Hacienda Ave., 221ECITY OF CAMPBELL
Community Development Department
70 North First Street • Campbell, CA 95008-1423 • TEL (408) 866-2140 • E-MAIL planning@campbellca.gov
Zoning Clearance Form
Business Address: ________________________________________ APN: ____________
Business Description: ____________________________________________________________
1. Zoning Designation of Proposed business Location:__________
2. Verify if proposed use is consistent with site development standards.
3. Apply for a Home Occupation Permit (if business conducted out of home).
4. Requirement to obtain Conditional Use Permit or Administrative P-D Permit.
a.New liquor license application.b. Late night operation (11p.m to 6a.m).
c.Convenience store, drive-in restaurant, etc.
d. Change of use in P-D zone.
5.Police Department clearance required (if yes, add in notes).
Y N
6.Will the use be consistent with both State and Federal law? Y N
Planning Clearance by: _____________________________ Date: _____________________
Y N
Y N
Y N
Y N
N
N
Y
Y
Y
N
Associated Planning Permits/ Notes:
Land Use Category:
From:BASS Business Licenses
To:Ishwarya; BASS Business Licenses
Subject:RE: 221 E Hacienda Ave, Unit C
Date:Monday, December 4, 2023 3:49:28 PM
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WARNING: This email originated from an external sender! Please do not openattachments or click on links unless you are certain it is legitimate.
Hi Ishwarya,
Read and understood.
Thanks,
Bass Medical Group
Daniel Simon | Operations Specialist2637 Shadelands Drive, Walnut Creek, CA 94598P: (925) 932-5396 | F: (925) 932-5396 daniel.simon@bassmedicalgroup.com
BASS Medical Group | In this together www.bassmedicalgroup.com
may be confidential or privileged. The information is intended to be for the use of the individual or entity named above. If you are not the
intended recipient, be aware that any disclosure, copying, distribution or use of the contents of this information is prohibited. If you have
received this electronic transmission in error, please notify the sender immediately by a “reply to sender only” message and destroy all
electronic and hard copies of the communication, including attachments.
From: Ishwarya <ishwarya@campbellca.gov>
Sent: Monday, December 4, 2023 2:34 PM
To: BASS Business Licenses <business.licenses@bassmedicalgroup.com>
Subject: RE: 221 E Hacienda Ave, Unit C
Hi Daniel,
Thanks for the information. A medical use has been approved at this location through a Conditional
Use Permit. Kindly, read through the conditions of approval and reply back to this email
acknowledging that you have read and understood the conditions.
Thank You.
Regards,
Ishwarya
Planning Technician
City of Campbell | Community Development Department
70 N. First Street | Campbell, CA 95008
408.866.2163
ishwarya@campbellca.gov www.campbellca.gov
Book a Virtual Appointment with a Planner here.
Apply for Planning and Building Permits here
From: BASS Business Licenses <business.licenses@bassmedicalgroup.com>
Sent: Monday, December 4, 2023 2:13 PM
To: Ishwarya <ishwarya@campbellca.gov>; BASS Business Licenses
<business.licenses@bassmedicalgroup.com>
Subject: RE: 221 E Hacienda Ave, Unit C
WARNING: This email originated from an external sender! Please do not openattachments or click on links unless you are certain it is legitimate.
Hi Ishwarya,
This business is PTR Sports, a division of BASS Medical Group. It is a medical office specializing in
Family Medicine and Sports Medicine.
Thanks,
Daniel Simon | Operations Specialist2637 Shadelands Drive, Walnut Creek, CA 94598P: (925) 932-5396 | F: (925) 932-5396 daniel.simon@bassmedicalgroup.com
BASS Medical Group | In this together www.bassmedicalgroup.com
may be confidential or privileged. The information is intended to be for the use of the individual or entity named above. If you are not the
intended recipient, be aware that any disclosure, copying, distribution or use of the contents of this information is prohibited. If you have
received this electronic transmission in error, please notify the sender immediately by a “reply to sender only” message and destroy all
electronic and hard copies of the communication, including attachments.
From: Ishwarya <ishwarya@campbellca.gov>
Sent: Monday, December 4, 2023 1:49 PM
To: BASS Business Licenses <business.licenses@bassmedicalgroup.com>
Subject: 221 E Hacienda Ave, Unit C
Hi,
I am writing to you with regards to the business license you have applied for the address.
Please provide more information on the business and how the property will be used for the
business.
Thank You.
Regards,
Ishwarya
Planning Technician
City of Campbell | Community Development Department
70 N. First Street | Campbell, CA 95008
408.866.2163ishwarya@campbellca.gov www.campbellca.gov
Book a Virtual Appointment with a Planner here.
Apply for Planning and Building Permits here