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-ATTACHMENT 4 <br />THE CITY OP <br />1 <br />~ 11111 111 <br />r ~w 1 wlw~ <br />j? L ~ ~S~4NmT~No <br />Application No(s). <br />CITY OF PLEASANTON <br />Planning and Community Development _~ ,~ ,, <br />Phone: (925) 931-5600; Fax: (925) 931-5483 d ~ •`° { ~ ~' <br />200 Old Bernal Avenue, Pleasanton, CA 94566 <br />=' ~ ' y,• <br />APPLICATION FOR EVELOPMENT REVIEW <br />p~P izo, Are E~ <br />{~~~R-'~ ~ bZ Date Filed: 3 <br />I. 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 />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 />Appeal (of Case pAJ! ~ ~ i ~ C7~ ) <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 />o 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 Daycare ($15) <br />o Other: <br />II. GENERAL DATA REQUIItED <br />A. Name of Applicant (Pls. Print): ~I h L.1' 1 eh <br />B. Address or Location of Property: ~-CJ ~ ~ •Zl,~ ~~ r ~~G~~'~ ~'/ ~ l ~~~ <br />C. Assessor's Parcel Number(s): <br />D. Site Area (acres/sq. ft.): <br />E. Current Zoning: <br />G. Existing Use of Property: <br />F. Proposed Zoning: <br />H. Description of Proposal: Je~~•eW •~~ ~'~.~ ~Sl '~'"'"`~~~ ~~~~~ • •~ ~ ~~5 e <br />~s ~ oro~~ va i <br />lSSr,1.a/S cl <br />Ci~`~r <br />-26~0~ <br /> <br />~,~C fns. ~ 4~,e ~r~r-~ar~. /}~a,~ts'~- f~ co~yr-'s ~vuJ g~ens~~ ~ ~~, -~+c~d <br />CJtIY,IrA~~C ~ OUZ. ~~'1,~ UQQ. r~~~ ~ S~4dN5~ Cef'I5~ ~- ((continue on separate sheet if necessary) <br />~1~ ~ (~ 4u.1' GohCe~-f?s ~ is uat~'r ~ uS. <br />(Refer to appropriate "Informational Guide" for required site plans, elevations, written narrative, color/material samples, <br />photographs, or other submittals which must accompany your application.) <br />I. Residential Addition Proposals: From the date on this application, was the original house built within the last 5 years? <br />v Yes o No <br />- If you do not know the answer, please research the property files on the public Laserfiche machine located by flee <br />Building and Safety Division at 200 Old Bernal Avenue, Pleasanton. <br />(continued on reverse) <br />