HomeMy WebLinkAboutARCH-0532-2021 (2171 San Luis) - Planning ApplicationCITY OF SH111 LLLIS OBISPO
PLANNING APPLICATION
Community Development Department • 919 Palm Street • San Luis Obispo, California 93401 • (805) 781-7170
Project Address and Assessors Parcel Number(s): 2171 ZE Uri ,
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What do you want to do? What is your final qLZl? 4L%�
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Applicant (Who is proposing the project?):TW //Y 7 Day Phone.
Applicant's Address- m4 iUT� -u— gale l Email:
Representative (if any): 67P-PC Lc�jMA-�L Day Phone:,�O 'E?4!4 13[ 2-k
Representative's Address: / Q-`MQ/(/ % _rc?t_ 7 � 5 � Email: (_.VV 1 ,COP
Property Owner (if other than applicant): Day Phone:
Owner's Address: Email:
Please send all correspondence to: ❑ The Applicant e representative ❑ The property owner
Property Owner Authorization:
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. Z
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., Monday through Friday, as part of the normal review of
this planning application.
7/� /z /
Check Review Application No. Fee Paid
❑ Rezoning/PD
""" ❑ Use Permit
0 ❑ Variance
❑ ARC Review
❑ Env. Review
to
❑ Subdivision
❑ GP Amendment
Cj ❑ Annexation
❑Other
O Application fee paid by:
❑the applicant ❑the representative[:] the property owner
Received by: Date:
Applicant/Representative Certification:
By signing this � ation I certify that the information provided is accurate.
I understan a Ci might not approve what I'm applying for, or
�De
ht s d�in of approval. I agree to allow the Community
o me ment to duplicate and distribute plans to interested
o as itr/nines is necessary for processing of the 4Kplication./
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 a1lrang/ean appoiint�men�t.
Name: &., 1/ TI 6-A U-
Day
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 tbereaRer be ofLo further force or effect. F /
Notes to tile:
6-16