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Planning and Building Agency <br />Planning Division <br />28 Civic Canter Plaza <br />P.O.. Box 1988 (W20) <br />' Banta Ana, CA 82702 <br />l <br />(714) 047 -$804 <br />tvww.santa�na.org <br />INCLUSIONARY HOUSING PLAN <br />OWNER/APPLICANT INFORMATION <br />Legal Owner <br />a a kr <br />SaY ! I �2 <br />FGNGG`�����nr anal r <br />Pull name of person, Finn or oral n <br />Ph lum <br />Area Cads Phone Number a-vlocrqyt'v�f V" <br />Mailing Address <br />Area Cede Fax�Nu?mbe�r <br />� ���(_� r� <br />Applicant_ C1� I)PL/l(lt -- <br />�, <br />olq a <br />Full name Pelson, Finn or Corporation <br />_�%L3 <br />Area Code Phone Number <br />31 i IcC�o �c�tti 15 Ev'J), <br />-d qZ(a, 2. <br />Melling Address <br />Area Code Fax Number <br />dfL ZSg-7S_t a (� ��3 Lj 7z `9J �3 I <br />Area Cade Phone Number Arefl ode Mobile Phone Number Araa Cade Fax Number <br />Project Address: I LI U V iQ • rV � � <br />i 4 v <br />6,Ki <br />Assessor Parcel Number(s): ° 01A 3 <br />Total number of units proposed: <br />Number of Rental Units: Number of For Sale units:0 <br />Number of 15% Inclusionary obligation: (2 <br />Identify the gross livable area of the proposed project (including private balconies, <br />decks and patios),__,_ ___.__ square feet <br />Will the project be constructed In phases? V Yes No <br />Is a density bonus being requested? _____ Yes — No <br />CITY APPROVAL$ (!( applicable) <br />INCLU5IONARY HOUSING PLAN NO. <br />❑ APPROVE ❑ DENY Date: Signature: <br />Page 1 o(d <br />6�PIenMnglQladral- COUMer FormsWtlOepplicatlort <br />�(va <br />nA_Z3_ ------ __ -- - _______ <br />