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20
City of Pleasanton
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CITY CLERK
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AGENDA PACKETS
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2018
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082118
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20
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8/17/2018 5:08:55 PM
Creation date
8/16/2018 11:10:59 AM
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CITY CLERK
CITY CLERK - TYPE
AGENDA REPORT
DOCUMENT DATE
8/21/2018
DESTRUCT DATE
15Y
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III. AUTHORIZATION OF PROPERTY OWNER AND OWNERS ASSOCIATION <br /> J. PROPERTY OWNER: in signing this application, I, 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 <br /> those conditions, subject only to the right to object at the hearings or during the appeal period. I certify that the <br /> information and exhibits submitted aretrueand correct. <br /> „di-7Name(Pls.Print): t a �4"� /"� I '� ��t fey <br /> j Daytime Telephone: i r �� r br J <br /> Company: Other Telephone: SiO '.“ `7 Y1 7 <br /> Address: 3 .3 C l r%i' «�f z'«�� Fax: \/ <br /> City: ( GL, r-S evNt o ,� Zip: `/t-/) i' E-mail: ,4 ib o es 'u..:.S hTZ i Vot 117,wi n <br /> Signature: Date: <br /> • <br /> K. OWNERS ASSOCIATION: Is the property subject to the rules or guidelines of a homeowners association(HOA)or <br /> a business owners association? <br /> 0 Yes 4 No <br /> If yes,did the proposed project receive approval from the HOA/business owners association? <br /> n Yes 0 No 0 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 /> L. 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, <br /> subject only to the right to object at the hearings on the application or during the appeal period.If this application has <br /> not been signed by the property owner,I have attached separate documentation of full legal capacity to file the <br /> application. I certify that the information and exhibits submitted are true and correct. <br /> Name(Pls. Print): Daytime Telephone: <br /> • <br /> Company: e Other Teleph e: <br /> p <br /> Address: Fax: <br /> City: Zip: • E-mail: <br /> '� <br /> Signature: Date: <br /> M. 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? <br /> n Yes No <br /> If yes,please attach a copy of the signed agreement. <br />
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