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APPLICATION FOR CONDITIONAL USE PERMIT P&ZCase No. ~Z:...5Z!2~
Dat~ Received~.k2p.ii!,IL7___
Applicant: William B. S amps onl Nicola sJ .0 emp selPhone: 714- 675 - 6073
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Address: 2819 Crow Canyon Rd#217 San Ramon,ICa . 74583
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Location of Project: ... _.l-=-~~!_~~.!_1.~~JL-~~_9_~~~~~_!L~_____..;.______
Owner of land: Robert W . Callaway .. . I
Address ofOwner~--;~;~-;:::tay~~0-(~:~~:~~~6Jt:-as - 78;01-----
Proposed .U.: p. a r-;;~;-j~-;~~-;:{~-;:d8--:;:~-:;-:~~~;-:~-~ n i ~-:::~~;:~ c t ion s
Present. Use of. :~:::y:--=~~i~t!j~~{tY---~~~:i ~=-~-=~=
Si~ature~PlIean~--~--------
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IFAPPLICATIONISFILlDB'JAN AGIIT. A.POWIBOrAftOBNBYSTATIMDT MUSTBB INCLUDED.
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A.public . hearing. .'.is. .required..fora propos.~,dconditionaluSe . permit. . The applicant
isresponsibleforplacing8IlJidvertisement .inthepBpe.r >at . least . .15dBYs prior to
the public. hearing. .. .The.Planning..Dep~rtDl~Il~ ..will...pr~pare.:the.....ad. All. .property
own~rswi thi.n200feetm~t be n()tifiedof~hepublichearing. ...TheCityprePBres
andaails thes.e potific~tion~to.thepeopl~ on the lis.~prr~pal"ed by the City's Tax
Office.,See'Ordinance .No. 850.Section lOforc:oJDP~ete......re~uirements.
MiniDlUDlRequirements: . .... ... .. .. .. .. . :
. 1. Applicatiop completed in full plus list of pr()per~yown.ers within 200 feet.
. (Cit.yT8}COfficeprepare~ lis t )J.pon. requestfr~m applicant.)
2. Rec:~ipt forfilillgfee. '<$25.00} plus $2.00 fox; ea.ch p~()perty ()WDerwithin
20Q,!feet.,as. .listed .on....the ....City .Taxrolls<. ..... . ......~...,48BOUBS....... roB, .PBBPARATION. .or
LIS!!'. .... . .. ..... . . . .1
3. Fi'Yf3 (5) copies of site plan which include requirements for site plan
prqposals~ listed on attached sheet. This site pl~willg().toP.R.C.
forrl"eview,afterwhich ten (10) revised copiesofsit~plan will be
rel.lp-ired. . ... .. ... .... ... . .. ;
4. De~fliledexplanat ion of proposied use iDcludiDghours~f operation ,number of
emp~oyees,nWnber of students ,chi ldren, cb,urch member:rs, etc., as
8ppJicable. '
5. If:i~ign'isplannedforproject,8itepl8D.8hould iDcludesigIl elevatioD 81ld
~~~~18.,~f sign details,etc., are not included on. the plans submitted
./ wi~~ :this'8pplicBtioll,any.future signmustbeconsideredas.8separate
co~(iition~~useperDIitandall.oftheBboverequ.irementsmust.berepeated.
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