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and Building Agency <br />Planning Division <br />nPlanning <br />20 Civic Center Plaza <br />P.O. Box 1986 (M-20) <br />Santa Ana, CA 92702 <br />(714) 647 ^6004 <br />wwu:santa- ana.arg INCLUSIONARY HOUSING PLAN <br />OWNER/APPLICANT INFORMATION <br />Li Vic, A� �G ofi' ha, LL L' <br />( I DI e2- <br />Legal Owner <br />Full name ar Pumon, Firm or Corporauut, <br />Area Codo Phone Number <br />I$�0 Cf'nI W <br />ayr' a <br />Sl�±i <br />fin <br />(10) 5 — �b75 <br />Melling Address <br />Applicant 1 rl e 1YI & &+ 554 nil <br />Area Code Fax Number ,! <br />( 8I6) <br />Number <br />Full name of Poraon, Firm or Carporallon <br />a 2 11-- �i� S�i�z (�6�I <br />aling Address <br />Area Cade Phone <br />a d� <br />Area Cade Fax`Nwnber <br />I. <br />Contact Person <br />07 <br />Area Code Phone Number Area Cade Moule Phone Number Area Code Fax Number <br />PROJECT DESCRIPTION <br />Assessor Parcel Number(s): � U ` U Z (� R -- <br />Total number of units proposed:_ <br />Number of Rental Units: _�Z, % C1 Number of For Sale units; <br />Number of 16% Inciusionary obligation: <br />Identify the gross livable area of the proposed project (Including private balconies, <br />decks and patios). Lab, &? square feet <br />Will the project be constructed in phases? Yes No <br />Is a density bonus being requested? Yes V� No <br />Project Address; <br />CITY APPROVALS (Ir applicable) <br />IINN.C,Ii.USIONARY HOUSING PLAN NO, ..__ �, r, • „ ("' <br />9 APPROVE Ll DENY Date: , k �(C Signature: _ ice \ .� ;J1 <br />Page 1 of4 <br />a:Plonninp�Clodmd Caunlar Form nW60npplWallml <br />IHS <br />25A -27 <br />CDM <br />