HomeMy WebLinkAboutApplication signature page CONTACT INFORMATION
Property Owner* Applicant
Name:389-030-014,015,016,017,018 Lake Street Marketplace Name:Danny Singh/Tiger Petroleum,Inc.
Mailing Address:3835 Birch Street Mailing Address:3017 E.Edinger Ave.
City/State/Zip Code:Newport Beach,CA 92660 City/State/Zip Code:Tustin,CA 92780
Phone:949-630-5345 Phone:949-630-5345
Email:dannysingh9@gmail.com Email:dannysingh9@gmail.com
Architect Engineer
Name:Greg Hann/Empire Design Group,Inc. Name:Troy Tryfonopoulos,Plump Engineering,Inc.
Mailing Address:PO BOX 944 Mailing Address:914 E.Katella Ave.
City/State/Zip Code:Murrieta,CA 92562 City/State/Zip Code:Anaheim,CA 92802
Phone:951 696-1490 Phone:714385-1835 Ext. 1835
Email:EDGpermitting@empiregr.biz Email:troy@peica.com
*For additional property owners,attach a separate page with APN(s),address,contact information,and signatures.
PROPERTYOWNER/APPLICANT
I hereby certify that I am the applicant or designated agent named herein and that I am familiar with the rules and
regulations with respect to preparing and filing this petition for discretionary action, and that the statements and
answers contained herein and the information attached are in all respects true and accurate to the best of my
knowledge and belief.Please note all correspondence will be directed to the designated applicant.
The property owner further certifies that they are the legal owner of the property, consent to the filing of this appli-
cation, and have authorized the applicant below to represent them with respect to the processing of this applica-
tion.
Finally, I understand that incomplete applications cannot be transmitted or processed.To process a case in an expe-
ditious manner,a complete application package is necessary.
Property Owner(s)
Name(Print): Signature: J. Scorr r-ftwc,3r'r Date:
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Name(Print): Signature: Date:
Applicant
Name(Print): Signature: Date:
Danny Singh/Tiger Petroleum,Inc. P4;4-
S1 3/24/2020
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