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HomeMy WebLinkAboutApplication FOR OFFICE USE ONLY P &Z CASE NO.: 0_,L° zto DATE SUBMITTED:lb - O,2 COLLEGE STATION SITE PLAN APPLICATION • MINIMUM SUBMITTAL REQUIREMENTS Site plan application completed in full. $200.00 Application Fee. ✓ $200.00 Development Permit Application Fee. /4 $600.00 Public Infrastructure Inspection Fee if applicable. (This fee is payable if construction of a public waterline, sewerline, sidewalk, street or drainage facilities is involved.) ✓ Ten (10) folded copies of site plan and landscape plan. ti /4- One (1) copy of building elevation required for buildings with a footprint of 20,000 sq. ft. or greater A list of building materials for all facades that are visible from the public right -of -way. i A copy of the attached site plan checklist with all items checked off or a brief explanation as to why they are not checked off. AIM" Parkland Dedication requirement approved by the Parks & Recreation Board, please provide proof of approval (if applicable). Date of Preapplication Conference: NAME OF PROJECT V /0 C4VEA DE !$ BOOT C /ry ADDRESS 2 300 E,Q6 T Qyfo4 -5S LEGAL DESCRIPTION LOT Z g 5LoC,L. l o15o - m , ij P 4CE. SIZOIY Z$3 A( APPLICANT /PROJECT MANAGER'S INFORMATION (Primary Contact for the Project): Name G EOIe —E Gthq y2/e E ,u Street Address 30Z /2O yiqL DR ?S D,2 . City /GG State . 7 - 2 c Zip Code 7 5 20 Z- E -Mail Address c l @ C. ineilo #, COY!? Phone Number ff. i k5O ^ /Q3 ei Fax Number 903-. "- q -' /207 PROPERTY OWNER'S INFORMATION: Name Pi9Ut C,4,€/< I_ (Crnek& it/y/tooAqin) Street Address 36 .057 Ei9ST zgtG/ -7 • S^v/Teieo Cit gRy,eml 'vL'LF1s 1 57-14 State '- Zip Code 77g OZ- E -Mail Address) �tda,4 e e Cfa'rkecopliichor e, ac p Phone Number -` -ici Ff t ^ 3 $ - 1 1 " Fax Number 7 / 'g (o-- l4z., ARCHITECT OR ENGINEER'S INFORMATION: Name 7X? /k /J CL U/2 . Street Address /OOg W'OOC,t EE �RNF S / /TE /63 City CO/Z-EGSTAT /OA1 State 77( Zip Code 779' E -Mail Address "'/Cc /are& 7 1 � . - ez.., /?e/ Phone Number ( r7 e t — " 6g3 — 38'39' Fax Number 979— 693-- Zrj'6/ , OTHER CONTACTS (Please specify type of contact, i.e. project manager, potential buyer, local contact, etc.) Name Street Address City Site Plan Application 07/02/03 1 of 3 State Zip Code E -Mail Address Phone Number Fax Number CURRENT ZONING pc_ PRESENT USE OF PROPERTY V 4C4/U T PROPOSED USE OF PROPERTY i2 ETA 1 L.. VARIANCE(S) REQUESTED AND REASON(S) Al.//9 # OF PARKING SPACES REQUIRED (o # OF PARKING SPACES PROVIDED 6 MULTI - FAMILY RESIDENTIAL ,L) /4— PARKLAND DEDICATION /,9- Total Acreage # of Multi - Family Dwelling Units Floodplain Acreage X $345 = $ Housing Units # of acres in floodplain # of 1 Bedroom Units # of acres in detention # of 2 Bedroom Units # of acres in greenways # of 3 Bedroom Units date dedication approved by Parks Board # of 4 Bedroom Units COMMERCIAL FOR 2 BEDROOM UNITS ONLY iv /7 Total Acreage I ► 00 3 4C # Bedrooms = 132 sq. ft. Building Square Feet /7 0 d e # Bedrooms < 132 sq. ft. Floodplain Acreage D 2- NOTE: Parkland Dedication fee is due prior to the issuance of a Building Permit. The applicant has prepared this application and certifies that the facts stated herein and exhibits attached hereto are true and correct. -,h Signature of O er, Agent or Applicant Date Site Plan Application 07/02/03 2 of 3 • • SUPPLEMENTAL DEVELOPMENT PERMIT INFORMATION Application is hereby made for the following development specific site /waterway alterations: ,'/C hi CQVEV 2S 30O-7 en-/ LorZi e OCk. 1 o-( $'V 7o /t2 P L c E. ee 5vf3 JJ v/ Sl o lv /, 2 g 3 / ACKNOWLEDGMENTS: { I, GE ' � � E- �/J 4 EX— , design engineer /owner, hereby acknowledge or affirm that: The information and conclusions contained in the above plans and supporting documents comply with the current requirements of the City of College Station, Texas City Code, Chapter 13 and its associated Drainage Policy and Design Standards. As a condition of approval of this permit application, I agree to construct