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CITY OF
Plan Check#: Date Submitted:
LAILE j LS I 11ORE
Received B Related Projects:
'�� PLANNING DlvisiON Y
.M
ZONING COMPLIANCE-PLAN
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Minor construction projects which do not change the use or intensity of a building or site may be approved by the
Planning Division at the counter if they comply with applicable zoning requirements. These projects typically in-
clude minor alterations to existing buildings;accessory structures;fences and walls;or utility equipment. Larger pro-
jects may require discretionary approval prior to submittal for plan check.
PROPERTY • •
Address: 15721 Lake Ridge Rd, Lake Elsinore, CA 92530 APN: 387130039
Current Use&Condition: Single Family Dwelling
co�7TACT INFORMATION
Property Owner Applicant
Name: Name: Van Ly
Mailing Address: Mailing Address:
City/State/zip Code: City/State/Zip Code:
Phone: Phone:
Email: Email:
PROJECT INFORMATION (CHECK ALL THAT APPLY)
Residential Non— Residential
ud Addition/Remodel ❑ Trash Enclosure
❑ Accessory Structure ❑ Mechanical Equipment
❑ Pool, Spa, and Related Equipment ❑ Tenant Improvement
❑ Fence,Wall,or Retaining Wall ❑ Fence,Wall,or Retaining Wall
❑ Other ❑ Other
Describe proposed work:
We/I applied for an approval from city of Lake Elsinore (hereinafter"City") to construct an 80 sf extension
living space and combine with 498 sf converted from 2/3 of Garage spaces to become 578 sf attached ADU
APPLICANT SIGNATURE
The undersigned hereby certifies that all the information in this application is true and correct; that the signatures
represent all the property owners of record or authorized agent;and that permission is hereby granted to the City to
Property Owner(s)
Name(Print): Signature: Date:
Patrick Smith 7/29/2022
Name(Print): Dini gswa yo Smith Signature: Date: 7/29/2022
Authorized Agent
Name(Print): Van Ly Signature: / Date: 7/29/2022
HOMEOWNERS ASSOCIATION •AAPPROVAL
The undersigned hereby certifies that he/she is the designated representative of the Home Owners Association au-
thorized to ensure consistency of this project with applicable CC&R's; that the project has been reviewed by the
HOA Name:
Designated Representative
Name(Print): Signature: Date:
STAFF REVIEW
Property's Zoning: Yes No N/A
Are the proposed improvements consistent with the General Plan? E
Are the proposed improvements consistent with the Municipal Code or Specific Plan? E
Are the proposed improvements consistent with Discretionary Approvals? E
Are the proposed improvements approved? E :1 11
Reviewed By:
Name(Print): Signature: Date:
Conditions of Approval: