18 ATTACHMENT 13 - Laserfiche WebLink

III. AUTHORIZATION OF PROPERTY OWNER A. PROPERTI' OV1'NER: In signing this application, I, as property owner, have full legal capacit)~ to, and hereby do, authorize the filing of this application. I understand that conditions of approval arc binding and agree to be bound by those conditions, subject onl~• to the right to object at the hearings or~d/urVing the appeal period. I certify tha~t/theme information and exhibits subm(itt~ejd are true and c(or~rectQ Name (Pls. Print): i ' W rl ~ ~1~~1~ ~~`L,•! Daytime Telephone: -N~ ~~ `E' ~o ~ J Company: Other Telephone: ~a~ - ~ ` - ~ ~ I I~ Address: 0(~~ J~-~m~ ~ l.~T (~, ( r ,, Fax' ~ ~ c1 ~,~y~ ~+ ~~.~~ C~ rl+~l _ Zip: "1 "t ~' ~l' E-mail: ~ ~ i~`T C)~~ l~i.J n F~ ~ . l ~~ City: Signature: Date: ~~ ~~ ~ ~ ~~~ ~ - B. APPLICANT OTHER THAN PROPERTY OWNER: In signing this application, 1, as applicant, represent to have obtained authorization from the property owner to file this application. I agree to be bound by conditions of approval, subject only to the right to object at the hearings on the application or during the appeal period. If this application has not been signed by the property owner, I have attached separate documentation of full legal capacity to file the application. 1 certify that the information and exhibits submitted are true and correct. Name (Pls. Print): Daytime Telephone: Company: Other Telephone: Address: Fes' City: Zip: E-mail: Signature: Date: C. NOTE ANY OTHER PARTY(IES) WHO SHOULD RECEIVE STAFF REPORTS AND NOTICE OF APPLICATION: Name (Pls. Print): Name (Pls. Print): Address: Address: Ciry: Zip: City: Zip: Telephone: Telephone: E-mail: E-mail: IV. .SCHOOL SEE AGREEMENT (If a residential project, answer the question below) Have you signed a School Fee Agreement with the Pleasanton Unified School District? O Yes O No If yes, please attach a copy of the signed agreement. V. CEQA {FOR CITY USE ONLY): ;, ; <. O Exempt (Class: ) O Non-Exempt (include applicable fee; attach initial environmental assessment) (5/13/2004)