the improvements proposed in this application according to these documents and the requirements of Cha /t-r 13 of the College Station City Code. Property Owner(s) Contractor CERTIFICATIONS: (for proposed alterations within designated flood hazard areas.) A.I, certify that any nonresidential structure on or proposed to be on this site as part of this application is designated to prevent damage to the structure or its contents as a result of flooding from the 100 year storm. Engineer Date B.1, certify that the finished floor elevation of the lowest floor, including any basement, of any residential structure, proposed as part of this application is at or above the base flood elevation established in the latest Federal Insurance Administration Flood Hazard Study and maps, as amended. Engineer Date C. 1 ,1/4ICF{AE[_ / l eth.o E , certify that the alterations or development cover yfi3, rmit shall not diminish the flood- carrying capacity of the waterway adjoining or crossing this permitted sit 6 Itgrations or development are cons'stent with requirements of the City of College Station City Code, ChArito1'3 , - - r` encroachments of fl00% ays and of floodway fringes. 4 * ; � \ * if` t �� • l 01 s 103 g , MICHAEL R. McCLURE Engi er Date Vp ; 32740 w// t D. 1, do certify that the proposed alterations do n fi etetolifthe 100 year flood above elevation established in the latest Federal Insurance Administration Flood Haza Engineer Date Conditions or comments as part of approval: In accordance with Chapter 13 of the Code of Ordinances of the City of College Station, measures shall be taken to insure that debris from construction, erosion, and sedimentation shall not be deposited in city streets, or existing drainage facilities. All development shall be in accordance with the plans and specifications submitted to and approved by the City Engineer for the above named project. All of the applicable codes and ordinances of the City of College Station shall apply Site Plan Application 07/02/03 3 of 3 1AV EAJD4,e S SUBMIT APPLICATION AND THIS LIST CHECKED OFF WITH 10 FOLDED COPIES OF SITE PLAN FOR REVIEW COLLEGE STATION SITE PLAN MINIMUM REQUIREMENTS (ALL CITY ORDINANCES MUST BE MET) INCLUDING BUT NOT LIMITED TO THE FOLLOWING: L9 1. Sheet size - 24" x 36" (minimum). ® 2. A key map (not necessarily to scale). II 3. y Title block to include: l --// Name, address, location, and legal description Name, address, and telephone number of applicant lam/ Name, address, and telephone number of developer /owner (if differs from applicant) d/ Name, address, and telephone number of architect/engineer (if differs from applicant) Cg' Date of submittal V Total site area I11 4. North arrow. lH' 5. Scale should be largest standard engineering scale possible on sheet. IE 6. Ownership and current zoning of parcel and all abutting parcels. V 7. Existing locations of the following on or adjacent to the subject site: er Streets and sidewalks (R.O.W.). 2 l Driveways (opposite and adjacent per Driveway Ordinance 1961). / Buildings. !9 Water courses. LI Show all easements clearly designating as existing and type (utility, access, etc.). Di 100 yr. floodplain and floodway (if applicable) on �r adjacent to the proposed project site, note 1, if there is none on the site. Utilities (noting size and designate as existing) within or adjacent to the proposed site, including building transformer locations, above ground and underground service connections to buildings, and drainage inlets. 3 Meter locations. Topography (2' max or spot elevations) and other pertinent drainage information. (If plan has too much information, show drainage on separate sheet.) 