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18 ATTACHMENT 13
City of Pleasanton
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CITY CLERK
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2008
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011508
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18 ATTACHMENT 13
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1/10/2008 3:38:31 PM
Creation date
1/10/2008 3:28:32 PM
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CITY CLERK
CITY CLERK - TYPE
STAFF REPORTS
DOCUMENT DATE
1/15/2008
DESTRUCT DATE
15 Y
DOCUMENT NO
18 ATTACHMENT 13
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III. AUTHORIZATION OF PROPERTY OWNER <br />A. PROPERTY OV-T'ER: In signing this application, I, as property owncr, havc full legal capacity to, and hereby do, authorize the filing of <br />this application. I understand that conditions of approval are binding and agree to be bound by those conditions, subject only to the right to <br />object at the hearings or during the appeal period. I certify that the information and exhibits submitted arc true and correct. <br />Name (Pls. Print): CX- ^ •~ ('n ~~~~ `~b `n <br />Company: <br />B <br />Address: Fax. <br />E-mail: '~A rvb~ (~ o. Z~:C`~'tl S~ . n a~ <br />city: Zip' l o~a ~ O <br />(~ Date: S <br />~ignature: ~., r <br />APPLICANT OTHER THAN PROPERTY OWNER: In signing this application, I, as applicant, represent to havc obtained <br />authorization from the property owner to file this application. I agree to be bound by conditions of approval, subject only o~ec ghha e <br />object at the hearings on the application or during the appeal period. If this application has not been signed by the property <br />attached separate documentation of full legal capacity to file the application. I certify that the information and exhibits submitted are true <br />and correct. <br />Name (Pls. Print): <br />Company: <br />Address: <br />City: <br />Signature: <br />C. <br />NOTE ANY OTHER PARTY(IES) WHO SHOULD RECEIVE STAFF REPORTS AND NOTICE OF APPLICATION: <br />Namc (Pls. Print): <br />Address: <br />City: <br />Telephone: <br />E-mail: <br />Name (Pls. Print): <br />Address: <br />Zip: <br />City: <br />Telephone: <br />E-mail: <br />,. • ~ .• . , <br />'TY. :SCHOOL FEE AGREEMEN'T' ~If s residential project1 answer the gaesbon below) <br />Have you signed a School Fee Agreetnent with the Pleasanton Unified School District? O Yes O No <br />If yes, please attach a copy of the signed ageement. <br />V. CEQ1~l. (FOR CITY iJSE ONLY): . <br />Daytime Telephone: t ' 1 ~ ~ ~ <br />Other Telephone: <br />Daytime Telephonc: <br />Other Telephone: <br />Fax: <br />Zip: E-mail: <br />Date: <br />Zip: <br />O Exempt (Class: ) <br />O Non-Exempt (include applicable fee; attach initial environmental assessment) <br />(5/13/2004) <br />
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