Application 8-3-04PROJECT NAME: ./~/~0 A/7- ~ ~./~ _~'~---o ,~J~
LOCATION: .~ ~-~"' /~-.-~7'-~, ~ /~/~_/c,
LEGAL DESCRIPTION:
TOTAL ACREAGE: ,~, ~' /
WETLANDS PRESENT:
PRESENT ZONING: ,'~,-~'/~-
__ YES X NO
REQUESTED ZONING:
PRESENT LAND USE DESIGNATION:
REQUESTED LAND USE DESIGNATION:
REASON FOR REQUEST:
This application must be completed in full and be typewritten or clearly printed and must be accompanied by all information
and plans required by applicable City Ordinance provisions. Before filing this application, you should confer with the
Planning Department to determine the specific ordinance and procedural requirements applicable to your application.
A determination of completeness of the application shall be made within ten business days of application submittal. A written
notice of application deficiencies shall be mailed to the applicant within ten business days of application.
This is to certify that I am making application for the described action by the City and that I am responsible for complying with
all City requirements with regard to this request. This application should be processed in my name and I am the party whom
the City should contact regarding any matter pertaining to this application. I have attached a copy of proof of ownership
(either copy of Owner's Duplicate Certificate of Title, Abstract of Title or purchase agreement), or I am the authorized person
to make this application and the fee owner has also signed this application.
I will keep myself informed of the deadlines for submission of material and the progress of this application. I further
understand that additional fees may be charged for consulting fees, feasibility studies, etc. with an estimate prior to any
authorization to proceed with the study. The documents and information I have submitted are true and correct to the best of
my knowledge.
The city hereby notifies the ap_~ant
requirements and agenc~ re/~W, the cit~equires an automatic 60-day extension for development review.
review shall be compl, et' ~e ¢~in,/f20 da~s unless additional review e~ensions are approved by the applicant.
Signature o~~ ~ ¢/ / Dat~
Signature 0f Fee Owner Date
that if development review cannot be completed within 60 days due to public hearing
Development
Application Received on ~:) 1 3 )O~L
Fee Paid '~ ~--~b°°--
Receipt No. '~/
The applicant should contact staff for a copy of the staff report which will be available on Friday prior to the
meeting. If not contacted, a copy of the report will be mailed to the applicant's address.
G:~plan\forms\Development Review Application. DOC