Fillable Addressing and/or Street Name Application (DS-217) (City of Murrieta)

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Addressing and/or Street Name Application (DS-217) (City of Murrieta)

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The Addressing and/or Street Name Application (DS-217) (City of Murrieta) form is 3 pages long and contains:

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  • 39 other fields

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Page 1 of 4 Rev. 10/2019
Addressing and/or Street Name Application (DS-217)
STREET NAMES & ADDRESSING MUST BE COMPLETED PRIOR TO SUBMITTING CONSTRUCTION DRAWINGS TO THE BUILDING DEPT.
For Planning Division Office Use Only
Case Number: Date Submitted: Received by:
PROJECT INFORMATION
PROJECT NAME/DESCRIPTION
Project Name/Name of Center:
Related cases filed in conjunction with this request (Is this part of a larger project?):
PROPERTY INFORMATION
Assessor’s Parcel Number(s):
Existing Property Address (if applicable):
APPLICANT/PROJECT MANAGER/OWNER INFORMATION
PLEASE INDICATE WHICH OF FOLLOWING WILL FUNCTION AS THE CONTACT PERSON FOR THIS PROCESS (SELECT
ONLY ONE): Applicant/Developer Project Manager Property Owner
APPLICANT
Contact Name: E-Mail:
Company Name: E-Mail:
Mailing Address:
Street
City State ZIP
Daytime Phone No: ( ) Fax No.: ( )
CITY OF MURRIETA
Development Services Department
Planning Division
1 Town Square | Murrieta, CA 92562 | 951-461-6061
www.murrietaca.gov
Page 2 of 4 Rev. 10/2019
PROJECT MANAGER (Representative for Developer)
Contact Name: E-Mail:
Company Name: E-Mail:
Mailing Address:
Street
City State ZIP
Daytime Phone No: ( ) Fax No: ( )
PROPERTY OWNER
Name: E-Mail:
Mailing Address:
Street
City State ZIP
Daytime Phone No: ( ) Fax No: ( )
If the property is owned by more than one person, attach a separate page that references the application case number and lists
the names, mailing addresses, and phone numbers of all persons having an interest in the real property or properties involved
in this application.
Page 3 of 4 Rev. 10/2019
OWNER CERTIFICATION
I CERTIFY UNDER THE PENALTY OF THE LAWS OF THE STATE OF CALIFORNIA THAT I AM THE PROPERTY OWNER OF
THE PROPERTY THAT IS THE SUBJECT MATTER OF THIS APPLICATION AND I AM AUTHORIZING AND DO HEREBY
CONSENT TO THE FILING OF THIS APPLICATION AND ACKNOWLEDGE THAT THE FINAL APPROVAL BY THE CITY OF
MURRIETA, IF ANY, MAY RESULT IN RESTRICTIONS, LIMITATIONS AND CONSTRUCTION OBLIGATIONS BEING
IMPOSED ON THIS REAL PROPERTY.
All signatures must be originals (“wet-signed”). Photocopies of signatures are not acceptable.
PRINTED NAME OF OWNER SIGNATURE OF OWNER
PRINTED NAME OF OWNER SIGNATURE OF OWNER
If the property is owned by a Corporation, Partnership, or Limited Liability Company (“LLC”), provide
documentation that the individual signing is authorized to sign on behalf of the Corporation, Partnership, or LLC.
Written authorization from the legal property owner is required. An authorized agent for the owner must attach a
notarized letter of authorization from the legal property owner.
If the property is owned by more than one person, attach a separate page that references the application case
number and lists the names, mailing addresses, and phone numbers of all persons having an interest in the real
property or properties involved in this application.
See attached sheet(s) for other property owner’s signatures.
Page 4 of 4 Rev. 10/2019
FILING INSTRUCTIONS FOR
STREET NAMES AND ADDRESSING APPLICATION
The following instructions are intended to provide the necessary information and procedures to facilitate the
processing of a Street Names and Addressing application. Your cooperation with these instructions will insure that
your application can be processed in the most expeditious manner possible.
THE STREET NAMES AND ADDRESSING FILING PACKAGE MUST CONSIST OF THE FOLLOWING:
STREET NAMES SUBMITTAL:
1. One complete and signed application form.
2. The appropriate fee for the application type or types. To view the Fee Schedule, go to:
murrieta.civicplus.com/DocumentCenter/View/661/Fee-Schedule---Planning-Only-2018-to-2019--PDF
3. Three (3) 11”x14” or larger copies of the approved Tract/Parcel Map with letters a,b,c,d, etc. indicating the
location of the proposed streets. Please make sure the map shows the entire tract on a single page.
4. List of proposed street names. A minimum of three (3) names must be given for each letter/street,
suffixes will be assigned by the City. Street names should follow some sort of theme such as flowers,
herbs, trees, places, presidents, etc. We do not allow duplicate street names, so we strongly advise
checking the most recent copy of the Thomas Bros. Map Guide prior to submitting.
ADDRESSING SUBMITTAL:
1. One complete and signed application form.
2. The appropriate fee for the application type or types. To view the Fee Schedule, go to:
murrieta.civicplus.com/DocumentCenter/View/661/Fee-Schedule---Planning-Only-2018-to-2019--PDF
3. Three (3) 11”x17” or larger copies of the Recorded Tract/Parcel Map/Plotting Plan with street names
printed on the map.
a. Show the proposed location of street name signs (if applicable).
b. Show location of irrigation meter pedestals (if applicable).
You will be contacted by phone, fax, or email to review the addressing draft prior to the final assignment of the
building/house numbers (usually within 30 days, depending on the size of the development). Please keep us
informed with any changes or updates to the contact information.
Additional copies of this application may be obtained from the Planning Division Web Page at
https://ca-murrieta.civicplus.com/276/Planning-Documents
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Addressing andor Street Name Application (DS-217) (City of Murrieta)

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Completed 14 July 2020

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