HomeMy WebLinkAbout1600 Toledo Avenue - ApplicationCITY OF PU�LINGAII/lE
APPLICATION TO THE PLANNIN COMMISSION
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�v e of lication: Special Permit Variance Other �� � �� ?
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Project Address �lOd% `�OU�O �%121�� �
Assessor's Parcel Number(s) �� � �' �� �� ' / ��='
APPL/CANT
Name:
Address:
City/State/Zip: _
Telephone:(work)
(home)
PROPERTY OWNER
Name: 11�'�' g ���LVe�Ot-� �-t�-I-
Address: IIOOD �0(,��70 1�I21�/�s
City/State/Zip: �l�ll���
Telephone: (work)
(home)
ARCH/TECT/DES/GNER
Name: �1-�t� �l� 1� I ti�Gr � Ot����
Address' f�d � 7 �/�/��%�`� �� �ease indicate with an asterisk !•1 who the contactverson
� is for this vroiect.
City/State2ip: ��r7 GI I �� � ��?j
Telephone (daytimel: ��i57 �r%• ��
PROJECT DESCR/PT/ON: �`' f"i (�� C�LI�•� - f�v. I Ce%� f I" �4�I�C���
AFF/DA V/T/S/GNA TURE:
I hereby certify under penalty of perjury that the information given herein is true and correct to the
best of my knowledge and belief.
,
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Applicant s Signature at
I know about the proposed application, and hereby authorize the above applicant to submit this
application.
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Property Owner's Signature Date
--------------------------------------------------OFFICE USE ONLY -----------------------------------------------------
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Date Filed: J� �� "�/� Fee ���� ` r Receipt�# �- z
Letter(s) to applicant advising application incomplete:
Date application accepted as complete: '
P.C. study meeting (date) P.C. public hearing (date)
P.C. Action
,z�az Appeal to Council7 Yes No
projapp.frm Council meeting date Council Action