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Zoning Permit Application - California
| Zoning Permit Application Form. This is a California form and can be used in Department Of Regional Planning Los Angeles Local County . |
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ZONING PERMIT APPLICATION This application must be submitted in person. For a submittal appointment, call 213- 974- 6438. THIS SECTION - STAFF USE ONLY SD: 1 2 3 4 5 ZD: Code Section Project No. Permit No. RFS No. GB? Y N LID? Y N DT? Y N Plan: Zone: CSD: TOD: ESHA / SEA: SA: N E W 1. Subject Property (Sujeto Propiedad) Assessor's Parcel Number(s) Property Address or Site Location (Attach Legal Description) Name of Business or Establishment (If Applicable): 2. Uses (Usos) Proposed: Current: Property Size (Area- Acres) Continued Previous Permit Number: Attach copy of Findings and Conditions if available. 3. Project Description (Proyecto) Describe project in detail. Attach additional page(s) if necessary. See Instructions/Checklist Check/Complete All That Apply: No Improvements Proposed Demolition Private Septic System Private Well New Building Construction (Square Feet): Alcohol Sales: Beer & Wine or 4. Applicant (Solicitante) Name: Address: City/State: 5. Name: Address: City/State: 6. Name: Address: City/State: New Impervious Surfaces (Paving, Roofs, Etc. - Square Feet): On- site Consumption or Grading (Cubic Yards): Cut: Fill: Import: Export: Full Line of Alcohol Off- site Consumption Phone: Fax: ZIP: Email: Phone: Fax: ZIP: Email: Phone: Fax: ZIP: Email: Agent (Agente) If different from applicant Property Owner(s) (Dueño/a Registrado) If different from applicant American LegalNet, Inc. www.FormsWorkFlow.com 7. Owner / Applicant Certification (Certificación del Solicitante, Agente o Dueño/a) By my signature below, I hereby certify the following: 1. I understand that it is the responsibility of the applicant to substantiate the request through the Burden of Proof. 2. I understand there is no guarantee - expressed or implied - that any permit will be granted. I understand that each matter must be carefully evaluated and after the evaluation has been conducted or the public hearing has been held. Staff's recommendation or decision may change during the course of the review based on the information presented. 3. I understand that planning staff is not permitted to assist the applicant or opponents of the project in preparing arguments for or against a request. 4. I understand that the environmental review associated with the submittal of this application is preliminary, and that after further evaluation, additional information, reports, studies, applications and/or fees may be required. 5. I understand that if my application is denied, there is no refund of fees paid. 6. I understand that submitting inaccurate or incomplete information may result in delays or denial of my application. 7. I certify that the information provided in this application, including attachments, is accurate and correct to the best of my knowledge. 8. I have read and understand the foregoing, and agree to the submittal of this application. Signature (Blue Ink): Print Name: 8. Date: Owner Applicant Check One: Oak Tree Certification (Certificación de Árboles Robles) (Pursuant to Chapter 22.56, Pt. 16) Check only one box below: By my signature below, I certify that there are no oak trees or oak tree protected zones (five feet from the drip line of the canopy or within 15 feet of any oak tree trunk, whichever distance is greater) located on the subject property or properties. By my signature below, I certify that there are oak trees or protected zones (five feet from the drip line of the canopy or within 15 feet. of any oak tree trunk, whichever distance is greater) within the subject property or properties, but that no work will be done within these protected areas. This applies to on and off- site oak trees. All oak tree dimensions, including trunk diameter and canopy, should accurately be depicted on the plans and be drawn to an acceptable scale. By my signature below, I certify that project activity will occur within the protected zone of an oak tree (five feet from the drip line of the canopy or within 15 feet of an oak tree trunk) and that I have concurrently submitted an Oak Tree Permit application. All oak tree dimensions, including trunk diameter and canopy, are accurately depicted on the plans and drawn to an acceptable scale. Signature (Blue Ink): Print Name: 9. Lobbyist Statement (Información de un Grupo de Presión) Date: Owner Applicant Agent Check One: The Los Angeles County Lobbyist Ordinance, effective May 7, 1993, requires certification that each person who applies for a County permit is familiar with the requirements or Ordinance No. 93- 0031 (Lobbyist Ordinance), and that all persons acting on behalf of the applicant have complied and will continue to comply with the requirements of said Ordinance through the application process. By my signature below, I hereby certify that I am familiar with the requirements of Ordinance No. 93- 0031 and understand that making such a certification, and compliance with this ordinance, shall be conditions precedent to granting the permit requested, license, contract or franchise. Signature (Blue Ink): Print Name: Lobbyist Permit Number, If Applicable: Date: Owner Applicant Agent Check One: The information requested is required for a Zoning Permit, Director's Review and Oak Tree Permit, pursuant to Sec. 22.56 of the Zoning Ordinance. Failure to provide complete and accurate information will cause delay. All required supplemental information must be submitted with this application. Additional application forms are available at: http://planning.lacounty.gov/apps. See instructions and checklist. For assistance, call 213- 974- 6411 or click http://planning.lacounty.gov/who. THIS SECTION - STAFF USE ONLY LDCC COMMENTS Los Angeles County Department of Regional Planning | 320 W. Temple Street | Los Angeles, CA 90012 Phone 213.974.6411 | Fax 213.626.0434 | TDD 213.671.2922 | planning.lacounty.gov Revised July 2011 Page 2 of 2 American LegalNet, Inc. www.FormsWorkFlow.com Process for Zoning Permits Cases Requiring a Public Hearing Review is conducted within approximately 30 days from application submittal. If additional materials/information is required, they will be Application materials reviewed for requested. 1 completeness. Requirement for an initial study is determined during initial review. If an initial study is required, you will be notified to pay an additional environmental assessment fee. Other department comments are submitted to DRP Other County departments review project within approximately 30 to 60 days of request. If 2 (if applicable). clearance i
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