Item 9c CITY OF PACIFIC GROVE Community Development Department - Planning Division 300 Forest Avenue, Pacific Grove, CA 93950 Application # \\-\~ r:\ -21.'2. Date: '6j, /\:1 Tel: • Fax: 831.648.3184 • www.cityofpacificgrove.org/cedd Total Fees: -l\t),-.~ Permit Application Project Address: --'-'""-"'~"""'----'-....L.!..~=..,,~'---+~-1.-+-.........""'='"- f .u-':'c'---',._._,'-""-"=--~ /A I ~ \ Project Description: ,\'1\\1:\Ci\ "~~(\( . s.f'Q.Qj\}~ +---- - - - - - -- - - - - Tree Work? D Yes Applicant Owner Name: ~ ~ ~~~ Name: ~ ~ brkl1uab Phone: 49cYl);;)G?[si,sii Phone~ G L ~ &, ~~ Email: sS~l&_j-rC.O~ @~b:n,Com Email: "S\v..c..~~J.~ Mailing Address: 31.D3 w\\c,re ;; ~ .?~C~ MailingAddress: 3o31-Wkves+: A;e, _________ CA- _ Cfi _395b To~ Em,,te C4- 93'50 Permit Request: D CRD: Counter Determination D AP: Architectural Permit D AAP: Administrative AP D ADC: Arch Design Change D ASP: Admin Sign Permit D SP: Sign Permit D UP: Use Permit D AUP: Administrative UP D SU: Second Unit D LLA: Lot Line Adjustment D LM: Lot Merger D PUU: Undocumented Unit jit!HS: Initial Historic Screening D VAR: Variance D HPP: Historic Preservation D MMP: Mitigation Monitoring D A: Appeal D Stormwater Permit D TPD: Tree Permit W/ Dev't D Other: _____ _ ~ CEQA Determination: Review Authority: Active Permits: Overlay Zones: ~ xempt ~ D Initial Study & Mitigated :::> Negative Declaration LL, LL. D Environmental Impact ~ Report I!) z D Staff ~ HRC D ZA D PC D SPRC D CC D ARB D --- D Active Planning Permit D Active Building Permit D Active Code Violation Permit#: _____ D Butterfly Zone D Coastal Zone ~ a of Special Biological Significance (ASBS) D Environmentally Sensitive Habitat Area (ESHA) z z :5 a. Property Information Lot 3 / s ZC: ~-\ Block: \~t GP: M,Q (\ 00(\. \""'\A 'OJ /Q~ Tract: °\\\\\~('~-\: o..00.\°\\\:lf\ Lot Size: 45\~~\ D Historic Resources Inventory I D Archaeologically Sensitive Area StaffUse Only: ~A A" 06 Received by: W \,. Assigned to: &~ J.7 ( \ OVI CERTIFICATION - I, the undersigned, under penalty of perjury, depose and certify that I am the applicant for this request, that the property owner approves this application and that all statements contained herein, including all documents and plans submitted in connection with this application, are true and accurate to the best of my knowledge. I further acknowledge it is my responsibility to determine whether additional permits are required. Applicant SignatureCk ~ _ Owner Signature (Required): J~~ Date: 3 ]7 /1 7 Date: _3~l__ J / ~ 1 l _ Updated:03/02/2017 , OCR Text: Item 9c CITY OF PACIFIC GROVE Community Development Department - Planning Division 300 Forest Avenue, Pacific Grove, CA 93950 Application # \\-\~ r:\ -21.'2. Date: '6j, /\:1 Tel: • Fax: 831.648.3184 • www.cityofpacificgrove.org/cedd Total Fees: -l\t),-.~ Permit Application Project Address: --'-'""-"'~"""'----'-....L.!..~=..,,~'--- ~-1.- -.........""'='"- f .u-':'c'---',._._,'-""-"=--~ /A I ~ \ Project Description: ,\'1\\1:\Ci\ "~~(\( . s.f'Q.Qj\}~ ---- - - - - - -- - - - - Tree Work? D Yes Applicant Owner Name: ~ ~ ~~~ Name: ~ ~ brkl1uab Phone: 49cYl);;)G?[si,sii Phone~ G L ~ &, ~~ Email: sS~l&_j-rC.O~ @~b:n,Com Email: "S\v..c..~~J.~ Mailing Address: 31.D3 w\\c,re ;; ~ .?~C~ MailingAddress: 3o31-Wkves : A;e, _________ CA- _ Cfi _395b To~ Em,,te C4- 93'50 Permit Request: D CRD: Counter Determination D AP: Architectural Permit D AAP: Administrative AP D ADC: Arch Design Change D ASP: Admin Sign Permit D SP: Sign Permit D UP: Use Permit D AUP: Administrative UP D SU: Second Unit D LLA: Lot Line Adjustment D LM: Lot Merger D PUU: Undocumented Unit jit!HS: Initial Historic Screening D VAR: Variance D HPP: Historic Preservation D MMP: Mitigation Monitoring D A: Appeal D Stormwater Permit D TPD: Tree Permit W/ Dev't D Other: _____ _ ~ CEQA Determination: Review Authority: Active Permits: Overlay Zones: ~ xempt ~ D Initial Study & Mitigated :::> Negative Declaration LL, LL. D Environmental Impact ~ Report I!) z D Staff ~ HRC D ZA D PC D SPRC D CC D ARB D --- D Active Planning Permit D Active Building Permit D Active Code Violation Permit#: _____ D Butterfly Zone D Coastal Zone ~ a of Special Biological Significance (ASBS) D Environmentally Sensitive Habitat Area (ESHA) z z :5 a. Property Information Lot 3 / s ZC: ~-\ Block: \~t GP: M,Q (\ 00(\. \""'\A 'OJ /Q~ Tract: °\\\\\~('~-\: o..00.\°\\\:lf\ Lot Size: 45\~~\ D Historic Resources Inventory I D Archaeologically Sensitive Area StaffUse Only: ~A A" 06 Received by: W \,. Assigned to: &~ J.7 ( \ OVI CERTIFICATION - I, the undersigned, under penalty of perjury, depose and certify that I am the applicant for this request, that the property owner approves this application and that all statements contained herein, including all documents and plans submitted in connection with this application, are true and accurate to the best of my knowledge. I further acknowledge it is my responsibility to determine whether additional permits are required. Applicant SignatureCk ~ _ Owner Signature (Required): J~~ Date: 3 ]7 /1 7 Date: _3~l__ J / ~ 1 l _ Updated:03/02/2017 , Heritage Society of Pacific Grove,Historical Collections,Buildings by alpha folder,Hillcrest,346 Hillcrest,363 Hillcrest Ave IHS_redacted.pdf,363 Hillcrest Ave IHS_redacted.pdf 1 Page 1, Tags: 363 HILLCREST AVE IHS_REDACTED.PDF, 363 Hillcrest Ave IHS_redacted.pdf 1 Page 1