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THE CITY OF <br />CITY OF PLEASANTON <br />'-' "' ~'~l Planning and Community Development <br />j~L~~S~NTON. Phone: (925) 931-5600; Fax: (925) 931-5483 ~~~ <br />P O. e°uc s2o, Pba:aMOn, Caur°mb masse-oeuz 200 Old Bernal Avenue, Pleasanton, CA 94566 j'~ <br />APPLICATION FOR DEVELOPMENT RE VIE W <br />Application No(s).: /~~}~/p -1 Date Filed: /~~t B(o { ZQ~ <br />I• CHECI£ TYPE OF APPI,I~ATION(S): <br />O Design Review ($50) <br />O Admin. Design Review ($25) <br />O Sign Design Review ($IS) <br />O Outdoor Display ($25) <br />O Outdoor Dining ($25) <br />O Variance ($50) <br />O Non-residential Satellite Dish ($50) <br />O PUD Development Plan ($2000) <br />O PUD Major Modification ($2000) <br />O PUD Minor Modification ($100) <br />O Preliminary Review <br />O FDP (Flood) Variance ($50) <br />O Lot-Line Adjustment ($50) <br />O Condominium Conversion ($50) <br />O Rezoning ($250) <br />O Growth Management ($200) <br />O General Plan Amendment ($250) <br />O Specific Plan ($250) <br />O Specific Plan Amendment ($250) <br />O Appeal (of Case ) <br />(25% of orig. fee: max. $25) <br />O Tentative Map ($2000 + $10/lot) <br />O Minor Subdivision ($SO) <br />O Conditional Use Permit ($150) <br />~ Animal Use Permit ($15) <br />O Initial Environmental Assessment($25) <br />O Home Boutique Use Permit ($25) <br />O Temporary Use Permit ($25) <br />O Non-Exempt Home Occupation ($15) <br />O Large Family Daycaze ($15) <br />O Other: <br />I IL GENERAL DATA REQUIREI} <br />A. Name of Applicant (Pls. Print): ~r ~((,~ ~ r~ (~ ~•~p~ l!O lr <br />B. Address or Location of Property: ~ ~`I $ S k. `rn ~ C~`tl.. <br />C. Assessor's Pazcel Number(s): <br />D. Site Area (acres/sq. R.): <br />E. Cun: ent Zoning: ,Q- /~ ~(~ F. Proposed Zoning: <br />F. Existing Use of Property: <br />G. Description of Surrounding~'U~'s~,es: <br />H. Description of Proposal: __ ~,'~ l.~ , ;( )('~ ~ ~ ~f? ~ ~~ ~ '(,(~ ~ ~ ~' <br />~ ~ fir' (L~ ~ C~"1 :Si'1~`;tl)li ~G `tY~ m I n ~-~ ~ ~Ckiti~l~a- <br />r- ~~ <br />(continue on separate sheet if neces ary) <br />(Refer to appropriate "Informational Guide" for required site plans, elevations, written narrative, color/material samples, <br />photographs, or other submittals which must accompany yow application.) <br />(continued on reverse) <br />