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11 ATTACHMENTS
City of Pleasanton
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CITY CLERK
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AGENDA PACKETS
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2009
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021709
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11 ATTACHMENTS
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Last modified
2/11/2009 4:43:07 PM
Creation date
2/11/2009 4:35:04 PM
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CITY CLERK
CITY CLERK - TYPE
STAFF REPORTS
DOCUMENT DATE
2/17/2009
DESTRUCT DATE
15 Y
DOCUMENT NO
11 ATTACHMENTS
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III. .AUTHORIZATION OFPROPERTYOWNERANDOWNERSASSOCIATION <br />J. PROPERTY OWNER: In signing this application, I, as property owner, have full legal capacity to, and hereby do, <br />authorize the filing of this application. I understand that conditions of approval aze binding and agree to be bound by those <br />conditions, subject only to the right to object at the heazings or during the appeal period. I certify that the information and <br />exhibits submitted are t~ru~et and corzect. <br />Name (Pls. Print): 1- ` th V~ -~--~_ ~ /~ ~ Daytime Telephone: q o2s~ ~ 0 aa,~ <br />Company: ~ ~Q,h2 rY'QS' YI.S.iY c\A.K.IiG.W1~,(I. '-~-('}-~- a V V <br />q rVVl. Other Telephone: qc7-~-Q`~--~a~~ <br />Address: ~S ~^rt"~. ~"--P1~~ ~,~,.~/~ Fax: <br />City: PALM/ Zip: ~- ~S "' E-mail: ~ri/a~~eypT pfi~s~,c~~e~ <br />. to <br />Signa r- <br />Date: ! r7 -/ - D o <br />K. OWNERS ASSOCIATION: ]s the property subject to the rules or guidelines of a homeowners association (HOA) or a <br />business owners association? <br />Yes ®No <br />If yes, did the proposed project receive approval from the HOA/business owners association? <br />Yes ~No ^The HOA/business owners association doh review any proposed construction projects or use changes <br />- Ijyes, please attach a copy of the HOA response. <br />Association Contact (Pls. Print): Daytime Telephone: <br />Association Name: Other Telephone: <br />Address: <br />Fax: <br />City: ZiP: E-mail: <br />L. APPLICANT OTHER THAN PROPERTY OWNER: In signing this application, I, as applicant, represent to have <br />obtained authorization from the property owner to file this application. I agree to be bound by conditions of approval, subject <br />only to the right to object at the hearings on the application or during the appeal period. If this application has not been <br />signed by the property owner, I have attached sepazate documentation of full legal capacity to file the application. I certify <br />that the information and exhibits submitted aze true end clIorrect. <br />Name (Pls. Print): Jennifer Zheng ~In V'vt k Q ~..¢.~.~ Daytime Telephone: 510-579-0865IC~a.S-22 <br />Company: LIL Inc ~ K p G ~ <br />Other Telephone: 925-734-6094/~~ <br />Address: 3728 Appian Street 408-416-0248/925-2~-_f)~'~ <br />Fax: <br />Pleasanton <br />CnY: Zip: 94586_ E-mail: jenniferxyzheng@hotmail.com ~ <br />Signature: 7 9~3o~Otl /jU-J- <br />Date: _ O <br />M. NOTE ANY OTHER PARTY(IES) WHO SHOULD RECEIVE STAFF REPORTS AND NOTICE OF <br />APPLICATION ON A SEPARATE SHEET AND ATTACH TO APPLICATION. <br />~ IV. SCHOOL FEE AGREEMENT (If a residential project, answer the question below) <br />Have you stgned a School Fee Agreement with the Pleasanton Unified Srhnnl nicr,;rr9 <br />^Yes ~No <br />If yes, please attach a copy of the signed agreement. <br />(9/18/07) <br />
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