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Parcel Map - 2005RESOLUTION N0.3767 BEING A RESOLUTION OF THE PLANNING COMMISSION F THE CITY OF CAMPBELL RECOMMENDING APPROVAL OF A TENTATIVE PARCEL MAP (PLN2005-147) TO CREATE HREE RESIDENTIAL LOTS ON PROPERTY OWNED BY MR. RANK ONZO LOCATED AT 310 REDDING ROAD IN A P-D (PL~INNED DEVELOPMENT) ZONING DISTRICT. APPLICATION O~ MR. FRANK ONZO. FILE NO.: PLN2005-147. After notification and public hearing, as specified by law and after presentation by the Community Development Director, proponents and opponents, the hearing was closed. After due consideration of all evidence presented, the Planning Commi$sion did find as follows with respect to application PLN2005-147: 1. The proposed creation of three residential lots is consistent with the Low-Medium Density Residential (6-13 units per gross acre) General Plan land use designation for the property. 2. The proposed density of 3.9 units per gross acre is less than the within the allowed density range of 6-13 units per gross acre permitted in the Low-Medium Density Residential General Plan land use designation. 3. The proposed Tentative Parcel Map is consistent with the Planndd Development Zoning Ordinance. 4. The proposed project includes provisions for access to natural air ahd light for all of the units. 5. Access to Lot 3 is accomplished via an easement over Lot 2. 6. The provisions of shared ingress/egress will ensure the adequate alccess to Lots 2 and 3. 7. The requirement to record a Joint Maintenance Agreement for the Common access driveway shared by Lots 2 and 3 will ensure continued maintenanceE of the common access driveway. 8. The Tentative Parcel Map has been distributed to local agencies, including Pacific Gas and Electric, West Valley Sanitation District, Santa Clara Valley Transportation Authority and the Santa Clara Valley Water District. None of these ;agencies raised any concerns about providing services to the proposed lots. 9. The project is exempt from the California Environmental Quality Act (CEQA) pursuant to Exemption 15315, Minor Land Divisions. Planning Commission Resolution No. 3767 PLN2005-147 -- 310 Redding Road -- Tentative Parcel Map Page 2 Based upon the foregoing findings of fact, the Planning Commission~further finds and concludes that: 1. The proposed Tentative Parcel Map is consistent with the General Plan and Zoning Ordinance of the City. 2. The proposed Tentative Parcel Map does not impair the balance~between the housing needs of the region and the public service needs of its r silents and available fiscal and environmental resources. 3. The design of the Tentative Parcel Map provides, to the extent feasible, for future passive or natural heating and cooling opportunities. 4. The development and uses will be compatible with the Genera Plan of the City and will aid in the harmonious development of the immediate area. 5. There is a reasonable relationship and a rough proportionality between the conditions of approval and the impacts of the project. 6. No substantial evidence has been presented from which a reasonable argument could be made that shows that the project, as Curren y presented and subject to the required conditions of approval, will have significant adverse impact on the environment. NOW, THEREFORE, BE IT RESOLVED that the Planning ommission recommends approval of a Tentative Parcel Map (PLN2005-147) o allow the creation of three residential lots on property owned by Mr. Frank On o located at 310 Redding Road in a P-D (Planned Development) Zoning District.; Where approval by the Director of Community Development, Ci Engineer, Public Works Director, City Attorney or Fire Department is required that review shall be for compliance with all applicable conditions of appro al, adopted policies and guidelines, ordinances, laws and regulations a d accepted engineering practices for the item under review. Additionally, the applicant is hereby notified that he/she is required to comply with all applicable Codes or Ordinances of the City of Campbell and the State of California that pertain to this development and are not herein specified. COMMUNITY DEVELOPMENT DEPARTMENT Planning Division: 1. Anoroved Project: Approval is granted for a Tentative Parcel yap to create three residential lots on property located at 304, 308 & 310 Re ding Road. The Final Parcel Map shall substantially conform to the Tentativ Parcel Map prepared by Lee Engineers, and stamped as received by t e Planning Planning Commission Resolution No. 3767 PLN2005-147 - 310 Redding Road -Tentative Parcel Map Page 3 Division on May 11, 2006, except as may be modified by the conditions of approval herein. 