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• ATTACHMENT 2 <br /> COMMUNITY DEVELOPMENT DEPARTMENT THE CITY OF <br /> Planning Division—200 Old Bernal Avenue <br /> Mailing Address—P.O. Box 520, Pleasanton,CA 94566 �L.��SITNTQNa <br /> Phone: (925)931-5600/Fax: (925)931-5483 <br /> P.O.Box 620.Po.CaliforniaCalifom141164-0102 <br /> APPLICATIONGFOR DEVELOPMENT REVIEW <br /> 1 <br /> Application No(s).: �� V Z.Yd - pr . (}5 y 3 Date Filed: 60 f z q 112 <br /> I. CHECK TYPE OF APPLICATION(S): <br /> ['Administrative Design Review(S25 l ['Initial Environmental Assessment($25) ❑PUD Major Modification($2000) <br /> ❑Animal Use Permit(S15) }� " ❑Large Family Daycare($15) ❑PUD Minor Modification($100) <br /> ['Appeal(of Case P16- 16-028 ) 0101-Line Adjustment($50) ['Reasonable Accommodation($25) <br /> (25%of orig. f max.$25) ['Rezoning(S250) <br /> ['Conditional Use Permit($150) ❑Minor Subdivision(S50) ❑Sign Design Review($15) <br /> ❑Condominium Conversion(S50) ['Non-Exempt Home Occupation($15) ['Specific Plan($250) <br /> ['Cottage Food Operation(S25) ❑Non-residential Satellite Dish($50) Specific Plan Amendment($250) <br /> ['Design Review($50) ❑Other: Temporary Use Permit($25) <br /> ❑FDP(Flood)Variance($50) ['Outdoor Dining($25) ['Tentative Map($2000+S 10/lot) <br /> ['General Plan Amendment($250) ['Outdoor Display(S25) ❑Variance($50) <br /> ['Growth Management($200) ❑Preliminary Review <br /> ❑Home Boutique Use Permit($25) ❑PUD Development Plan($2000) <br /> H. GENERAL DATA REQUIRED <br /> A. Name of Applicant(Please Print): Mike and Darlene Miller n <br /> B. Address or Location of Property: sib 3 ,,q ice Jr the C I <br /> 1%*.5.44 -v ' 11/5--g6- <br /> C. Assessor's Parcel Number(s): <br /> D. Site Arca(acres/sq.ft.): <br /> E. u e t z sin Multi Family Residential F. Proposed Zoning: <br /> o L-MD4 <br /> G. Existing Use of Property: Chabad of the Tri Valley <br /> We are appealing the Planning Comrnissions decision on u2712010 regarding Chabad ot the Tri Volley Please see attached <br /> H. Description of Proposal: <br /> Ndre%- b�/roJ°d 3370 flo® ar'd /goad limsdAti-b- <br /> } <br /> (continue on separate sheet if necessary) <br /> (Refer to the appropriate '•hifor stational Brochures"s"for required submittal i,f ormation that must accompany this application.) <br /> 1. Residential Addition Proposals:From the date on this application.was the original house built within the last 5 years? <br /> Yes o No <br /> Ifyou do not know the answer,please research the property files on the Laserfiche computers located at 200 Old Bernal Avenue <br /> (continued on reverse) <br />