(Staff Use Only)
PLANNING DEPARTMENT Case No.:
Voice - (760) 770-0340
Fax - (760) 202-1460
Cathedral City E-mail - planning@ cathedralcity.gov Related Cases):
68-700 Avenida Lalo Guerrero - Cathedral City, CA 92234
HISTORIC PRESERVATION APPLICATION
Department for assistance. (PLEASE PRINT OR TYPE)
CHECK APPLICATION TYPE(S) REQUESTED:
• Historic Designation ($100) Certificate of Appropriateness Ristori er gration (S2,619) ($1691.50) *
OTE: There may be additional costs for City provided surveys, studies, or investigation ) A hardship waiver is available, subject to approval by the City. Please see Planning Department staff for additional information c hardship waiver requirements.
PROJECT SUMMARY:
Historic Name (if any): A a Nes PolToN /tome and studio Property/Site Address or location:
Assessor Parcel Number(s): G 87234008 Is Property located on Tribal Reservation? Historic Designation Class (if applicable): lass - 1 Historic Designation Date (if applicable): A/A Project Description (add extra page(s) if needed):
N.A
FOR HISTORIC DESIGNATION:
Historic Significance of Property/Site (add extra page(s) if needed):
See AHach ment 1
Architect (if applicable): N/A Builder (if applicable): N/ M Construction Date: • Estimated • Actual (indicate source):
Architectural Style: MINIMAL TRadITIONAL
Original Owner:
Agnes lawreace Pelton
Other Notable Past Owners:
Period of Significance: 936-1961
Description of Character Defining Features:
ee Attachment 2
Existing Uses and/or Structures on Site (add extra page(s) if needed):
residance
Surrounding Uses: North: South:
East: West:
Revised March 2023
PROJECT REPRESENTATIVE(S):
APPLICANT/REPRESENTATIVE
Name:
Address: Telephone No.:
City: State: Zip Code:
Contact Person: E-mail Address:
I certify under penalty of perjury that all the application information is true and correct:
Applicant's Signature: Date:
PROPERTY OWNER
Name: peter Palladivo Telephone no: 3/0709-3424
Address:
8680
City: e State: Porea Zip Code: 92234
ath
Contact Person: E-mail Address:
I cerify under penalty of pegyny that all the application information is true and correct:
ladio Date: Apel 1, 202z
Owner's Signature:
All signatures of the property owners) must be notarized. Add extra pages if needed for multiple owners.
Date/Time Received: Received By: Amount Received: Receipt No(s):
Revised March 2023
am the owner of the property described in this application and hereby authorize Print Name
to act on my behalf on matters pertaining to this application.
Applicant/Representative Name
Property Owner's Signature: Date:
Note: If more than one owner, a separate page must be attached listing the names and addresses of all persons (if a corporation, list officers, and principals) having interest in the property ownership.
ARCHITECT Name: Telephone No.:
Address: Fax No.:
City: State: Zip Code:
Contact Person: E-mail Address:
APPLICANT AGREEMENT AND REIMBURSEMENT AGREEMENT:
Processing of this application will not begin unless this application is complete and all signatures are provided:
I, the undersigned as project Applicant or Representative of the project Applicant, hereby authorize the City of Cathedral City to review the submitted plans and specifications for this Application in accordance with the Cathedral City Municipal Code. I am herewith depositing •. Octo cover staff review, coordination, processing costs, noticing, and materials.
I understand that if the final cost is less than the deposit amount, the unused portion of the deposit will be refunded upon written request. I further understand that if the costs are more than the deposit fee, I shall pay the balance due within 30 days of receiving a bill from the City. I also understand that the City will cease processing my Application(s) until the deposit is brought current.
Pursuant to the Fee Schedule, Applications may only be processed if all billed fees and charges for processing the Application(s) have been paid. If in the course of processing such Application requests), the Application(s) billed fees and charges have not been paid, the City will after a hearing deny the Application(s) based upon the Applicant's failure to provide said Application fees and charges as required by this Application.
Applicants) acknowledge and agree that by filing this application, and under the authority of Government Code Section 65105, that in the performance of their functions, City staff may enter upon the subject property and make examinations and surveys, provided that the entries, examinations and surveys do not unreasonably interfere with the use of the land by those persons lawfully entitled to the possession thereof.
I, the Applicants), certify under penalty of perjury that I am the legal owners) (all individual owners must sign as they appear on the deed to the land), Corporate Officers) empowered to sign for the corporation, Owner's Legal Agent having power of Attorney (a notarized Power of Attorney document must accompany this application), or the owner's authorized representative (include a notarized consent form from the owner).
I, the Applicants), acknowledge and agree that I have included all of the required items and understand that missing items may result in delaying the processing of my application.