2. A~~roval Expiration: The Tentative Parcel Map approval is valid for a period of two years from the date of final City Council approval, unless n extension is granted prior to the expiration date. 3. Park Impact Fee: A Park Impact Fee, based on a density range of less than six units per gross acre (currently $16,119 per unit, but subje to change), applies to this project. The original, existing residence on Lot 1 uilt in 1937 does not require payment of the Park Impact Fee. The Park I pact Fee for the relocated home on Lot 2 has already been paid. The Park I pact Fee for the new home under construction on Lot 3 is due prior to issu nce of final occupancy. ~ 4. Joint Maintenance Agreement: Prior to recordation of the Par el Map, the applicant shall submit for review and approval by the City a cop of the draft Joint Maintenance Agreement between Lots 2 and 3 which sha include the following: a. Definition of common driveway to be maintained and p visions for maintenance; b. Provision of a funding mechanism to ensure maintenance a d upkeep of common driveway; c. Provision for the availability of interior garage space for the p rking of one vehicle at all times; and d. Provision to prohibit the use of outside parking spaces for storage purposes, including boats, trailers, and recreational vehicles. 5. Progertv Maintenance: The property is to be maintained ree of -any combustible trash, debris and weeds until the time that actual construction commences. All existing structures shall be secured by hav ng windows boarded up and doors sealed shut, or be demolished or remo ed from the property (Section 11.201 and 11.414, 1985 Ed. Uniform Fire Cod ). Public Works Department: 6. Parcel Maa: The applicant shall submit a parcel map for recd dation upon approval by the City, pay various fees/deposits and submit t e map in a digital format acceptable to the City. 7. Preliminary Title Resort: Upon submittal of the parcel map, the applicant shall provide a current (within the past 6 months) Preliminary Titl~ Report. Planning Commission Resolution No. 3767 PLN2005-147 -- 310 Redding Road -- Tentative Parcel Map Page 4 8. Public Service Easement: Upon recordation of the parcel map, he applicant shall grant a ten foot (10") public service easement on priv to property contiguous with the public right-of-way along the Redding Ro d frontage. The applicant shall cause all documents to be prepared by a re istered civil engineer/land surveyor, as necessary, for the City's review and r ordation. 9. Monumentation for Parcel MaD: Prior to recordation of the par el map, the applicant shall provide a cash deposit for setting all monuments own on the map. Monuments shall be set per section 20.76.010 oft Campbell Municipal Code. ~ 10. Work in the Public Right-of-Wad Prior to doing any work in th ~ public right- of-way, the applicant shall obtain an encroachment permit, provi a plans, pay fees and deposits, post security, and provide insurance. i 11. Right-of-Way for Public Street Puryoses: Upon recordation f the parcel map, the applicant shall cause additional right-of-way to be gran d for public street purposes along the Redding Road frontage to accommod tea 30 foot half street. The applicant shall cause all documents to be pr pared by a registered civil engineer/land surveyor, as necessary, for the ity's review and recordation. 12. Right-of-Way for Public Street Pumoses: Upon recordation f the parcel map, the applicant shall cause additional right-of-way to be gran d for public street purposes along the Redding Road frontage to accommod tea 30 foot half street. The applicant shall cause all documents to be pr pared by a registered civil engineer/land surveyor, as necessary, for the ity's review and recordation. 13.Occupancy: Prior to allowing occupancy for any and/or all b ildings, the applicant shall have the required pavement restorations i stalled and accepted by the City, and the design engineer shall submit as-b ilt drawings to the City. , 14. Utility Encroachment Permit: Separate permits for the installation of utilities to serve the development will be required (including water, sewer, as, electric, etc.). Applicant shall apply for and pay all necessary fees for utili permits for sanitary sewer, gas, water, electric and all other utility work. 15. Soils Report: Prior to issuance of any grading or building permit for the site, applicant shall provide a soils report prepared by a registered ge technical or civil engineer. 16. Grading and Drainage Plan: Prior to issuance of any gradin or building permits for the site, the applicant shall conduct hydrology studie based on a Planning Commission Resolution No. 3767 PLN2005-147 -- 310 Redding Road -- Tentative Parcel Map Page S ten-year storm frequency, prepare an engineered grading and d inage plan, and pay fees required to obtain necessary grading permits. Th plans shall comply with the 1998 edition of the Califomia Building C e including Chapters 10, 11, 18, 33, and Appendix Chapter 33. 