Docusign Envelope ID: 8E1 F9654-87A2-422D-987F-3EA48A3C2429
z CITY OF PACIFIC GROVE Application 25,938
"’ Community Development Department Planning Division
I 300 Forest Avenue, Pacific Grove, CA 93950 Date‘ 0’
Tel: 831.648.3190 - Fax: 831.648.3184 - www.cityofpacificgrove.org Total
Fees:
Permit Application
APPLICANT] OWNER:
APN: oos-oagmvz
Project Address: 687 MERMAID AVENUE
Scope of work (use additional sheets if needed):
HlSTORiC DETERMINATION
END
END
ENO
Owner
Name: Dominic Dutra “_r
Phone.510-366-9931 __
Ema“: ddutra@3Dstrategies.com
Does the property have an active building permit? If yes, permit it
I:IYes
DYes
Will the project create, add, or replace impervious surface?
Will the project impact any tree(s) on site?
Applicant
Jeanne C. Byrne, FAIA Architects
Phonejss1-372-6585
Email: _jcbarchfaia@att.net
Name:
539 Barcelona Drive
Fremont, CA 94536
Mailing Address: 591 Lighthoge Ave. #5
Pacific Grove, CA 93950
Mailing Address:
PLANNING STAFF USE ONLY:
Permit Type (staff only):
Active Permits: Overlay Zones:
CEQA Determination:
El Butterfly Zone
Review Authorit :
EIStaff magic
{:l Exempt El Active Planning Permit
El '“itia' Studv 8‘ Mitigated DZA |'_']PC [1 Active
Building Permit IE/Area 0“ Specia' BiO'OEica'
Negative Declaration DSPRC DCC I] Active Code Violation Significance (ASBS)
El Environmental Impact DARE El permitfi: El ESHA
Report —‘—
Emir ll;
Utmost} 0 Block: lufl Tract: {Z @001 ' Wch
2C: ' 3" P GP: D 7- - 9 lit/AC Lot Size: l,3 2—0 CE
[:I Historic Resources Inventory flrchaeologically Sensitive Area B/CDP
Appeal Jurisdiction
Staff Use Only:
Received by: _— HEENED
Assigned to: @— SEP 0 4 2025
pm 05 PAGE” '
oiévfiiitfi
Page 1 of 2
, OCR Text: Docusign Envelope ID: 8E1 F9654-87A2-422D-987F-3EA48A3C2429
z CITY OF PACIFIC GROVE Application 25,938
"’ Community Development Department Planning Division
I 300 Forest Avenue, Pacific Grove, CA 93950 Date‘ 0’
Tel: 831.648.3190 - Fax: 831.648.3184 - www.cityofpacificgrove.org Total
Fees:
Permit Application
APPLICANT] OWNER:
APN: oos-oagmvz
Project Address: 687 MERMAID AVENUE
Scope of work (use additional sheets if needed):
HlSTORiC DETERMINATION
END
END
ENO
Owner
Name: Dominic Dutra “_r
Phone.510-366-9931 __
Ema“: ddutra@3Dstrategies.com
Does the property have an active building permit? If yes, permit it
I:IYes
DYes
Will the project create, add, or replace impervious surface?
Will the project impact any tree(s) on site?
Applicant
Jeanne C. Byrne, FAIA Architects
Phonejss1-372-6585
Email: _jcbarchfaia@att.net
Name:
539 Barcelona Drive
Fremont, CA 94536
Mailing Address: 591 Lighthoge Ave. #5
Pacific Grove, CA 93950
Mailing Address:
PLANNING STAFF USE ONLY:
Permit Type (staff only):
Active Permits: Overlay Zones:
CEQA Determination:
El Butterfly Zone
Review Authorit :
EIStaff magic
{:l Exempt El Active Planning Permit
El '“itia' Studv 8‘ Mitigated DZA |'_']PC [1 Active
Building Permit IE/Area 0“ Specia' BiO'OEica'
Negative Declaration DSPRC DCC I] Active Code Violation Significance (ASBS)
El Environmental Impact DARE El permitfi: El ESHA
Report —‘—
Emir ll;
Utmost} 0 Block: lufl Tract: {Z @001 ' Wch
2C: ' 3" P GP: D 7- - 9 lit/AC Lot Size: l,3 2—0 CE
[:I Historic Resources Inventory flrchaeologically Sensitive Area B/CDP
Appeal Jurisdiction
Staff Use Only:
Received by: _— HEENED
Assigned to: @— SEP 0 4 2025
pm 05 PAGE” '
oiévfiiitfi
Page 1 of 2
, Heritage Society of Pacific Grove,Historical Collections,Initial Historic Research to 1 2026,Original IHS to 01 2026,687 Mermaid,687 Mermaid IHS,5975_1_Permit_Application 687 Mermaid.pdf Page 1, 5975_1_Permit_Application 687 Mermaid.pdf Page 1
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