1 Appeal of Planning Commission Decision:
$1,220.00 (Tier I )'
$3,825.00 (Tier 2)2
City of Costa Mesa
RESERVE FOR FILING ST AMP
€ Appeal of Non-Planning Commission Decision: , jile with: City C(erk $3,825.00 (Tier ;)2 Costa Mesa. CA 92626
APPLICATION FOR APPEAL OR REVIEW 714-754-5225
REQUEST FOR: 2 APPEAL
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:
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"If you are serving as the agent for another person, please identify th-i 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 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 September 2023
"Includes owners and/or occupants of a property located within 500 feet of project site (excluding owners and/or occupants of the project site). '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