17. Stormwater Pollution Prevention Measures: Prior to issu ~ nce of any grading or building permits, the applicant shall comply with he National Pollution Discharge Elimination System (NPDES) permit require ents, Santa Clara Valley Water District requirements, and the Campbell Mu icipal Code regarding stormwater pollution prevention. The primary obje 'ves are to improve the quality and reduce the quantity of stormwater runoff t the bay. Resources to achieve these objectives include Stormwater Best anagement Practices Handbook for New Development and Redevelopme ("CA BMP Handbook") by the Califomia Stormwater Quality Association (CA QA), 2003; Start at the Source: A Design Guidance Manual for Storm ater Quality Protection ("Start at the Source") by the Bay Area Stormwater anagement Agencies Association (BASMAA), 1999; and Using Site Design T chniques to Meet Development Standarn-s for Stomtwater Quality: A Companion Document to Start at the Source ("Using Site Design Tec piques") by BASMAA, 2003. 18. Deferred Street Improvement Aareement: Prior to recordation f the parcel map, the owner shall execute a deferred street improvement a reement for construction of standard street improvements. These improvem nts include, but are not limited to, removal and replacement of street pavem nt structural section to centerline, relocation of utility poles and facilities s required, installation of curb, gutter and sidewalk, ADA compliant drivewa and street lights, necessary drainage facilities and necessary conforms to existing improvements. i 19. Water Meter(s) and Sewer Cleanout(s): Existing and pro osed water meter(s) and sewer cleanout(s) shall be relocated or installs on private property behind the public right-of-way line. 20. Utilities: All on-site utilities shall be installed underground ~ er Section 21.18.140 of the Campbell Municipal Code for any new o~remodeled buildings or additions. Applicant shall comply with all plan submittals, permitting, and fee requirements of the serving utility companies. 21. Utility Coordination Plan: Prior to recordation of the parcel map, a applicant shall submit a utility coordination plan and schedule fora rova~b the Cit PP Y Y Engineer for installation and/or abandonment of all utilities. The plan shall clearly show the location and size of all existing utilities and the associated main lines; indicate which utilities and services are to remain; wlhich utilities Planning Commission Resolution No. 3767 PLN2005-147 - 310 Redding Road -Tentative Parcel Map Page 6 and services are to be abandoned, and where new utilities and iservices will be installed. Joint trenches for new utilities shall be used whenever possible. 22. Pavement Restoration: Based on the utility coordination plan, the applicant shall prepare a pavement restoration plan for approval by the City Engineer prior to any utility installation or abandonment. Streets that j have been reconstructed or overlaid within the previous five years will require boring and jacking for all new utility installations. The pavement restoration plan shall indicate how the street pavement shall be restored following the installation or abandonment of all utilities necessary for the project. 23. Private Easements: Upon recordation of the parcel map, the applicant shall cause private easements to be recorded for private utilities, private storm drains, reciprocal ingress and egress, emergency vehicles, etc. 24. Storm Drain Area Fee: Prior to recordation of the parcel map, the applicant shall pay the required Storm Drain Area fee, currently set at $2120 per net acre, which is $1,399.20. 25. Private Improvements Agreement: Prior to recordation of the parcel map, the owner shall execute an "Agreement for Private Improvements in the Public Right of Way". This agreement would be required to allow the existing private improvements located in the public right of way along the frontage of this property, and any other non-City standard improvements, to remain. PASSED AND ADOPTED this 24~h day of October, 2006, by the following roll call vote: AYES: Commissioners: Alderete, Dooriey, Ebner, Francois, Gibbons, NOES: Commissioners: ABSENT: Commissioners: ABSTAIN: Commissioners: Rocha and Roseberry None None None APPROVED: ATTEST: G~ Sharon Fierro, Secretary it ~F • CAA,jA ITEM NO. 1 V ~r 0 o CITY OF CAMPBELL • ADMINISTRATIVE HEARING y`" ~~ Staff Report • April 17, 2006 •~RCHAR~• PLN2005-147 Administrative Public Hearing to consider the application of Mr. Frank Onzo, F. Onzo for a Tentative Parcel Map to allow the division of one lot into two residential lots on property owned by Mr. Frank Onzo located at 310 Redding Road in an R-M-S (Multi-Family Residential) Zoning District. STAFF RECOMMENDATION That the Community Development Director take the following action: 1. Approve the Tentative Parcel Map, incorporating the attached findings, to allow the division of one lot into two residential lots, subject to the attached conditions of approval. ENVIRONMENTAL DETERMINATION This project is Categorically Exempt under Section 15315, Class 15, of