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25
City of Pleasanton
>
CITY CLERK
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AGENDA PACKETS
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2019
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041619
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25
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4/10/2019 2:12:01 PM
Creation date
4/10/2019 1:02:28 PM
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CITY CLERK
CITY CLERK - TYPE
AGENDA REPORT
DOCUMENT DATE
4/16/2019
DESTRUCT DATE
15Y
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25 ATTACHMENT 2e
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Path:
\CITY CLERK\AGENDA PACKETS\2019\041619
25 ATTACHMENT 4
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Path:
\CITY CLERK\AGENDA PACKETS\2019\041619
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III. AUTHORIZATION OF PROPERTY OWNER AND OWNERS ASSOCIATION <br /> J. 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(Pis.Print): Mike and Darlene Miller Daytime Telephone: 925-413-9652 <br /> Company: Other Telephone: <br /> Address: 5903 Bryce Canyon Ct Fax: <br /> City: Pleasanton Zip: 94588 E-mail darlenerg1@aol.com <br /> Signature: ) Date: 6/29/2018 <br /> K. 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 • No <br /> If yes,did the proposed project receive approval from the HOA+business owners association? <br /> o 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,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 arc true and correct. <br /> Name(Pls.Print): Daytime Telephone: <br /> Company: Other Telephone: <br /> Address: Fax: <br /> City: Zip: u E-mail: <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 /> o Yes •No <br /> If yes,please attach a copy of the signed agreement. (03;18/13) <br />
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