HomeMy WebLinkAbout73 - PH-3 - Attachment 3 - 7/21/2015A ttochment 3
n E G -E I V E U Costa. Mesa
CITY C L RK City of Costa Mesa
15 JWP 29 fN 12:42 0 Appeal of Planning Commission Decision/Rehearing, $1,220.00
LIs ��� �H Appeal of Zoning Administrator/ Building Official / Fire Marshal
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1 t I Staff Decision: $690.00
BY
APPLICATION FOR APPEAL OR REVIEW
Applicant Name* Doo6LA5 t= c-r)F-v_ic
Address ZZ E Wi .'tn-j 57" k C4 fjz(,,,47
Phone X49 !;-10 0�7- $f fit-) Try -fO'L 04657- (ZZU,
REQUEST FOR: .0 APPEAL ❑ REVIEW**
Decision of which appeal or review is requested: (give application number, if applicable, and the date of the decision; if
known.)
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Decision by: PLAt-4-11.r C.Oltir t55f�]t•L
Reasons for requesting appeal or review:
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uate:
*If you are serving as the agent for another person, please identify the person you represent and provide proof of authorization_
**Review may be requested only by Planning Commission, Planning Commission Member, City Council, or City Council Member
For office use only — do not write below thio line
SCHEDULED FOR THE CITY COUNCIL/PLANNING COMMISSION, MEETING OF:
If appeal, rehearing, or review is for a person or body other than City Council/Planning Commission, date of hearing of
appeal, rehearing, or review: _.i t 3 —