HomeMy WebLinkAbout2. SLO Planning Application SignedPLANNING APPLICATION
Community Development Department • 919 Palm Street • San Luis Obispo, California 93401 • (805) 781-7170
Project Address and Assessors Parcel Number(s):
What do you want to do? What is your final goal?
Day Phone:
Day Phone:
Day Phone:
The Applicant The representative The property owner
Applicant (Who is proposing the project?):
Applicant’s Address:
Representative (if any):
Representative’s Address:
Property Owner (if other than applicant):
Owner’s Address:
Please send all correspondence to:
By signing this application I certify that I have reviewed this completed
application and the attached material and consent to its filing. I agree to allow
the Community Development Department to duplicate and distribute plans
to interested persons as it determines is necessary for the processing of the
application.
Applicant/Representative Certification:
By signing this application I certify that the information provided is accurate.
I understand the City might not approve what I’m applying for, or
might set conditions of approval. I agree to allow the Community
Development Department to duplicate and distribute plans to interested
persons as it determines is necessary for processing of the application.
Signed Date Signed Date
This section is to be completed by the property owner and/or occupant who
controls access to the property. To adequately evaluate many project proposals
Community Development Department Staff, Commissioners and City Council
Members will have to gain access to the exterior of the real property in order
to adequately review and report on the proposed project. Your signature below
certifies that you agree to give the City permission to access the project site
from 8 a.m. to 5 p.m., Monday through Friday, as part of the normal review of
this planning application.
Occasionally, Community Development Department staff may need access to
one or more buildings on the project site. If this is the case, Staff will use the
contact information below to arange an appointment.
Permission to Access Property:Interior Inspection Contact Information:
Signed Date
Name:
Address:
Day Phone:
Check Review Application No. Fee Paid
Rezoning/PD
Use Permit
Variance
ARC Review
Env. Review
Subdivision
GP Amendment
Annexation
Other
Application fee paid by:
the applicant the representative the property owner
Received by: Date:
Notes to file: Office Use Only6-16
Indemnification Agreement:
The Owner/Applicant shall defend, indemnify and hold harmless the City or its
agents or officers and employees from any claim, action or proceeding against
the City or its agents, officers or employees, to attack, set aside, void, or annul,
in whole or in part, the City’s approval of this project. In the event that the City
fails to promptly notify the Owner / Applicant of any such claim, action or pro-
ceeding, or that the City fails to cooperate fully in the defense of said claim, this
condition shall thereafter be of no further force or effect.
Signed Date
Email:
Email:
Email:
Property Owner Authorization:
222 Elks Lane, San Luis Obispo, CA 93401
APN: 053-011-026
Swap out the existing flag pole and replace the pole with a
stealth mono eucalyptus tree. Install nine (9) new antennas, six (6) new radios and two (2) new cabinets.
Sprint West LLC
Timothy Johnson, Synergy Development Services
7543 Woodley Avenue, Van Nuys, CA 91406
4100 Guardian Street, Suite 101, Simi Valley, CA 93063
714-266-6668
tjohnson@synergy.cc
X
BPOE Elks Lodge 322
222 Elks Lane, San Luis Obispo, CA 93401
805-543-0322
1/27/2021