City of Costa Mesa
Appeal of Planning Commission Decision:
$1,220.00 (Tier 1)
1 $3,825.00 (Tier 2)
2 Appeal of Non-Planning Commission Decision:
$690.00 (Tier 1)
1 $3,825.00 (Tier 2)
2 APPLICATION FOR APPEAL OR REVIEW
Applicant Name*
Address
Phone
REQUEST FOR: APPEAL REVIEW**
Decision of which appeal or review is requested: (give application number, if applicable, and the date of the decision, if known.)
Decision by:
Reasons for requesting appeal or review:
Date:
Signature:
*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 the City Council or City Council Member.
For office use only – do not write below this line
SCHEDULED FOR THE CITY COUNCIL/PLANNING COMMISSION MEETING OF:
If appeal or review is for a person or body other than City Council/Planning Commission, date of hearing of appeal or review Updated April 2020
1 Includes owners and/or occupants of a property located within 500 feet of project site (excluding owners and/or occupants of the project site). 2 Includes the project applicant, owners and/or occupants of the project site, and owners and/or occupants of a property located greater than 500 feet from the project site.
ATTACHMENT 3
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