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ATTACHMENT 3 THE CITY OF „~~„ . ~ i ~„ i~ m~Im~::i::Il~l ~~~ pL~~S~4NTON® Planning and Community Department 200 Old Bernal Avenue, P.O. Box 520 PRZ-37 Pleasanton, CA 94566-0802 (925) 931-5600 Fax: (925) 931-5483 APPLICATION FOR ZONING APPROVAL (Required prior to establishing a business; making tenant improvements; or changing a business location) A. Proposed Location of Business: B. Print Applicant's Name: (Street, City, 7.ip Code) C. Arc you filing this license as an independent consultant/contractor? O Yes or O No (if you do not know, please call the t3usiness License Department at 925-931-5440 for more information) D. Contact Information Name of Business: Contact Person: Business Phone: ( ) Business Fax: (_~ Mailing Address: (if different from above) (Street, City, Zip Code) E. Description of Business: Describe the business activities (for example: automotive repair, retail sales of jewelry, party supply rental, research and development of eyewcar/lenses) that will be conducted at the proposed location (even if the business is a change of ownership or location). Also describe any use of hazardous materials. Please be specific. By signing below you are certifying that the above information is correct and you understand that this permit only applies to the address noted above. if you move from this location, you will need to complete a new "Application for Zoning Approval." F. Applicant's Signature: Date: G. Private School, Trade School, Indoor Recreation, and Tutoring Facilities Only Please check the box to indicate that you understand that the proposed business must comply with the following: ^ All applicable Federal, State, and local regulations. Property or Business Owner's/Manager's Signature: Print Name: Current Zoning: Application No. PZC- Datc: (For Completion by the Planning Department) Municipal Code Use Definition: Routing: O Police O Fire O Code F,nforcement O Other Additions/ information on the reverse side