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(714)536-5271
www.huntingtonbeachca.gov
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Assessor Parcel Number(s):
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un r and II at men includi g the filing requirements on the reverse side of this application. I hereby authorizetr.to
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application. I hereby affirm under penalty of perjury that the foregoing statements, facts and attachments are true and
correct I understand that this application for entitlement or variance may be denied, modified or approved with conditions
and that such conditions or modifications must be satisfied prior to issuance of building permits. I understand that by filing
the application, information on the application including, but not necessarily limited to, the name and address will be
in ,uded on public records that are posted on the internet.
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CEQA NOTICE AND MITIGATION MONITORING FEE, if required
APPEALABLE DEVELOPMENT OR CATEGORICAL EXCLUSION LETTER FOR COASTAL, if ap licable
PLANS STAMPED WITH NOTED ACTION
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AlexTraong
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Alex.Truong@surfcity-hb.org
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Please directyour questionsand Dornnimications
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T
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Sincerely,
JAR
Jne Thrn
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