8. Proposed location, type and dimensions of the following.: '^k �/ Phasing. Each phase must be able to stand alone to meet ordinance requirements. !H The gross square footage of all buildings and structures and the proposed use of each. If different uses are to be located in a single building, show the location and size of the uses e7 within the building. Building separation is a minimum of 15 feet w/o additional fire protection. Setbacks. Show building setbacks as outlined in Ordinance 1638 Zoning Ordinance, / (Section 7, Table A). Cif Off- Street parking areas with parking spaces drawn, tabulated, and dimensioned. Minimum parking space is 9' x 20', or on a perimeter row 9' x 18' with a 2' overhang. Designate number iv of parking spaces required by ordinance and provided by proposal. Handicap parking spaces. SITF. PLAN CHT CK! JST 1 of ' 67 Parking Islands. Raised landscape islands, (6" raised curb) a minimum of 180 sq. ft. are i required at both ends of every parking row (greenspace area contiguous to the end island maybe applied toward the required 180 sq. ft.). Additionally, 180 sq. ft. of landscaping for every 15 interior parking spaces must be provided. All required islands must be landscaped or set with decorative pavers, or stamped dyed concrete or other decorative materials as / approved. li / Drives. Minimum drive aisle width is 23' with head -in parking or 20' without parking. Curb cuts. For each proposed curb cut (including driveways, streets, alleys, etc.) locate existing curb cuts on the same opposite side of the street to determine separation distances between existing and proposed curb cuts. Indicate driveway throat length as measured in the Driveway Ordinance. (See Ordinance 1961 for driveway location and design requirements.) / Security gates (show swing path and design specs with colors). blf Sidewalks (both public and private). Sidewalks are required at time of development if property has frontage on a street shown on the Sidewalk Master Plan or if the review staff determines the necessity. (Refer to Section 10.2 of the Zoning Ordinance). / Medians. Show any and all traffic medians to be constructed on site. [9' Landscape Reserve. A twenty four foot setback from R.O.W. to curb of parking lot is required. Pavement may encroach into this 24' reserve by up to 1134 square feet if streetscape requirement can still be met. In no case may the pavement be less than 6' from the property iti" line. Common open spaces sites 14 Loading docks Detention ponds L Guardrails rriT Retaining walls ® All required and other types of fences (a 6' privacy fence is required between industrial /commercial and residential developments as well as between multi - family and single / family developments). �f Sites for solid waste containers with screening. Locations of dumpsters are accessible but not visible from streets or residential areas. Gates are discouraged and visual screening is i required. (Minimum 12 x 12 pad required.) Show all easements clearly designating as proposed and type (utility, access, etc.). If d dedicated by separate instrument list by volume and page. Utilities (noting size and designate as proposed) within or adjacent to the proposed site, including building transformer locations, above ground and underground service connections to buildings. t> / Meter locations (must be located in public R.O.W. or public utility easement.). Proposed grading (1' max for proposed or spot elevations) and other pertinent drainage v information. (If plan has too much information, show drainage on separate sheet.) Show proposed and existing fire hydrants. Fire hydrants must be located on the same side of a major street as a project, and shall be in a location approved by the City Engineer. Any structure in any zoning district other than R -1, R -1A, or R -2 must be within 300 feet of a fire v , hydrant as measured along a public street, highway or designated fire lane. Show fire department connections. FDC's should be within 150' of the fire hydrant. In no case shall they be any further than 300' apart, and they shall be accessible from the parking lot without being blocked by parked cars or a structure. Show fire lanes. Fire lanes a minimum of 20 feet in width with a minimum height clearance of 14 feet must be established if any portion of the proposed structure is