HomeMy WebLinkAbout1549 Alturas Drive - Application- - - o,� c�o� o� �ua�,���� RECEIVED
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Tyne of A�vlication: Special Permit Variance Other � I/�}C� �1titwNO p DT
Project Address -�; i`l � /��e-r'��Z.� ,�7��.
Assessor's Parcel Number(s) ��.�7 — C� t.� �� �'
APPL/CANT
Name: 14;�'.t. � �ir� U;cx,.n��
Address:l,r"�, � f�(��kcy�G� 5 ,�-
City/State/Zip: �. ` 2 � �. �%`fU/D
Telephone:(work)C�IS� ��'� `��5�
(home)
PROPERTY OWNER
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Name: _l�"_P_t - `��r'?�1 �'���I `' - _�.r_ao�
Address: �3R � � �,1.Q �-�Y �$
City/State2ip: (����.,►�d , �+c . �I �[ (0�?1
Telephone:lwork)
(home)
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ARCH/TECT/DES/GNER ,: ,, T � i .
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Name: �� Zhcc v �,�St SCC��n
Address' -� �.�/X, ������_ �ease indicate with an asterisk !'1 who the contact n_rcnn
�• is for this vroiect.
City/State/Zip: ��,�i �`��Y�C:Q . �Q • ��i %��� . ��: �
Telephone (daytime):��( �� Z�f� -I � �- c�,� � ,� r � � -�';� ,
PROJECT DESCR/PT/ON:
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.
`�a�-- i
Applicant's Signature Date
I know about the proposed application, and here y authorize the above applicant to submit this
application. � � �
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� '` % 1. � d�` �� .
Property O r's Signatbfe Date
--------------------------------
Date Filed• �� '�S-�-3
QFFICEUSE ONLY -----------------------------------------------------
Fee a�P� Receipt # t.,
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 _ '
_.�- � ,
,siss Appeal to Council7 Yes No � � ' " ".,, ,: ,'; � �'
projapp.frm Council meeting date Council Action j� '