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11 ATTACHMENTS
City of Pleasanton
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CITY CLERK
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AGENDA PACKETS
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2012
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022112
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11 ATTACHMENTS
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Last modified
1/6/2012 12:18:04 PM
Creation date
2/14/2012 1:43:57 PM
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CITY CLERK
CITY CLERK - TYPE
AGENDA REPORT
DOCUMENT DATE
1/10/2012
DESTRUCT DATE
15Y
DOCUMENT NO
13 ATTACHMENTS
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• <br /> III. AUTHORIZATION OF PROPERTY OWNER AND OWNERS ASSOCIATION <br /> I. PROPERTY OWNER: in signing this application, 1, as property owner, have full legal capacity to, and hereby do, <br /> authorize the filing of this application. I understand that conditions of approval are binding and agree to be bound by those <br /> conditions, subject only to the right to object at the hearings or during the appeal period. I certify that the information and <br /> exhibits submitted are true and correct. <br /> Name (Pls. Print): Daytime Telephone: <br /> Company: Other Telephone: <br /> Address: Fax: <br /> City: Zip: E-mail: <br /> Signature: Date: • <br /> J. OWNERS ASSOCIATION: Is the property subject to the rules or guidelines of a homeowners association (HOA) or a <br /> business owners association? <br /> O Yes 0 No <br /> If yes, did the proposed project receive approval from the HOA/business owners association? <br /> O Yes 0 No O The HOA/business owners association does not review any proposed construction projects or use changes <br /> — If yes,please attach a copy of the HOA response. <br /> Association Contact (Pls. Print): Daytime Telephone: <br /> Association Name: Other Telephone: <br /> Address: Fax: <br /> City: Zip: E-mail: <br /> K. APPLICANT OTHER THAN PROPERTY OWNER: In signing this application, I, as applicant, represent to have <br /> obtained authorization from the property owner to file this application. I agree to be bound by conditions of approval, subject <br /> only to the right to object at the hearings on the application or during the appeal period. If this application has not been <br /> signed by the property owner, I have attached separate documentation of full legal capacity to file the application. I certify <br /> that the information and exhibits submitted are true and correct. <br /> Name (Pls. Print): i7'r. /�7, � cY�'`-� Daytime Telephone: l't.3- ^5-/ 5-r <br /> Company: Other Telephone: e� - :S C <br /> c <br /> ,r- <br /> Address: <br /> % c �' (I: ' ( r �" Fax: <br /> City: IC .k Z,C c✓..-21; Zip: .,� d E-trail: G�.JF"°".;a,t. „r, t <br /> Signature: (1!,-,1, i �. t Date: <br /> I. -2 7 '/' <br /> L. NOTE ANY OTHER PARTY(IES) WHO SHOULD RECEIVE STAFF REPORTS AND NOTICE OF <br /> APPLICATION ON A SEPARATE SHEET AND ATTACH TO APPLICATION. <br /> IV. SCHOOL FEE AGREEMENT (If a residential project,answer the question below) <br /> Have you signed a School Fee Agreement with the Pleasanton Unified School District? 0 Yes Q No <br /> If yes,please attach a copy of the signed agreement. <br /> CM 0/06) <br />
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