PLANNING DIVISION MASTER APPLICATION FORM
Project Address: __ /_?_/ __ �___;_:,_/ __ s_,...___;C/...,.IJ.:..;d�1�·---=CA::;..;._1141:::.:e�h�U::'::'.= .. ::..._---..------.------- Project Name: __ ..... z=;C-.£�µ.e;::;;,._ __ µGJ�/2'-J,.L,d.a;....:N�e__==:;..,;;,s::2...#-p"-<S?.:::;,J::.jQ;.,,!r�{:;!.--=-___;C,==-__,;;_/..::::u:::...b=------- Project Description: (Please describe demolitions, alterations and any new construction) _______________ _ ffi o ,.,, 1120s ed dt2 ow/r' h; ti_) CJ/ f <: r-q h "n s Zoning Designation: ______________ General Plan Designation: __________ _ Valuation (Cost of Project): __________ _
APPLICANT/ OWNER INFORMATION
APPLICANT NAME: 7/2'e Slze1 k e ,Sµ?qh::-" duh
Address: /zi � &- /'4'/J Cl/ U'.k'<:' n �· ..
City � 5-4d�hq___ State:Q4:_ Zip: 9//t/�
CONTACT PERSON: '?A v/Js l1J Uc:E.-elk J-.,
Address:...5/7 � {!);;4/1UC!Z �t?tJ lC;.,
City n sa den,e__ State: � Zip: 9 // t1.5
PROPERTY OWNER NAME: "z;f e;1 $h 4 /(IE:?�d 1--e C / uJ Address: /7/ c§. &-r4hd' tZ.ve:ibtle
City � 4 de IJa___ State: d Zip: 9 //d'.S-
Telephone: [ ]
�� [ l h1 lt e.l I� I-,
\..._,Email: pAy//1s r at;Jm/11 ')'
Telephone: [ I CO r>'}
Fax: [
Email: __________ _
Telephone:
Fax:
Email: ___________ _
TYPE OF PLANNING REVIEW AND APPROVALS REQUIRED (Mark clearly the type of approval(s) required):
ADJUSTMENT PERMIT -�- HEIGHT AVERAGING
AFFORDABLE HOUSING \/
___ CONCESSION OR WAIVER -4- HILLSIDE DEVELOPMENT PERMIT
PREDEVELOPMENT PLAN REVIEW
RELIEF FROM THE REPLACEMENT
BUILDING PERMIT REQUIREMENT
I . .. e
GRIG �IGNATION
CERTIFICATE OF � Jv10NUM§NL,lANDMARK, TREE OR
___ APPROPRIATENESS ___ S N) SIGN EXCEPTION
CERTIFICATE OF EXCEPTION ___ HISTORICAL RESEARCH/EVALUATION ___ TENTATIVE PARCEL/TRACT MAP
CHANGES TO APPROVED
___ PROJECT ___ LANDMARK TREE PRUNING
CONDITIONAL USE PERMIT ___ MASTER DEVELOPMENT PLAN
___ DESIGN REVIEW ___ MASTER SIGN PLAN
DEVELOPMENT AGREMENT MINOR CONDITIONAL USE PERMIT
EXPRESSIVE USE PERMIT ___ MINOR VARIANCE
FLOOR AREA RATIO (FAR)
INCREASE PLANNED DEVELOPMENT ZONE
GENERAL PLAN AMENDMENT PRELIMINARY PLAN CHECK
Note: Space for signature is on reverse side
---
---
---
TEMP. CONDITIONAL USE PERMIT
TREE PROTECTION PLAN REVIEW
TREE REMOVAL
VARIANCE
VARIANCE FOR HISTORIC
RESOURCES
ZONE CHANGE (MAP AMENDMENT)
OTHER:
MAP -- Master Application REVISED.doc1/20/11
ATTACHMENT B