Project Title:
Brief Description:
Address:
Assessor’s Map Number and Tax Lots:
Name: Company Name:
Address:
City: State: ZIP:
Phone: Email:
Name:
Address:
City: State: ZIP:
Phone: Email:
Property Owner’s Signature:
Date:
AS THE PERSON RESPONSIBLE FOR THIS APPLICATION, I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE
INFORMATION IN AND INCLUDED WITH THIS APPLICATION IN ITS ENTIRETY IS CORRECT. I AGREE TO COMPLY WITH ALL APPLICABLE CITY AND
COUNTY ORDINANCES AND STATE LAWS REGARDING BUILDING CONSTRUCTION AND LAND USE.
Applicant’s Signature:
Date:
☐ Annexation (ANN)
☐ Architectural Review (AR)
☐ Architectural Review—Single Family (ARSF)
☐ Architectural Review—ADU (ARADU)
☐ Conditional Use (CUP)
☐ Historic Landmark (HIST)
☐ Industrial Master Plan (IMP)
☐ Plan Map Amendment (PMA)
☐ Plan Text Amendment (PTA)
☐ Tree Removal/Review (TCP)
☐ Minor Architectural Review (MAR)
☐ Minor Variance (MVAR)
☐ Sign Variance (SVAR)
☐ Variance (VAR)
Case No: Date Received: Received by:
Fee: Receipt No:
(Note: Letter of authorization is required if not signed by owner)
