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-r <br />r <br />THE CITY OF <br />~~ ~ CITY OF PLEASANTON ~t 2:~~,,, <br />Planning and Community Development <br />j~L~~1S~NTON. Phone: (925) 931-5600; Fax: (925) 931-5483 w~~~ ' <br />P O. Batt 520. Plpsantaa, cauromb M6fR0E02 200 Old Bernal Avenue, Pleasanton, CA 94566 <br />APPLICATION FOR DEVELOPMENT REVIEW <br />Application No(s).: I ~~P'-Z-- Date Filed: ~~ l Z ~ <br />~. CHECK TYPE OF APPLICATION(S): <br />O Design Review ($50) <br />O Admin. Design Review ($25) <br />O Sign Design Review ($15) <br />O Outdoor Display ($25) <br />O Outdoor Dining ($25) <br />Q 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 ($50) <br />O Conditional Use Permit ($150) <br />~ Animal Use Permit ($15) <br />O Initial Environmental Assessment($25) <br />O Home Boutique Use Pernut ($25) <br />O Temporary Use Permit ($25) <br />O Non-Exempt Home Occupation ($15) <br />O Large Family Daycare ($15) <br />O Other: <br />laf GENERAL DATA REQUIRED <br />A <br />B <br />C. <br />Name of Applicant (Pls. Print): /`-'t I dn7 ~ R ~ T~l (1 5~;j'1 <br />Address or Location of Property: ~ Q ~ ~ 1 1 1 A 1 _ 'tea CC.. ~,C'~ l 1 ~(~'~ . <br />Assessor's Parcel Number(s): <br />F. Existing Use of Property: <br />G. Description of Sun ounding Uses: <br />`~ ~ <br />F. Proposed Zoning: <br />(Refer to appropriate "Informational Guide" for required site plans, elevations, written narrative, color,'material samples, <br />photo~araphs, or other submittals which must accompany your application.) <br />D. Site Area (acres/sq. ft.)(~ I (' <br />E. Current Zoning: 1 `-` `'~~ J ~ <br />(continued on reverse) <br />(continue on separate sheet if necessary} <br />