the California Environmental Quality Act (CEQA) pertaining to the division of property in urbanized areas into four or fewer parcels when the division is in conformance with the City's General Plan and Zoning Code. PROJECT DATA Gross Lot Area: 28,769 square feet (0.66 acres) Net Lot Area: 28,641 square feet (0.658 acres) Project Density: 3.028 units per gross acre Parcel 1: 13,1 OS square feet Parcel 2: 13, 754 square feet Access Driveway: 2,000 square feet (to be a portion of Parcel 2) Total: 28,769 square feet Adjacent Land Uses North: Single Family Residential South: City of San Jose, Hotel East: Single Family Residential (zoned Multi-family Residential) West: Single Family Residential (zoned Multi-family Residential) DISCUSSION Applicant's Proposal: The applicant is requesting approval of a Tentative Parcel Map to allow the division of one lot into two residential lots on property located at 310 Redding Road. The proposed lot configuration consists of one standard lot (Parcel 1) having frontage along Westmont Avenue and one rear flag-lot (Parcel 2). Back round: The property is currently developed with asingle-family residence on the front of the parcel, and asingle-family residence at the rear of the property which was relocated from the Staff Report - Administrate ~„ Hearing of June 20, 2005 PLN2005-50 - 1690 Westmont Avenue Pa ee~2 adjacent San Jose parcel to the south prior to construction of the existing hotel. Although neither home is on the City's Historic Inventory, both homes were constructed in the late 1930's and both have been restored to maintain their original character. The entire property is fully landscaped. Property Description: The subject property is located on the south side of Redding Road, between Parsons Avenue and Bascom Avenue. The property is surrounded on all sides by single-family residences, with the exception of the parcel to the south which is located in the jurisdiction of the City of San Jose and is developed with a hotel. ANALYSIS General Plan Desi agn tion: The General Plan land use designation for the project site is Low- Medium Density Residential (6-13 units per gross acre). The proposed project will result in a density of 3.028 units per gross acre, which is consistent with the General Plan land use designation. Zoning Desi ng ation: The subject property is zoned R-M-S (Multi-family Residential). The R-M-S Zoning District requires a minimum net lot area of 6,000 square feet for asingle-family dwelling, and a minimum lot width of 60 feet for standard lots. Flag lots in this zoning district require a minimum lot area of 6,600 square feet, exclusive of a 15-foot wide access way. The proposed lots satisfy the area, width, and access standards of the R-M-S Zoning District. Subdivision Design: The proposed Tentative Parcel Map creates one flag lot and one standard lot. Section 20.16.030 of the Campbell Municipal Code requires that new lots meet all the requirements of the zoning district within which they are located. However, flag lots shall have an additional lot area which exceeds the lot area requirement by ten percent, exclusive of any access to a public street. Access to the public street for a flag lot shall not be over an easement but over land under the same ownership as that of the flag lot and such access shall have a minimum width of 15 feet. The front lot (Parcel 1) is required to be a minimum of 6,000 square feet with a minimum lot width of 60 feet. The rear flag lot (Parcel 2) is required to be a minimum of 6,600 square feet, exclusive of the required 15-foot wide access driveway, and shall also have a minimum lot width of 60 feet. The proposed Tentative Parcel Map indicates that both lots meet the minimum lot size, lot width, and access requirements of the R-M-S Zoning District, and the Subdivision and Land Development Ordinance. Attachments: 1. Findings for Approval of File No. PLN2005-147 2. Conditions of Approval for File No. PLN2005-147 3. Tentative Parcel Map, prepared by Lee Engineers, receipt dated February 6, 2006, as modified April 13, 2006. 4. Location Map Prepared by: . cki .Young Lin , ICP, enior Planner Attachment #1 FINDINGS FOR APPROVAL OF PLN2005-147 SITE ADDRESS APPLICANT: DATE: 310 Redding Road Mr. Frank Onzo April 17, 2006 Findings for approval of a Tentative Parcel Map to allow the division of one lot into two residential lots on property located at 310 Redding Road The Community Development Director finds as follows with regard to File No. PLN2005-147: 1. The proposed Tentative Parcel Map will result in a density of 3.028 units per gross acre, which is consistent with the General Plan land use designation of Low-Medium Density Residential (6-13 units per gross acre). 2. The proposed Tentative Parcel Map is consistent with the development standards (including lot size and minimum lot width) of the R-M-S Zoning District. 3. The proposed subdivision layout allows access to natural air and light. 