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THE CITY OF <br /> CITY OF PLEASANTON <br /> .., r—.q n� p� _e_I �� Planning and Community Development <br /> PL.EASANTON. Phone: (925) 931-5600; Fax: (925) 931-5483 <br /> P.O.Box 520,Pleasanton,California 8/68611803 200 Old Bernal Avenue, Pleasanton, CA 94566 <br /> APPLICATION FOR DEVELOPMENT REVIEW <br /> " � I n. <br /> Application No(s).: I ( I Date Filed: <br /> I. CHECK TYPE OF APPLICATION(S): <br /> C Adminstrative Design Review($25) a Initial Environmental Assessment($25) a PUD Development Plan($2000) <br /> �L Animal Use Permit($15) a Large Family Daycare($15) a PUD Major Modification($2000) <br /> a Appeal(of Case ) a Lot-Line Adjustment($50) a PUD Minor Modification($100) <br /> (25%of orig. fee: max. $25) <br /> a Conditional Use Permit($150) o Minor Subdivision($50) o Rezoning($250) <br /> 0 Condominium Conversion($50) a Non-Exempt Home Occupation($15) n Sign Design Review($15) <br /> a Design Review($50) o Non-residential Satellite Dish($50) a Specific Plan($250) <br /> o FDP (Flood)Variance($50) o Other: a Specific Plan Amendment($250) <br /> a General Plan Amendment($250) a Outdoor Dining($25) 0 Temporary Use Permit($25) <br /> a Growth Management($200) a Outdoor Display($25) 0 Tentative Map($2000+$10/lot) <br /> o Home Boutique Use Permit($25) a Preliminary Review a Variance($50) <br /> II. GENERAL DATA REQUIRED �nj,�, l <br /> (A.. Name of Applicant(Please Print): g0 3[`{2% &tiCkX/ CA/14 Pf?t'-;Zt <br /> (B) Address or Location of Property: 34,y 7/ 3 3 3 C4:4U.eR Cr i(/, gt.4 SA•v7,,,v <br /> C. Assessor's Parcel Number(s): <br /> I D. Site Area(acres/sq. ft.): <br /> E. Current Zoning: F. Proposed Zoning: <br /> G. Existing Use of Property: <br /> H.) Description of Proposal: GA/ S%k l[l7 i cA' OF S''ae y44'AN ECA,cA <br /> J <br /> (continue on separate sheet if necessary) <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.) <br /> I. Residential Addition Proposals: From the date on this application, was the original house built within the last 5 years? <br /> o Yes *No <br /> - If you do not know the answer,please research the property files on the public Laserfiche machine located by the <br /> Building and Safety Division at 200 Old Bernal Avenue,Pleasanton. <br /> (continued on reverse) <br />