESHA
a; Report
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Appeal Jurisdiction
Stafi‘ Use Only:
Received by: _
Assigned to: g B I
Page 1 of 2
, OCR Text:
CITY OF Application # 95" 06
Community Development Department - Planning Division [ E
' 300 Forest Avenue, Pacific Grove, CA 93950 Date: t 0 2a! 25
Tel- 831.643.3190 - Fax1831fi483184 www.cityofpacificgroveorg row Fees:
Permit Application
Project Address: 123 1_2th Street APN: 096i84-010
ofworkoonooooounoomooooomuooaoooo
Historic Determination
g
E
9.
l—
2
§ OI.0...O‘CCICOOO“I..-.“CONIHOmfiOIOOOC "OHIHOOOHIOI
“HIIOOOOICII
5:
Q Will the project create, add, or replace impervious surface? DYes BIND
Will the project impact any tree(s) on site? DYes No
Agglicant Owner
Name: Aaron Tolieison Name; Vince @drigues §5 Berit Eriersen
phone:v831‘578'3450 phone;415-307—9915 _
Email: aarontoiley@sbcglobemet Ema"tiberitped_ersen@g_rn§fl:orri
Maiiing Address: 95_7 Angelus way Mailing Address: 12th Strfiet
Dei Rey Oaks, CA 93940 Pacific Grove, 93950
mmv—ht-I-‘I‘u
Permit Type (staff only): Hi Horn c Del/e r m‘i nah 0 Vi
CEQA Determination: Review Authority: Active Permits: Overlay Zones:
5 IE/EXemPt EIStaff MARC I] Active Planning Permit CI Bunerfly Zone
3 [3 initial Study Mitigated {32A UPC D Active Building permit {Q’Area of
Speciai Biologicai
um, Negative Declaration DSPRC UCC El Active Code Violation Significance
(A555)
3 1] Environmental Impact BARB E] Perm“: t] ESHA
a; Report
5
us
U!
E
g Lot: :1 3 ‘3 \‘b 94' 0'? 25- Block: 3 4' Tract: E 5
W€Aft
g zc:__E-3*E('7l€- GP: Lima LotSize: 51; 330 H‘
E] Historic Resources Inventory E/Archaeologicaily Sensitive Area C] CD?
Appeal Jurisdiction
Stafi‘ Use Only:
Received by: _
Assigned to: g B I
Page 1 of 2
, Heritage Society of Pacific Grove,Historical Collections,Initial Historic Research to 12 2025,123 12th,123 12th IHS,6040_1_Permit_Application 123 12th.pdf Page 1, 6040_1_Permit_Application 123 12th.pdf Page 1
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