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Cost-a'
City of Costa Mesa
Appeal of Planning Commission Decision:
$1,220.00 (ner 1
$3,825.00 (ner 2)
€ A$6p9pOe.aoloo(fTNleorn-IP,Ianning Commission Decision:
Applicant Name"
Address
Phone
$3,825.00 (Tier 2)a
APPLICATION FOR APPEAL OR REVIEW
Gold Flora Partners Costa Mesa, LLC (Kings Crew Costa Mesa) 3165 Red Hill Ave, Costa Meas, CA
949-252-1 908 ext 300
REQUEST FOR: [ZI APPEAL @REVIEW"
Decision of which appeal or review is requested: (give application number, if applicable, and the date of the decision, if known.)
Conditional Use Permit PA-2'l-23, 1687 0range Ave, Costa mesa CA Planning Commission/Appeal of the Directors of Development Services 25-196 decison DeC!S!On bY Planning Commission
Reasons for requesting appeal or review:
"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
' Indudes owners and/or occupants of a properFy )ocated within 500 feet of projeck site (excluding owners andjor occupants of the project site). o 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 2