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— -- -a _____== GAMED, I r -tea <br /> , THE CITY OF <br /> i CITY OF PLEASANTON <br /> To iii •T-- I t"' Planning and Community Development <br /> �L-EP <br /> ASANrON* Phone: (925) 931-5600: Fax: (925) 931-5483 <br /> 0.9oa520,Pte.sanlan.Ul,bmIt9a5660lOt 200 Old Bernal Avenue- Pleasanton, CA 94566 <br /> • <br /> APPLICATION FOR DEVELOPMENT REVIEW <br /> Application No(s).: 1.1�i Pi 6L I. �� e l ) - tit GI G. Li Date Filed: �`) —1/ -/J ' <br /> I, t I. CHECK TYPE OF APPLICATION(S): <br /> ❑ Design Review($50) ❑ Preliminary Review ❑ Tentative Map($20110+$10/lot) <br /> ❑ Admin. Design Review($25) ❑ MP(Flood)Variance(1650) ❑ Minor Subdivision($50) <br /> ❑ Sign Design Review($I5) ❑ Lot-Line Adjustment($50) ❑Conditional Use Permit($150) <br /> ❑ Outdoor Display($25) ❑ Condominium Conversion($50) ❑ Animal Ilse Permit($15) <br /> ❑ Outdoor Dining($25) C Rezoning($250) ❑ Initial Environmental Assessment($25) <br /> , ❑ Variance($50) ❑Growth Management($200) ❑I tome Boutique Use Permit($25) <br /> ❑ Non-residential Satellite Dish($50) 0 General Plan Amendment($250) ❑ Temporary Use Permit($25) <br /> ❑ HID Development Plan($20(X)) ❑ Specific Plan($250) ❑Non-Exempt Flonue Occupation($15) <br /> ❑ PI ID Major Modification($2000) ❑ Specific Plan Amendment($250) ❑Large Family Daycare($1 5) <br /> ❑ PUD Minor Modification($100) [Appeal(of Case f-'/I --o" / ) 0 Other: <br /> (25%of orig. fee: max.$25) <br /> [ it GENERAL DATA REQUIRED <br /> r /A. Name of Applicant(Pls. Print): t; .7"7, / -' %. 'r6- <br /> B. Address or location of Property: - <br /> C. Assessors Parcel Number(s): <br /> D. Site Area(acres/sq. ft.): <br /> N. Current Zoning: F. Proposed Zoning: <br /> (i. Existing Use of Property: <br /> II. Description of Proposal: w•f"- )-f 37 j.n l zr i [ r-'�-r -ems r • L lt"-' t_ <br /> fr. ii6 l-_. /i+i ..`C' ,+ .�/./> 711 rein+:G,•(i 4j'i7 �� /..?..yr <br /> re..r 1. •L/.,-'—,r')-.-C ;i —1-,-..J.,,,., i .,,1,//r.,r, l _J. r.'t /.r,,..e•,ir �_` // - <br /> (connma on separate sheet it necessary) <br /> Refer to Appropriate "I Morin:Mortat Guide- for required site plans,elevations,mitten narraI we,color/material samples_ <br /> photographs,or other submittals which must accompany your application.) • <br /> I. Residential Addition Proposals: From the date on this application_was the original house built n shin the last 5 Years'? <br /> ['Yes ❑No <br /> - (l you do not know the answer,please research the property/llee on the public Lacer/iche machine located by the <br /> • <br /> ,4uihling and Softly Division at 200 Old Vernal,Ivenue, Pleasanton. <br /> (continued on reverse) <br />