TR-2002-07b
PLANNING PERMIT APPLICATION FORM
Community Development Department (408) 777-3308
10300 Torre Avenue Fax (408) 777-3333
Cupertino, CA 95014 planning@cupertino.org
http://www.cupertino.org/planning
Property Owner N r.? r -r--h p P .1'>. t- !-IIO A-
Address IOX"X-e> ,NdJ'J"-.H.PO.k1- W<C'-j
C'-.r.>~"" nk~ I C 14- ., S;-lJ/Y
1<.oG;.~ ~/l.7
"'" 5:' a 6(7v-<!'-
Phone
Fax
E.mail
1/fG;-373Y-
9'1' -0 a..~,
Project Contact Person
Address S 0(., ~....
t;~ ",,( ~c.." ,,/e
.
Phone
Fax
E-mail
.
Project Address Sa ~
ar ":;:~e..-
APN _ _ _ _ _ Zoning General Plan Designation
_ _ _ _ _ _ _ _ _ _ Attach separate sheet for additional APNs if necessary
Descri tion of Pmject DescrIbe In detail your proposed project. Attach separate sheet if necessary.
. .... c. (7 """',~ "" ,.r, 0
t.. co ~ ~ C <J)....- ;0'1 ex-:". r /'...e..e...5: b j,..c:: r ,...... Q v~
/..- if!.- pit:;. ce-q p ~ c< r:: 10 ,~ ...... . J 'T r (", t: CJ A->. ~...I,.o, d........... -I-/~
C~g...e Q v" b ~ I s-r /-e~JIe-v;1
.A/Y'-
"'" ...---.eI
Existing
Proposed
Land Use
Parcel Size Net
Dwelling Units
. Density per Gross Acre
Building Square Footage
Lot Coverage (percentage)
Paving Area (percentage)
Landscape Area (percentage)
Floor Area Ratio (FAR)
Building Height
Parking
. Regular
Compact
Handicapped
Hours of Operation
Number of Employees
Gross
Net
Gross
...
I certify tbat the foregoing statements an true and correct to tbe best of my knowledge. I understand that a m/snpresentation of any submitted data may
invalidate an approval by the Design Review Committee, Planning Commission or City Council of tllls application. I understand tbat the application may be
withdrawn if! or my authorized representative is not present at the scheduled meeting(s). or if a wrItten request for pastponement has been pnsented to the
Pianning Commission or affected nvIew board. I have discussed this applicatIon with the PubJic Works staff and I understand the pubiic improvement
requirements associated with this prop
Date /I/;,j /p~'
I ..
e owner of said property or have Power ofAttomey (attach copy) from said property owner and tbat I consent
VLi.
vV.
Applicant's Signature
I declare under penalty of perjury that I am
to tbe above-described application.
Print Property Owner's Name
Date
Signature
Date
""""~!~},,,,,,-,
on
i'
Jtl
Staff use only: application accepted by
Odober. 2000