Fillable APPLICATION FORM GENERAL INFORMATION (City of San Dimas)

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APPLICATION FORM GENERAL INFORMATION (City of San Dimas)

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PLANNING DIVISION, •245 EAST BONITA AVE., •SAN DIMAS, CA 91773 (909)394-6250
\\sdfileserver\Planning Dept\Forms-Masters\DPRB\DEVELOPMENT APPLICATION MASTER_5.30.17.doc
APPLICATION FORM
PROJ-_______________
GENERAL INFORMATION
SITE INFORMATION
Project Location:______________________________________________________________
Assessor Parcel Number (APN):__________________________________________________
Buildings Size: Existing_________Proposed:_________Gross Building Area(sq.ft.)__________
Lot Size:______________Proposed:______________Percent Lot Coverage:_______________
PROJECT DESCRIPTION
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
General Plan Designation:_________________________Zoning:______________________
(Application Continued on Next Page)
Received By:
Case No.:
Related Files:
Date Received:
Fees:
Applicant’s Name Phone Email
Address of Applicant City Zip
Property Owner’s Name Phone Email
Address of Owner City Zip
Type of Application:
DPRB Review
Directors Review
Conditional Use Permit
Variance
Minor Deviation
Classification of Use
Tract Map
Parcel Map
Lot Merger
Lot Line Adjustment
Environmental
Precise Plan
General Plan Amendment
Zone Change
M.C.T.A.
Specific Plan
Entertainment Permit
Other_______________
PLANNING DIVISION, •245 EAST BONITA AVE., •SAN DIMAS, CA 91773 (909)394-6250
\\sdfileserver\Planning Dept\Forms-Masters\DPRB\DEVELOPMENT APPLICATION MASTER_5.30.17.doc
OWNER AND APPLICANT CERTIFICATION
We certify that we are the applicant and property owner for the property described in this
application. We acknowledge the filing of this application and certify that all the information
provided is complete and accurate to the best of our knowledge. We understand that an
incomplete application may result in the matter being rescheduled for a later hearing date.
__________________________________________________________________________
Applicant’s Signature
__________________________________________________________________________
Applicant’s Name (PRINT) Date
__________________________________________________________________________
Property Owner’s Signature
__________________________________________________________________________
Property Owner’s Name (PRINT) Date
ADDITIONAL INFORMATION
(FOR CONDITIONAL USE PERMIT, VARIANCE, MINOR DEVIATION, ZONE CHANGE AND GENERAL PLAN
AMENDMENT APPLICATIONS ONLY)
Please submit a typed explanation of the following checked information on an additional page:
Conditional Use Permit (Chapter 18.200)
Explain how the use will:
1. Meet the requirements of Chapter 18.200.090 A-E of the San Dimas Municipal Code.
Variance and Minor Deviation (Chapter 18.204)
Explain how the project:
1. Has exceptional circumstances that do not apply to other properties in the same zone.
2. Is necessary for the preservation and enjoyment of a substantial property right of the owner that is
possessed by other property owners under the same conditions, in the same zone. Explain how the
granting of the variance will not cause the granting of a special privilege to the property owner.
3. Will not be detrimental to the public health, safety or welfare nor injurious to property in the vicinity.
4. Will not be contrary to the objectives of the General Plan.
Zone Change (Chapter 18.208)
Explain how the change will:
1. Not be detrimental to the property value and physical characteristics of adjoining properties.
2. Be in the best interest of the public health, safety and welfare.
3. Environmental Information Form (Initial Study Part 1)
General Plan Amendment
1. Provide a written description of the proposed amendment and explain its necessity.
2. Environmental Information Form (Initial Study Part 1)
This Development Application is a companion document to the Application Checklist. Both forms are
required as part of a complete application. The Application Checklist must be completed by a Planner.
If you need any assistance, please contact the San Dimas Community Development Department at
(909) 394-6250.
New Development/Redevelopment Preliminary Project Questionnaire
Order No R4-2012-0175
Updated: June 2015 Page 1 of 2
Notice to Applicants
This questionnaire will allow the City to determine if a project is subject to Low Impact Development (LID) project performance criteria and/or required to
submit a Storm Water Pollution Prevention Plan (SWPPP) and/or Water Quality Management Plan (WQMP) before issuing building and/or grading permits
for the proposed project.
Name of Owner/Developer:
Contact Person(s):
I. Projects Subject to New Development/Redevelopment Criteria Requirements [please check appropriate box(es)].
NEW DEVELOPMENT PROJECTS
REDEVELOPMENT PROJECTS (Existing Development)
All development projects 1 acre or greater of disturbed area and
adding more than 10,000 square feet of impervious surface area
Single-family hillside on any natural slope that is 25% or greater
Projects located in a Sensitive Ecological Area (SEA) – Map
attached.
Creation, addition, or replacement of 5,000 square feet or more
of impervious surface area on an already developed site
Existing single-family & accessory structure projects that create,
add, or replace 10,000 square feet of impervious surface area.
Industrial/commercial development that disturbs 1 acre or more
and adds more than 10,000 SF of impervious surface area
Industrial Park/Commercial Mall 10,000 SF or more surface area
Impact to 50% or more of total impervious surface area
Existing development was not subject to post-construction
stormwater quality control requirements. The entire project
site must be mitigated
Parking lots 5,000 SF or more or with 25 or more parking spaces
Automotive service facilities 5,000 SF or more of surface area
Retail gasoline outlets with 5,000 SF or more of surface area
Impact to less than 50% of total impervious surface area
Existing development was not subject to post-construction
stormwater quality control requirements. Only the impacted
area must be mitigated
Restaurants if it creates 5,000 SF or more of surface area
None of the above (check applicable box below):
Implement stormwater best management practices. Not subject to stormwater mitigation requirements.
Street and road construction of 10,000 SF or more of impervious surface area shall comply with the San Dimas Green Streets Policy.
II. SWPPP, ESCP, and Other National Pollutant Discharge Elimination System (NPDES) Requirements
A. Please check box for project size to be disturbed due to construction. Projects greater than 1-acre are subject to the Construction
General Permit Order 2009-0009-DWQ and any amendment, revision or reissuance thereof.
1-acre or more Less than one acre
Original – Building Department File Copies – To Public Works & Applicant
FOR STAFF USE ONLY.
________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
You are required to include Low Impact Development (LID) principles in the design and construction plans for this project prior to receiving a
Building Permit and/or Grading Permit.
You are not required to include Low Impact Development (LID) principles for this project.
You are required to submit a Site-Specific Mitigation Plan to mitigate post-development stormwater quality prior to receiving permit. You are
required to certify that construction Best Management Practices (BMPs) will be implemented at the construction site.
You are required to comply with the State Construction General Permit (CGP) and prepare a SWPPP prior to receiving building and/or
grading permits. For more information on the CGP, please call (916) 341-5537.
Please refer to the Los Angeles County Low Impact Development (LID) Manual.
Submit a Water Quality Management Plan (WQMP).
Comments:
______________________________________
City Staff Signature Date of Submission
*Please submit all required documents to the City Engineer.
_________________________________ _________________________________ ____________________________
Applicant Name Applicant Signature Date
click to sign
signature
click to edit
New Development/Redevelopment Preliminary Project Questionnaire
Order No R4-2012-0175
Updated: June 2015 Page 2 of 2
Current Designated Significant Ecological Area (SEA) in San Dimas
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APPLICATION FORM GENERAL INFORMATION (City of San Dimas)

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Completed 16 July 2020

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