ࡱ> ?A>  bjbj Ojjl$JPBVJI ~~~~~  $a    ^| " ~~  ~8~  ~r RJ F 4 0I   2 APPLICATION FOR EMERGENCY PERMIT PLEASE NOTE: The following information and attachments must be submitted in writing in order to receive an Emergency Permit pursuant to Public Resources Code Section 30624(a). If the emergency situation is such that a verbal authorization is given by the District Director to commence emergency work, the application for emergency permit must still be submitted by the property owner within 3 days of the disaster or discovery of the danger. 14 CCR 13139.  1. Request: in person by telephone by mail Date/Time 2. Name(s) of Property Owners Name(s) of Representative(s) Address: Address: Phone Number: Phone Number: 3. Location of Emergency Work: 4. Evidence of applicants interest in property on which emergency work is to be performed 5. Assessors Parcel Number: 6. Contractor, or person(s) who will do emergency work/address/phone number (if different from representative). 7. Nature and cause of emergency (brief description): 8. The circumstances during the emergency that appeared to justify the course(s) of action taken, including the probable consequence of failing to take action: 9. Method and preventive work requested (e.g., rip-rap, bulkhead, etc.): 10. Timing of emergency work (estimate as to when work will be performed generally a period of 24 to 72 hours after the emergency occurrence): ATTACHMENTS Please provide the following: 1. If time permits, evidence of approval by local planning department. 2. Site plan showing proposed and existing development on the subject parcel. 3. Vicinity map (road map) with location of project site marked. For rural areas, please also provide a parcel map. state of californiathe resources agency ARNOLD SCHWARZENEGGER, Governor CALIFORNIA COASTAL COMMISSION 45 FREMONT, SUITE 2000 SAN FRANCISCO, CA 94105-2219 VOICE AND TDD (415) 904-5260 FAX (415) 904-5400   [_IMPTMNXY_`   S T      % & 0 1 3 4 < = B C K L V W Y Z _ ` j k n o r s x y | } ̹ :@(CJ :@ CJ ::@2OJQJ:@OJQJ$j@CJOJQJUmHnHu6:@ CJ @ CJ ;@ CJ CJ5CJ>*CJjCJUmHnHu 5>*CJCJ="#:EFVIJgh  !^ !0^`0 ! 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