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$ A9 Y Planning• ,Building Agana), ' jJ7 <br /> q ° Planning Division <br /> ONO! <br /> iltTi A, Y Bitho;x C 1 98 e tMPaWteam <br /> CA 92742 <br /> i s 1 ' f71 fl 7- 1tri SUBMITTAL AFFIDAVIT <br /> This application is for:; <br /> O Amendment Application C) Lot Line Adjustment <br /> • Appeal/Planning Commission 0 Metro East She Plan Review <br /> O AppeaffPlanning'Manage€ 0 Minor Exception <br /> O Appeal/Zoning Administrator t] Neighborhood Project Review <br /> rJ C-3 Parking Waiver 0 Parcel Map: <br /> O certificate of compliance 0 planning Commission Site Plan Review <br /> O conceptual Review 0 Residential Relocation <br /> O Conditional Use Permit Site Plan Review(ORC) <br /> 7 Development Agreement 0 Specific Plan <br /> O Environmental Review 0 Tract Map <br /> 07 General Plan Amendment 0 variance <br /> tt Historic Demolition 0 Zoning Ordinance Arneradntent <br /> Cf Historic Project Review 0 Other <br /> O Land Use Certificate <br /> Praje t ate: 301 Jeanette Lane, Santa Ana CA <br /> Assessors Pats el to umber((): 041-21543 ._ <br /> 1, as current al owner.of the properly Identified above and in the attached pllication(s),.acknowledge the <br /> submittal of the above appli o, O); I certify"thaf the information contained in tine:application package,la true arld <br /> correct to the best of my knoWledge. <br /> Recorded Propety Owner 4 r44 <br /> or Authorized Signature; .x{ �r rie, <br /> Print Name: 4,4;n Ogt,t Ick <br /> Manager, The 301 project, LLC <br /> Date: <br /> Notes An original signature is requited on this form as Pall of the application, An agent far the property owner may <br /> sign the application `provided that a sighed original letter of authorization from the property owner <br /> accompanies We affidavits <br /> Pea I 5 <br /> pff #��9� <br /> cma7rc ioRn&rai ayli vO1 •,e <br />