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��o ���� �� ���r�c� <br /> , � � <br /> � , �.�, �����p��������r�� ������� ���� <br /> � G� <br /> �'�kFs�o��' <br /> {This form is to be completed by a City Planner durin8 your pre-appliaation meeting.) <br /> For �ce Use On . <br /> City Plar�ner: �V ���0����: <br /> PC Date: ��: <br /> What fs the purpose of a pr�e,application mee�iny? <br /> Pre-application meetlngs afd the applicant in preparing a complete Proposal,inform them af the proc�iures and requirements <br /> of the ci�y code,and ldentify poliaes or regulations thet creaUe opportunf�es or problems far the proposai, <br /> PROPERTY INFORMATiL1Al: - <br /> Site Address: t��'1� � S, <br /> Pmperty ideritification umber PIN): - <br /> Zoning District: Size af Property: <br /> LAND USE REQUESTS: <br /> E]Ap�eal af CI Commercisl Site Ptan O Compref�ensive Pian ��gment!ROW <br /> Administrative Decislon Review Amendment Wa�ation, <br /> without subdivis[on <br /> � PID � PUQ-Residential 0 RPUd,without 0 Zm�ing Amendrnettts <br /> � PUD•Commeraa! subdivision induclin Rezanin <br /> ❑ dther <br /> CONDITI�NAL USE PERMIT REQUESTS: <br /> 0 Amend�xfsting CUP �Cornrnerqat!tndusfiat Use 0 Dup(ex Credit per bldg) <br /> ❑Grading and f�lling- �Grading and f�fing- �Grasfing snd f3Nng-with 75 fest of OHWL <br /> or more Wefland and flood t� indudes seawslls and tai watls <br /> uest House/ O Institudonei ����� <br /> est Apartment �ype: 0 Renewa!of CUP Resid ' 1 Use <br /> T e: <br /> ApplicanYs BILLS ANQ E5CRQW: T#�e land use a <br /> lnitials: PP��tbn fee is for dty staff t[me and overhead <br /> casts only. Owner andiar Appticant shall pay far consultant expenses in�rred �n �ew o€ <br /> Qwner's thls application andlor additiona! staff tf e not covered in initiaf appla��on fee, as we�l as <br /> a <br /> Initials: provide an escrow in the amouM at '' to guaran#ee paymerjt of the aba�e. <br /> OTHER IN�ORMATiON: <br /> *Ptease note: You�land use or conditional use permit wili NOT be accepted without a pre-app(icatio� <br /> meeting during which this fiorm ' co pteted by City staff. <br /> Applicant S�gnaturs: � — Date• _�D /6 - /c� <br /> � - <br /> Owner Signature: RECE111'EC <br /> oa�: /d �� �� <br /> �„��,�,-.�,,,,�,z�,s AUG 1 7'ZO1� <br /> ��3 � ,� � � ,�, ClTY O�OR4N <br />