Applicants) agree to defend, indemnify, and hold harmless the City of Cathedral City ("City") Revised March 2023
and its agents, officers, consultants, independent contractors and employees ("City's Agents") from any and all claims, actions or proceedings against the City or the City's Agents to attack, set aside, void, or annul an approval by the City, or the City's Agents concerning the Project (collectively "Claim"). The City shall promptly notify the Applicant of any Claim and the City shall cooperate fully in the defense. If the City fails to promptly notify the Applicant of any Claim or if the City fails to cooperate fully in the defense, the Applicant shall not thereafter be responsible to defend, indemnify, or hold harmless the City. Nothing in this paragraph shall obligate the City to defend any Claim and the City shall not be required to pay or perform any settlement arising from any such Claim not defended by the City unless the settlement is approved in writing by the City. Nothing contained in this paragraph shall prohibit the City from independently defending any Claim, and if the City does decide to independently defend a Claim, the City shall bear its own attorney's fees, expenses of litigation and costs for that independent defense. The Applicant may agree to reimburse the city for attorney's fees, expenses of litigation and costs for that independent defense. Should the City decide to independently defend any Claim, the Applicants) shall not be required to pay or perform any settlement arising from any such Claim unless the settlement is approved by the Applicant.
This Application shall be a public record.
IT IS SO AGREED:
Peter Palladivo
Name of Applicant (Print)
Peter Palladin - pal 1, 2022
Applicant's Signature
Revised March 2023
LETTER OF CERTIFICATION
State of California
County of Riverside
City of Cathedral City
1, Peter Palladin hereby certiy that attached list contains the names and addresses of all persons to whom all property is assessed as they appear on the latest available assessment roll of the County of Riverside within the area described and for a distance of three hundred feet (300) from the exterior boundaries of property legally described as:
I/we certify (or declare under penalty of perjury under the laws of the State of California) that the foregoing is true and correct.
Print Name Peter Palladinu
Peter Palladino
Signature
Revised March 2023
APPLICATION REQUIREMENTS FOR HISTORIC PRESERVATION PROJECTS Given the special nature of Historic Preservation Projects, all applicants should work with staff for the exact application requirements; however, each of the following applications should include the following information:
For All Applications:
1. Complete and Signed Application.
2. Three-hundred-foot (300') radius map based on assessor's parcel map, three (3) sets of mailing labels of all property owners with a three-hundred-foot (300") radius, and completion of the Letter of Certification.
Historic Designation:
1. A report that describes how the proposed site, structure, building, or object is eligible and appropriate for designation under Chapter 8.62 Historic Preservation of the CCMC. The report shall include at a minimum:
a. Photographs of the exterior of the proposed site, structure, building or object; b. Information about the architects), designers), planners), and/or developers of the proposed site, structure, building or object;
c. Date and method of construction of any structure, building or object upon the proposed d. A description of the character-defining features of the site, structure, building or object, such as materials, architectural or landscape elements, architectural style, and other relevant descriptors;
e. Ownership and address history; and
f. identify the source of the information provided in the application, such as building permit numbers, publications, organizations, or individuals.
2. Notarized signatures of all property owners of the property.
3. Any other documentation or research as may be deemed necessary to determine the qualifications of the site, structure, building or object for historic designation.
For Certificate of Appropriateness:
1. A brief description of the proposed demolition, alteration or new construction;
2. Photographs of each exterior side of the structure or building to be demolished, altered or constructed;
3. Drawings for conceptual review of any demolition, alteration or new construction work; Material samples and/or manufacturer's brochures which show and describe the materials to be used in the alteration or new construction;
5. A site plan showing the location of the proposed demolition, alteration, or new construction work;
6. If signage is part of the proposed alteration work, drawings showing the specifications for the signage and demonstrating conformance to the City's sign ordinance or approved sign program;
7. Any other information which the city staff deems necessary to accurately describe the scope of alteration or new construction work proprosed.
Revised March 2023
QUALIFIED MAP/LIST PREPARERS
The businesses listed below provide property ownership information and radius maps.
Please note that the list is for reference only and that Staff does not provide referrals or imply endorsement of any business.
Donna's Radius Maps NotificationMaps.com
684 S. Gentry Lane 668 N. Coast Highway, #401
Anaheim Hills, CA 92807 Laguna Beach, CA 92651
(714) 921-2921 or (714) 458-4798 (866) 752-6266
Advance Listing Services Susan Case Inc
P.O. Box 2593 917 Glenneyre St., #7
Dana Point, CA 92624 Laguna Beach, CA 92651
(949) 361-3921 (949) 494-6105
Ownership Listing Service Radius Maps
P.O. Box 890684 211 S. State College Blvd. #5
Temecula, CA 92589-0684 Anaheim, CA 92806
(951) 699-8064 (888) 272-3487 or (714) 323-6031
AM Mapping Express Mapping
(626) 403-1803 4000 Barranca Parkway, #250
Irvine, CA 92604
(949) 771-0051
Revised March 2023