HomeMy WebLinkAboutRP 86-13B; Bully's Restaurant; Redevelopment Permits (RP)LAND USE PLANNING APPLICATION
DISCRETIONARy PCTlOtG
REQUEST
a Zone Change
CD General Plan Amendment
• Tentative Tract Map
• Major Planned Uhit Development
• Master Plan
•Major Redevelopment Permit
li Minor Redevelopment Pennit
• Precise Development Plan
(check other boxes if appropriate)
•Specific Plan
•Site Development Plan
LX^onditional Use Pennit
•Variance
•Planning Connission Detennination
•Special Use Pennit
•Structure Relocation
C^jor Condcminium Pennit
•Coastal Pennit (Porticn of Redevelopment
Area Only)
CGn|?lete Description of Project (attach additional sheets if necessary)
Legal Description (conplete, ^^^^ (akh^bft-A)
Assessors Parcel Number
Zone General Plan Existing Land Use
Proposed Zone Proposed General Plan Site Acreage
Omer Applicant
Name (Print or Type) Name (Print or Type)
Mailing Address Mailing Address ~"
City and State Zip City and State Zip Telephone
CERTIFY THAT I AM THE lEGAL ONER AND
THAT ALL THE ABOVE INFORMATICN IS TRUE
AND CORRECT TO TEE BEST OF MY ITOWLEDGE.
I GERTIFY THAT I AM THE OWNER'S REPRESENTJVTIVE
AND THAT ALL THE ABOVE INFORMATION IS TKJE
AND 03RRBCT ^D-"Ilffi)BEST OF MY WJOWIEDGE.
DISCLOSURB PORM
APPLICANT:
Name (individual, partnership, joint venture, corporation, syndication)
Business icress " ~ ^
^ Telephone Nunber
AGENT;
Name " ~
Business Address
ME*!BERS; (V) i)(p&pfH Hc^h^g^-V
Name (individual, peurtner, joint-
Telephone Nunber
Heme Address
venture, corporation, syndication)
Business Address~
TfeiepKone Nunber Telephone Nunber
Name . ' Heme Addreii"
Business Address
Telephone Number Telephone Number
(Attach more sheets if necessary)
fhe applicant is required to apply for Coa8t2Ll Comnission Approval
if located in the Coastal lone.
I/We declare under penalty of perjury that the infonnation a>ntained in this
disclosure is true and correct and that it will remain true and correct and may be
relied upon as being true and correct until artended.
BY /Mmmj/m^
Agent, Oaner, Partner
