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Job Address

2. House Number*
3. Street Name*
   -- Select One --Acacia StAcaso StAgnes AveAlessandro AveArden AveArden DrArdenel AveArdsley DrArrowood StAvon AveBaldwin AveBarela AveBartlett AveBidwell StBirchland PlBisby StBlackley StBogue StBroadwayBurghardt RdBurton AveButtons AveCallita StCambury AveCamellia AveCamino Real AveCloverly AveCraiglee StDaines DrDaineswood DrDaleview AveDanbury StDegas AveDoreen AveDuffy StEl Monte AveEllis LnElm AveEmperor AveEncinita AveEstrella AveFairhall StFairview AveFarago AveFiesta AveFlaherty StFortson DrFratus DrFreer StGaribaldi AveGidley StGlickman AveGolden West AveGracewood AveGrand AveGreen StGreen Tree LnHaldeman StHalifax RdHallowell AveHallwood DrHarker AveHart AveHecla AveHeleo AveHermosa DrHilton AveHowland DrIvar AveJaylee DrKauffman AveKennerly StKey West StLa Rosa DrLandseer StLas Tunas DrLemon AveLeslie DrLive Oak AveLivia AveLoma AveLongden AveLora StLower Azusa RdLyledale StLynrose StMcClintock AveMcCulloch AveMiller DrMiloann StMuscatel AveMyda AveNadine StNoel DrOak AveOlema StOlive CtOlive StPal Mal AveParmerton AvePentland StPersimmon AvePrimrose AveRancho Real RdRandwick DrReno AveRichmond WayRio Hondo AveRobinhood AveRoccus LnRoseglen StRosemead BlvdRosevale DrRowland AveRyland AveSaint James DrSalter AveSanta Anita AveSara Mar LnSaunders CirSereno DrSparklett StSultana AveTemple City BlvdTree Rose TerTrelawney AveVal StVillage Circle DrWarman LnWedgewood StWelland AveWendon StWildflower RdWillmonte AveWindsor LnWoodruff AveWoolley StWorkman AveWorthington DrZadell Rd
4. Unit No.
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Applicant Information

2. Applicant Name*
4. Phone*
5. Email*
7. Applicant is:*

   1. Owner
   2. Owner's representative
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Project Information

2. Project Type*

   Select the type of project

   1. Residential - Single Family
   2. Residential - Multi-Family
   3. Commercial
   4. Industrial
   5. Mixed-Use
   6. Institutional
   7. Other
4. Type of Entitlement*

   Check the boxes for the type of entitlement you are applying for.

   1. Zoning Clearance ($431)
   2. Address Request ($264)
   3. Sign Permit ($94)
   4. Sign Program ($1,699)
   5. Site Plan Review - Minor ($1,412)
   6. Site Plan Review - Major ($2,423)
   7. Conditional Use Permit ($2,955)
   8. Temporary Use Permit ($294)
   9. Variance ($3,356)
   10. Minor Variance/Exception ($968)
   11. Certificate of Compliance ($918-$1,944)
   12. Lot Consolidation ($3,508)
   13. Lot Line Adjustment ($3,508)

   1. Pre-Application ($1,135)
   2. Tentative Parcel Map ($4,062)
   3. Final Parcel Map ($3,092)
   4. Tentative Tract Map ($4,727)
   5. Final Tract Map ($3,092)
   6. Unattended Collection Box, New ($286
   7. Unattended Collection Box, Renewal ($163)
   8. Residential Planned Development ($7,741)
   9. Zoning Code Amendment ($6,854)
   10. Zoning Map Amendment ($5,611)
   11. General Plan Amendment ($5,301)
   12. Cart Containment Plan ($436)
   13. Public Convenience Finding ($975)
6. Project Description
   Provide a project description including. For new structures provide the existing square footage, proposed square footage, and height in stories.
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Upload Documents

2. Submittal Requirements*

   The application form and related documents must be attached below and uploaded.

   1. I understand that I must upload all required documents with all information completely filled out. I understand that failure to do so will delay processing of my application.
4. Upload Application Form*
5. Upload Plans*
7. Additional Documents
8. Additional Documents
10. Additional Documents
11. Additional Documents
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Signature

2. Signature
   All information submitted in this online application and the uploaded documents is true and correct to the best of my knowledge and ability. By submitting this application online and checking the box to the right, I am signing this application electronically. I agree that my electronic signature is the legal equivalent of my manual signature.
3. Check to Sign Electronically*

   1. Signed
Leave This Blank:


4. 1. Receive an email copy of this form.
5. Email address

   This field is not part of the form submission.

6. Submit Submit and Print | Go Back

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