4. Each new lot created has adequate access to a public right-of--way. 5. The Tentative Parcel Map has been distributed to local agencies, including Pacific Gas and Electric, West Valley Sanitation District, Santa Clara Valley Transportation Authority, and the Santa Clara Valley Water District. None of these agencies raised any concerns about providing services to the lots. 6. The project qualifies as a Categorically Exempt project per Section 15315, Class 15 (Minor Land Divisions) of the California Environmental Quality Act (CEQA). Based upon the foregoing findings of fact, the Community Development Director further finds and concludes that: 1. The proposed Tentative Parcel Map is consistent with the City's General Plan and Zoning Ordinance. 2. The proposed Tentative Parcel Map does not impair the balance between the housing needs of the region and the public service needs of its residents and available fiscal and environmental resources. 3. The design of the Tentative Parcel Map provides, to the extent feasible, for future passive or natural heating and cooling opportunities. 4. The proposed development will aid in the harmonious development of the immediate area. 5. No substantial evidence has been presented from which a reasonable argument could be made that shows that the project, as currently presented and subject to the required conditions of approval, will have a significant adverse impact on the environment. AttarhmPnt #1 Page 2 of~2 6. There is a reasonable relationship and a rough proportionality between the conditions of approval and the impacts of the project. 7. There is a reasonable relationship between the use of the fees imposed upon the project and the type of development project. Attachment #2 CONDITIONS OF APPROVAL FOR FILE NO. PLN2005-147 SITE ADDRESS: APPLICANT: DATE: 310 Redding Road Mr. Frank Onzo April 17, 2006 The applicant is hereby notified, as part of this application, that (s)he is required to meet the following conditions in accordance with the ordinances of the City of Campbell and the State of California. The lead department with which the applicant will work is identified on each condition where necessary. Where approval by the Director of Community Development, City Engineer, Public Works Director, City Attorney, or Fire Department is required, that review shall be for compliance with all applicable conditions of approval, adopted policies and guidelines, ordinances, laws and regulations, and accepted engineering practices, for the items under review. Additionally, the applicant is hereby notified that (s)he is required to comply with all applicable Codes or Ordinances of the City of Campbell and the State of California that pertain to this development and are not herein specified: ~ COMMUNITY DEVELOPMENT DEPARTMENT v Planning Division: 1. Approved Project: Approval is granted for a Tentative Parcel Map to allow the division of one lot into two residential lots on property located at 310 Redding Road. The Final Parcel Map shall substantially conform to the Tentative Parcel Map prepared by Lee Engineers and dated as received by the Planning Division on February 6, 2006, and as modified April 13, 2006, except as may be modified by the conditions of approval herein. The following modifications shall be made to the Parcel Map: ~~ ~~ ~~ 0 v-~' A. The 2,000 square foot "flag" (ingress/egress for Lot 2) shall be fully part of Parcel 2. B. The 1,100 square foot northeast corner of Parcel 2 shall be added to Parcel 1 (pursuant to Attachment 3). 2. Approval Expiration: The Tentative Parcel Map approval is valid for a period of two years from the date of approval, unless an extension is granted prior to the expiration date. 3. Park Impact Fee: The Park Impact fee for the existing, second single-family dwelling was paid prior to issuance of final occupancy. No new dwellings are proposed, therefore no additional Park Fee shall be assessed on the proposed project. 4. Property Maintenance: The property is to be maintained free of any combustible trash, debris and weeds until the time that actual construction commences. All existing structures shall be secured by having windows boarded up and doors sealed shut, or demolished or removed from the property. Attachment #2 Pa eg 2 of 3 5. Trees: No trees are approved to be removed as part of this project. Any trees proposed for removal as part of future site improvements are subject to the provisions of the City's Tree Protection Regulations. Any protected trees to be removed shall be replaced in accordance with the requirements of the Tree Protection Regulations. PUBLIC WORKS DEPARTMENT 6. Preliminary Title Report: Upon submittal of the parcel map, the applicant shall provide a current (within the past 6 months) Preliminary Title Report. 