HomeMy WebLinkAbout1111 Cabrillo Avenue - Applicationc�o� or� ����o�c��
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�"jrve of Apvlication: Special Permit Variance �her ��%��OyL �!'�t-dYJ .
Project Address l� �� ��'�-�t L� /�k��tJr%kJ
Assessor's Parcel Number(s) ��"`��� ' D�v
APPL/CANT
Name: � �'� 1���►�9- ��9`�-G'�i�ej'J
Address: 6� ����Nv �
City/State/Zip: � ���Jo �(�9- 9�BGG
Telephone:(work) ���-�6�.�
(home) —
PROPERTY OWNER
Name: /�l2/ tiG� �� �ZD"�'�.25
Address: �«� �.PJ /�•4�
City/State2ip: �`� G9'- ��4'Ga
Telephone:(work) � 3 -g ?�' a
(homel 3 �7 - �� `��
ARCH/TECT/DES/GNER
Name: �S9�t/ � �'�°P
Address:
City/State/Zip:
Telephone (daytimel:
Please indicate with an asterisk f*1 who the contactverson
is for this vroiect.
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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.
� � f'.f—
Applica t's Si nature Date
I know about the proposed application, and hereby authorize the above applicant to submit this
application. `G/"� � � F�
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Proper y Owner's Signature ate
--------------------------------------------------OFFICE USE ONLY -----------------------------------------------------
Date Filed: �� �0"�� Fee � ��� Receipt #
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 Acti