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ATTACHMENT 3 <br /> <br />THE CITY OF ~!;~l <br />~ ~ CITY OF PLEASANTON :~'i~ ~""~ <br />MAR 1 2 c,,,;3 <br />-- •~ _ • =''=1 "' Planning and Community Development <br />~L~ ~S~N l ~Na Phone: (925) 931-5600; Fax: (925) 931-5~8~1; ~~ , _ ~ ~ ~-: <br />00. BOS 530, Fb.wnton, Callbmi•H555~m02 200 Old Bernal Avenue, Pleasanton, CA 94556-"" <br />APPLICATION FOR DEVELOPMENT REVIEW <br />Application No(s).: Pq~ - ~~~ Date Filed:3 ~ 2 6 ~ <br />L CHECK TYPE OF APPLICATION(S): <br />Design Review ($50) <br />^ Admin. Design Review ($25) <br />Sign Design Review ($15) <br />Outdoor Display ($25) <br />^ Outdoor Dining ($25) <br />Q Variance[$50) <br />Non-residential Satellite Dish ($50) <br />~ PUD Development Plan ($2000) <br />^ PUD Major Modification ($2000) <br />^ PUD Minor Modification ($100) <br />^ Preliminary Review <br />^ FDP (Flood) Variance ($50) <br />^ Lot-Line Adjustment ($50) <br />^ Condominium Conversion ($50) <br />^ Rezoning ($250) <br />Growth Management ($200) <br />^ General Plan Amendment ($250) <br />^ Specific Plan ($250) <br />Specific Plan Amendment ($250) <br />Appeal (of Case~C U P -'2.. 3 -]~ <br />(25% of orig. fee: max. $25) <br />Q Tentative Map ($2000 + $10/lot) <br />Minor Subdivision ($50) <br />^ Conditional Use Permit ($150) <br />~ Animal Use Permit ($ I S) <br />^ Initial Environmental Assessment($25) <br />^ Home Boutique Use Permit ($25) <br />^ Temporary Use Permit ($25) <br />Non-Exempt Home Occupation ($15) <br />^ Large Family Daycare ($15) <br />^ Other: <br />IL GENERAL DATA REQUIRED <br />~\ ~~perlGnr CNR~S Slur i~~n <br />%/ ame of Applicant (Pls. Print): ~ ~ /~ K~ A You /}~ I S /~P'O(.[ <1 7 <br />OB. Address or Location of Property: ~~~h Giu f~QQ~ LAtiE ~ L (I~LJ~I <br />C. Assessor's Parcel Number(s): <br />D. Site Area (acres/sq. ft.): <br />E. Current Zoning: <br />G. Existing Usa of Property: <br />Description of Proposal: _ <br />F. Proposed Zoning: <br />cF' u1~. /L~/n.~~ 1 ,~C'P G(f}Z[L~r.( <br />(continue on separate sheet if necessary) <br />(Refer to appropriate `9nformational Guide" for required site plans, elevations, written narrative, colodmaterial samples, <br />photographs, or other submittals which must accompany your application.) <br />1. Residential Addition Proposals: From the date on this application, was the original house built within [he last 5 years? <br />^Ycs ^No <br />If you dD nDt know the answer, please research the prnperp~ fries on the puhlic Lnserfrche machine /Dented by the <br />Building and Sajetf~ Division at 200 Old Bernal Avenue, Pleasanton. <br />(continued on reverse) <br />