7. Riuht-of-Way for Public Street Purposes: Upon recordation of the parcel map, the applicant shall fully complete the process to cause additional right-of--way to be granted in fee for public street purposes along the Westmont Avenue frontage to accommodate 20 foot half street width from monument line to property line. The applicant shall submit the necessary documents for approval by the City Engineer, process the submittal with City staff s comments and fully complete the right-of--way process. The applicant shall cause all documents to be prepared by a registered civil engineer/land surveyor, as necessary, for the City's review and recordation. 8. Monumentation for Parcel Man: Prior to recordation of the parcel map, the applicant shall provide security for setting all monuments shown on the map. Monuments shall be set per section 20.76.010 of the Campbell Municipal Code. 9. Work in the Public Right-of-Wad Prior to doing any work in the public right-of-way, the applicant shall obtain an encroachment permit, provide plans, pay fees and deposits, post security, and provide insurance. 10. Water Meter(sj and Sewer Cleanout(s,: Existing and proposed water meter(s) and sewer cleanout(s) shall be relocated or installed on private property behind the public right-of--way line. 11. Utilities: All on-site utilities shall be installed underground per Section 21.18.140 of the Campbell Municipal Code for any new or remodeled buildings or additions. Applicant shall comply with all plan submittals, permitting, and fee requirements of the serving utility companies. 12. Utility Coordination Plan: Prior to recordation of the parcel map, the applicant shall submit a utility coordination plan and schedule for approval by the City Engineer for installation and/or abandonment of all utilities. The plan shall clearly show the location and size of all existing utilities and the associated main lines; indicate which utilities and services are to remain; which utilities and services are to be abandoned, and where new utilities and services will be installed. Joint trenches for new utilities shall be used whenever possible. 13. Pavement Restoration: Prior to recordation of the parcel map, the applicant shall execute a street improvement agreement, cause plans for public street improvements to be prepared by a registered civil engineer, pay various fees and deposits, post security and provide insurance necessary to obtain an encroachment permit for construction of the pavement restoration, as Attachment #2 Pa eg 3 of 3 required by the City Engineer. Based on the utility coordination plan, the applicant shall prepare a pavement restoration plan for approval by the City Engineer prior to any utility installation or abandonment. Streets that have been reconstructed or overlaid within the previous five years will require boring and jacking for all new utility installations. Westmont Avenue was reconstructed in 2004. The pavement restoration plan shall indicate how the street pavement shall be restored following the installation or abandonment of all utilities necessary for the project. 14. Storm Drain Area Fee: Prior to recordation of the parcel map, the applicant shall pay the required Storm Drain Area fee, currently set at $2,060 per net acre, which is $1,216. 15. Reimbursements: Prior to recordation of the parcel map, the applicant shall reimburse the City for previously constructed public improvements in the amount of $5,902. April 12, 2006 Frank Onzo 310 Redding Road Campbell, CA 95008 Re: PRE 2006-20 -Preliminary Application Comments 310 Redding Road Dear Mr. Onzo: Thank you for beginning your paperwork for apre-application for construction of a proposed third home and possible second minor land division on April 11th. Just a reminder that we need the drawings for this pre-application before it can be processed. Please do not hesitate to contact me at (408) 866-2124 or via email at jackieL@cityofcampbell.com is you have further questions. Sincerely, Jackie C. Young Lind, AICP Senior Planner File No. i~ ~ ~ ~~ ~ /~"~ . ~~ ~ c~~~ ~~ ~ Pie-A lication Review PP 0 0 `, Application OR ~ N A ~p ' Planning Division - 70 North First Street, Campbell, California 95008 - (408J 866-1140 APN(S): ~'IIy ~ 0~' DATE FILED: ~ ~.~~ ZONING: ~\~1~ GENERAL PLAN: PROPERTY ADDRESS:_~~, Zr\»\~ ~ ~\~ TYPE OF APPLICATION: APPLICANT: ~~1 x\ill ~t``y Z~ ADDRESS: ~~C.: ~e'O\~~~~, ~~ TELEPHONE: (yt~~ ~~L\~_ CITY/STATE: ~~ ~~E~~~ ~ ~~F, ZIP: ~1~~~ CELL: it;~c~j1 ~~~{~~~~_ EMAIL: FAX NUMBER: (~t,'~1 ~ ~~\ Sy~~ PROPERTY OWNER: F~~~ lr1Z.i . ADDRESS: C4~nL TELEPHONE: (~f~c~L~\~~Z\~ CITY/STATE: ZIP: AFFIDAVIT/SIGNATURE(S): The undersigned person(s), having an interest in the above-described property, hereby make this application in accordance with the provisions of the Campbell Municipal Code; and, hereby certify that the information given herein is true and correct to the best of my/our knowledge and belief. 4 ~ `- Appli nt's Signature Date _ l ._U~,u Pro erty Owner's Signature Date Rvsd. 10/13/05