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;,$NTA <br />NA,ffi <br />Planning and Building Agency <br />Planning Division <br />20 Civic Center Plaza <br />P.O. Box 1988 (M-20) <br />santa Ana, cA 92702 <br />(714) 647.s804 <br />www.santa-ana.orq <br />RESIDENTIAL <br />GENERAL DATA AND AFFIDAVIT <br />I. OWNER/APPLICANT INFORMATION <br />Legal Owner <br />FUII o on. Firm or Corporation Phone Number <br />A 4,) <br />Marling Address Q Ltbz t Area Code Fax Number <br />Applicant t114tiE-a coo <br />() <br />I L'3-/al ) <br />Person, F [m oI Corporation e Phone Number <br />B>o Ki 8Y( t trni: LN . ( tt i.1a'3 A 7c)t,41 <br />Mailrng Address Aaea Code Fax Number <br />Relationship of Applicanl to Owner: Lessees, Consullant, Etc <br />II. PROPERTY INFORMATI N L(z- <br />Land Use 3,2>ytuLtt - trttv1 sD-YO <br />Existing Land se of Propeny andlor Euildings Zoning District <br />.>, <br />General Plan Designation(uc STNL/T-Location L <br />St.ddt 5 Name of Neaiesl lnlersectlon Street <br />3q$-.Lbb-U5 <br />AsseCGTs Pa.cel Number(,Sectional Disrict Map Numbe[(s) <br />ljctt tl LaT toLegal Description Pfrv*ees AoP <br />Lot and Tract ParcelMap and Lot <br />III. TYPE OF APPROVALS NEEDEO <br />GENERAL PLAN AMENDI\,']ENT <br />ZONE DISTRICT AMENDi,4ENT <br />CONDITIONAL USE PERMIT <br />SITE PLAN REVIEW <br />VARIANCE <br />PARCEL N'AP <br />DEVELOPMENT AGREEMENT <br />NEW SINGLE FAIV1ILY RESIDENCE <br />SECOND DWELLING UNIT <br />-7 <br />LOT LINE ADJUSTMENT <br />SUBDIVISION TRACT MAP <br />LAND USE CE RTIFICATE <br />MINOR EXCEPTION <br />RESIDENTIAL RELOCATION <br />NEIGHBORHOOD REVIEW <br />DEVELOPIVENT PROJECT REVIEW <br />ENVIRONMENTAL REVIEW <br />OTHER <br />IV. UNDERSTANDING AND AFFIDAVIT <br />l, as current legal owner of the propeny identified above, CERTIFY under penalty of p erJUry, <br />with s <br />that the <br />[oregoi ng <br />oF <br />statehents and answers here i contained and any other information here ubmitted <br />as part this applicatio n re in all resp rue and correct to the best of my knowledge and belie <br />SIGNATURE <br />PRINT NAME <br />DATE I <br />u L, <br />Note: An agent may sign tor the prope(y owner if a certificate of notarized Power of Attorney is filed <br />with this application. <br />s\.nrr.fratNR Cen Data Alndavir 7 l0 <br />()