HomeMy WebLinkAboutMOD-0806-2021 Planning ApplicationCITY OF Sq11 LUIS OBISPO
PLANNING APPLICATION
Community Development Department • 919 Palm Street • San Luis Obispo, California 93401 • (805) 781-7170
Project Address and Assessors Parcel Number(s): �/,,D�- ✓`"�J
What do you want to do? What is your final goal? r wJ 3 �'b Y,.ic-d✓ao'
Applicant (Who is proposing the project?): Day Phone:
Applicant's Address:_ _3 -<en''l40 Email: ��'�t,.„��✓ ,�
Representative (if any): Se.sri Day Phone: //7
s Address: _�7 Email: ' / �c.��,
Owner (if other than applicant): / Day Phone:
Owner's Address:
Email:
Please send all correspondence to: oThe Applicant The representative The property owner
Property Owner Authorization:
By signing this applicatiO I certify that I have reviewed this completed
application and the alt�c material and consent to its filing. I agree to allow
the Community Devi! ment Department to duplicate and distribute plans
to interested pe n as it determines is necessary for the processing of the
application.
Si
// / 2
Date
Permission to Access Property:
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., �%nday through Friday, as part of the normal review of
this planning applic ion.
/1 /1-2" 2
Sign�4V
Date
Check Review
Application No. Fee Paid
❑ Rezoning/PD
❑ Use Permit
0
❑ Variance
❑ ARC Review
y❑
Env. Review
'�
❑ Subdivision
❑ GP Amendment
V
❑ Annexation
i
❑ Other
O
Application fee paid by:
[]the applicant []the representative [-]the property owner
Received by:
Date:
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 D 0111116ftent to duplicate and distribute plans to interested
persons as i is necessary for processing of the application.
11-12- 2-i
Date
Interior Inspection Contact Information:
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.
Name: ��✓ ��i
Address:.��
Day Phone: A0S
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 ,t a Owner / Applicant of any such claim, action or pro-
ceeding, or that the Ci fails to cooperate fully in the defense of said claim, this
condition shall there er be of no further force or effect.
Date
6-16