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Bascom Ave., 1999S, Ste 700CITY 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: Cardiac RMS REMOTE MONITORING SOLUTIONS Dear City of Campbell, Our place of business at 1999 S Bascom Ave Ste 700 is an Independent Diagnostic Testing Facility. It is used as the main base of operations. We do not see patients at this location nor do we test/assemble/manufacture devices at this location. If you have any questions or need further clarification, please do not hesitate to contact me via email at gforsyth@cardiacrms.com or by phone at 661-477-8372. Sincerely, Greg Forsyth Managing Partner 844-GET-CRMS I www.cardiacrms.com I info@cardiacrms.com I 125 High Rock Ave., Saratoga Springs, NY 12866