more than 150 feet from the curb line or pavement edge of a public street or highway. NOTE: Fire hydrants must be operable and accepted by the City, and drives must have an all weather surface as defined in the Zoning Ordinance Section 9 before a building permit can be issued. V 9. Will building be sprinkled? Yes V No ❑ If the decision to sprinkle is made after the site plan has been approved, then the plan must be resubmitted. STTP P1. AN CHECKI.IST 2 nf 1 'a 10. Wheelstops may be required when cars overhang onto property not owned by the applicant or i where there may be conflict with handicap accessible routes or above ground utilities, signs or other conflicts. i 11. Show curb and pavement detail. A 6" raised curb is required around all edges of all parts of all paved areas without exception. (To include island, planting areas, access ways, dumpster locations, utility pads, etc.) Curb details may be found in the Zoning Ordinance Section 9 and alternatives to those standards must be approved by the City Engineer. No exception will be i m ade for areas designated as °reserved for future parking ". 12. Landscape plans as required in Section 11 of the Zoning Ordinance (See Ordinance # 1638.) The landscaping plan can be shown on a separate sheet if too much information is on the original site plan. If requesting protected tree points, then those trees need to be shown appropriately barricaded on the landscape plan. Attempt to reduce or eliminate plantings in easements. Include information on the plans such as: ® / required point calculations y additional streetscape points required. Streetscape compliance is required on all streets larger V than a residential street. calculations for # of street trees required and proposed (proposed street tree points will accrue / toward total landscaping points.) L9 proposed new plantings with points earned C7 proposed locations of new plantings Q screening of parking lots 13 screening of dumpsters, detention ponds, transformers, NC units, loading docks, propane tanks, utility demarcation point on buildings, or other areas potentially visually offensive. uz( / eshow xisting landscaping to remain existing trees to be barricaded and barricade plan. Protected points will only be awarded if barricades are up before the first development permit is issued. Q 13. Show irrigation system plan. (or provide note on how irrigation system requirement will be met prior to issuance of C.O.) All plans must include irrigation systems for landscaping. Irrigation meters are separate from the regular water systems for buildings and will be sized by city according to irrigation deman submitted by applicant and must include backflow prevention / protection. Q 14. Is there any landscaping in TxDOT R.O.W. ? Yes ❑ No / If yes, then TxDOT permit must be submitted. V 15. Will there be any utilities in TxDOT R.O.W. ? Yes ❑ No 0' / If yes, then TxDOT permit must be submitted. ` r A 19 16. Will there be access from a TxDOT R.O.W. ? r Yes ❑ No ❑ If yes, then TxDOT permit must be submitted. tr Exisrs 4 x 17. The total number of multi - family buildings and units to be constructed on the proposed project site. 4 18. The density of dwelling units per acre of the proposed project. li 19. Provide a water and sanitary sewer legend to include water demands (minimum, maximum and average demands in gallons per minute) and sewer loadings (maximum demands in gallons / per day). ® 20. Are there impact fees associated with this development? Yes ❑ No ®--- NOTE: Signs are to be permitted separately. SITP PLAN CHF.CKI.1ST 3 of 3 FOR OFFICE U E NLY 17.1'�1F r� r CASE NO0 - 3 3 DATE SUBMITTED 10 - 16o -05 P l COLLEGE STATION DESIGN DISTRICT BUILDING & SIGN REVIEW APPLICATION Design Review Board (Check one) ❑ NG -1 ❑ NG -2 ❑ NG -3 ICNPC MINIMUM SUBMITTAL REQUIREMENTS Application completed in full. $200.00 Special District Application fee I/ Ten (10) folded copies of facade details (including signage) with dimensions. (for Facades only) Ten (10) folded