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THE CITY OF I j� i(�'- 11 �Il' iI
<br /> ,,,w,., CITY OF PLEASANTON i u
<br /> .. _„ , ,rrr..r _,.11 i ��r' Planning and Community Development f 1 i I ''%''01 •
<br /> PLEASANTON Phone: (925) 931-5600; Fax: (925) 931-5413
<br /> P o.Bos520,Pleasanton,Caafornia905660502 200 Old Bernal Avenue, Pleasanton, CA 945'04ITY CLERK OFFIC j
<br /> ATTACHMENT 2
<br /> APPLICATION FOR DEVELOPMENT REVIEW
<br /> Application No(s).: AppeG X ( pi \ - O(Q (.0 (--` Date Filed: /�-}7” A)II
<br /> ....-
<br /> I. CHECK TYPE OF APPLICATION(S):
<br /> O Design Review($50) 0 Preliminary Review O Tentative Map ($2000 +$10/lot)
<br /> O Admin. Design Review($25) 0 FDP(Flood) Variance ($50) 0 Minor Subdivision($50)
<br /> O Sign Design Review($15) 0 Lot-Line Adjustment($50) 0 Conditional Use Permit($150)
<br /> 0 Outdoor Display($25) 0 Condominium Conversion($50) 0 Animal Use Permit($15)
<br /> O Outdoor Dining($25) 0 Rezoning($250) 0 Initial Environmental Assessment($25)
<br /> 0 Variance($50) 0 Growth Management($200) 0 Home Boutique Use Permit($25)
<br /> O Non-residential Satellite Dish($50) 0 General Plan Amendment($250) 0 Temporary Use Permit($25)
<br /> 0 PUD Development Plan($2000) 0 Specific Plan($250) 0 Non-Exempt Home Occupation($15)
<br /> 0 PUD Major Modification ($2000) 0 Specific Plan Amendment($250) 0 Large Family Daycare ($15)
<br /> O PUD Minor Modification($100) CYAppeal (of Case iii I —04/41 LI ) 0 Other:
<br /> (25%of orig. fee: max. $25)
<br /> IL GENERAL DATA REQUIRED Q
<br /> A. Name of Applicant(Pls. Print): (CA Q j 4-<-9 - / o n-1-C
<br /> B. Address or Location of Property:
<br /> C. Assessor's Parcel Number(s):
<br /> D. Site Area(acres/sq. ft.):
<br /> E. Current Zoning: F. Proposed Zoning:
<br /> F. Existing Use of Property:
<br /> G. Description of Surrounding Uses:
<br /> H. Description of Proposal: � e , /9.-.,„,,,.; / i Z Z/i
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<br /> � (continue on separate sheet if necessary)
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<br /> (Refer to appropriate `Informational Guide” for required site plans, elevations, written narrative, color/material samples,
<br /> photographs,or other submittals which must accompany your application.) ,,
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<br /> (continued on reverse)
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