copies of sign details with dimensions. (for signs only) i/" Color and material samples. If attached signage is proposed, provide ten (10) copies of a building elevation showing sign placement. Date of Preapplication Conference: ,C:, NAME OF BUSINESS /4 VEV O E)2 ) 5 BOOT e'Ty ADDRESS 3 gO>W1 O f � 5 Di EA V/I LE Tjc 75V , LEGAL DESCRIPTION 1-'7T zR 5LO ck / p,c SUTTo,U Pt4ic° e6 /v /s /Oit3 /,283AC PRESENT USE OF PROPERTY VAtL'i4I L PROPOSED USE OF PROPERTY Tr9 / APPLICANT'S INFORMATION: Name GEC E 141,9IREAJ Street Address 30Z ,tea y9 L ©i A 5 De, City GeEril/V /LL E State Zip Code 7654 a E -Mail Address 0/de/cv c a /714 c pm , Phone Number 9O3- 4 -/q3, Fax Number 7a3-4 PROPERTY OWNER'S INFORMATION: Name PAUL e G igiekE (&1eE a Wy/UDi AN) Street Address 3605 EAST ZT'I 5*. 5w7 ioo City SRYAAJ /'2 ZtE6 E STIMDA/State Zip Code 77842- E -Mail Address ` ade/Me@ c/grkewyrrdfiq n , Corn Phone Number 77'°" O 4 ' _'3 Fax Number ?7?-8'4 /4'6/ DESIGN -- -I.DOC 7/3/2003 1 of 2 i n j • DESCRIPTION OF PROPOSED EXTERIOR CHANGES 2T,IJCX2Fi45E s /zE 4 F 3If, FRO WI /O D 'Z sf TO /7 QD6, .. ivC F sE W /LL Occ v►�- /4L 0 to G- --Cov 77--1 -4- GO S i 5/0E5 Co YE 577 AI 6- 7;4L s/-} E E f /L) G iv/ 77-1 5 cc(' ( DeyV /T . 1 DD sIrbqL c CAiL3OP, ,4 e s DS 5 /n!2 OIVT 1 1 T/-I rr'I'IE)C /e,q,V 77 ()OF- • AND /OR ATTACHED SIGN pN /��� � q [� FREESTANDING SIGN Square Footage ie, EAye. r /5;75. A Square Footage MA)X 44 All applications must be reviewed by the Design Review Board. Once a meeting is scheduled, the applicant will be notified of the date and time so that he can be present to discuss the proposal with the Board. The applicant has prepared this application and certifies that the facts stated herein and exhibits attached hereto are true and correct. /031x3 Signature o caner, Agent or Applicant Date DESIGN -i .DOC 7/3/2003 2 of 2 • FOR OFFICE USE ONLY • ` 4 P&Z CASE NO.: V`1 - y / 5 DATE SUBMITTED: /04 COLLEGE STATION ALTERNATIVE PARKING PLAN NAME OF PROJECT INITIATING ALTERNATIVE PARKING PLAN Cavendar's Boot City PROPOSED USE OF PROPERTY Retail Store NUMBER OF REQUIRED PARKING SPACES (As per the City of College Station Unified Development Ordinance Section 7.2.H, Number of Off - Street Parking Spaces Required) 68 ADDRESS Cavender's Boot City, Post Office Box 267, Greenville, Texas 75703 -0267 LEGAL DESCRIPTION Lot 2 R, Block One, Sutton Place Re- Subdivision ZONING OF PROPERTY Wolf Pen Creek Design District APPLICANT'S INFORMATION (Primary Contact for the Project): Name Cavender's Boot City Street Address Post Office Box 267 City Greenville State Texas Zip Code 75703 -0267 E -Mail Address N/A Phone Number Fax Number PROPERTY OWNER'S INFORMATION: Name Same as Applicant NAME OF PROJECT PROVIDING ALTERNATVE PARKING (Same as Initiator) PRESENT USE OF PROPERTY Retail Store NUMBER OF REQUIRED PARKING SPACES ADDRESS LEGAL DESCRIPTION ZONING OF PROPERTY alternative _parking_plan_application 6/13/2003 1 of 4 DISTANCE FROM BUILDING FOR PROJECT INITIATING ALTERNATIVE PARKING PLAN TO ALTERNATIVE PARKING SPACES (In feet) Approximately 30' TYPE OF ALTERNATIVE PROPOSED: Shared Parking Off -Site Parking X� B %y P ing Other RATIONALE FOR ALTERNATIVE PARKING PLAN THE CLOSE PROXIMITY OF THE WOLF PEN CREEK TRAIL SYSTEM, THE HIGH CONCENTRATION OF APARTMENT BUILDINGS AND OTHER STUDENT HOUSING IN THE AREA CONTRIBUTES TO THE LIKELYHOOD THAT BICYCLES WILL OFTEN BE USED TO COMMUTE TO THIS RETAIL CENTER. The applicant has prepared this application and certifies that the facts stated herein and exhibits attached hereto are true and correct. The undersigned hereby requests approval by the City of College Station of the above identified Alternative Parking Plan and attests the all respective owners have been identified on this application. ,PP /0//3/0 9 Si natu re A licant Date alternative _parking_plan_application 6/13/2003 2 of 5 ALTERNATIVE PARKING PLAN ATTACHMENTS (Check all that apply) SHARED PARKING PLAN ❑ Alternative Parking Plan Agreement ❑ Shared Parking Study Form ❑ Shared Parking Easement OFF - SITE PARKING ❑ Alternative Parking Plan Agreement ❑ Shared Parking Easement BICYCLE PARKING Alternative Parking Plan Agreement OTHER ❑ Alternative Parking Plan Agreement alternative _parking_plan_application 6/13/2003 3 of 5 FOR OFFICE USE ONLY • `� CASE NO. FF J ` • DATE SUBMITTED 1 COLLIGL STATION :59k_ CONCEPT PLAN REVIEW FOR PDD / P -MUD q l PDD -H (Housing) ❑ PDD -I (Industrial) ❑ PDD -B (Business) ❑ P -MUD MINIMUM SUBMITTAL REQUIREMENTS Application completed in full. $200.00 application fee. •/ Ten (10) copies of the Concept Plan in accordance with Section 3.4.D of the UDO. I/ Written legal description of subject property (metes & bounds or lot & block of subdivision, whichever is applicable). V Concept Plan Information sheet completed in full. tyFr Proof that the Greenways Manager has reviewed and approved your conceptual plan. Proof that the Parks and Recreation Advisory Board has reviewed and approved your conceptual plan. ?arklanA re ,u rewlenf ka5 nirewi he mei-. Date of Required Preapplication Conference: ALL 4 1 ;493 APPLICANT'S INFORMATION Name(s) (r tos fame. . J • Street Address 44t) COV/0 0.Tri City CO 1/eye State 'V Zip Code 1154.S E -Mail Address Phone Number rig-670 Fax Number (7? - 470 - /04'/ PROPERTY OWNER'S INFORMATION: //-- Name(s) r�.e .11.5 � GZiriG . - ✓I ye'STo✓5, ad. Street Address `*!o ('asitg - Dr ✓e.. City CO 1' tat_ t • t State Zip Code - 1l Q-J E -Mail Address Phone Number q ?1 - 72-5 Fax Number 1 ? - 1' --670 - /o4 - j This property conveyed to owner by deed, dated p3 -17- 2k 0 and recorded in Volume mos Page 55, of the Brazos County Deed Records. General Location of Property: NOr- , o 42 r,, is PrQirie Rd, weed-0P proposed SO-4o Address of Property: Ylone Legal Description: Ro6.e.t,- 5fe ✓er,5/01 , 7 t/, Total Acreage: 31.1 3S at e S Existing Zoning: A -0 Requested Zoning: - 0 Present Use of Property: Aolrl C.w1-turet./ Proposed Use of Property: Sa ►-j4-_ frerati r cid b 7 l concept plan rcvicwO8/04/03 1 of 4 • CONCEPT PLAN INFORMATION • Purpose and intent of proposed development, as approved by the City Council as part of the PDD zoning: 1 56 0 3k ru i�► &j r� , f P� reViien{,ed coremunilj Wi aime.iUlies h4 pormeic, r Pry tut-1A °F (tie, List and explanation of the land uses approved by the City Council as part of the PDD zoning: 5/{q i1c-, ai r �. � �� l r/ 6 Q1%rpeV1 a • J re� What is re ange of uture uildmg h IS' - 3s' Please provide a general statement regarding the proposed drainage: H sIZrwi sewer— $ $7 nt kA i( enis*rur4 -eeJ --Iv cai4rol 4 tie a ricriog , >ztv a_ - tr,bufary oP r[r► Cr _ . A de-leit--ii'o n -Foci G Castle ft eVP,lop 1 1 has been c 0rw el 6-lreawl of 4us %PXPJo . 7k exi po► alp nc `o Yzs as a eidevviirri per, A. 1 drai - d- led be prw &4 (T ow d r✓P_lo ' A M CD pliav e iu� die- ( of Dreg c e Orc%�,5- ,ark . 1 List the al bulk or dimensional variations sought: 5/r. J' vevn& - ii writ -ki "fr CbllPc- r r a :. 1_ rest Leer a-/ sfr°ed - 5 �to6J? L4 . re rern er ds it co lI P- -star t rPnrjerti) b ne 4 , rneMz or►s ta ca. ,SPA �c sfa.�s Itiu.n -rvl 16 Core 'ar) ctrr (oca'1 ad ac enf 7 - /Le -rfo plams , r1reLii w j etreAS, area s. If variations are sought, please provide a list of community benefits and / or innovative design concepts to justify the request: S ec Lt. (A-e � c� 3u.sV r YnU` 5 (hb ,c eW •_ Si -NC s f (Please note that a "complete site plan" must be submitted to Development Services for a formal review after the "conceptual" plan has been approved by the Design Review Board prior to the issuance of a building permit — except for single - family development) The applicant has prepared this application and supporting information and certifies that the facts stated herein and exhibits attached hereto are true and correct. IF APPLICATION IS FILED BY ANYONE OTHER THAN THE OWNER OF THE PROPERTY, APPLICATION MUST BE ACCOMPANIED BY A POWER OF ATTORNEY STATEMENT FROM THE OWNER. / sic . 10 + ;Yf,. Jo z(03 Signature of owner or ap scant Date 014