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� - c <br />. 1 <br />'y C O RPOBRTEb , � 'Y <br />CITY OF SAN LEANDRO <br />City Clerk's Office <br />835 East 14 Street, San Leandro, CA 94577 <br />Telephone: (510) 577 -3366 Fax: (510) 577 -3340 <br />nATP <br />�- <br />CITY gyANDRO <br />,S AN .2 0 2012 <br />CITY CLERK'S OFFICE <br />APPLICATION FOR APPEAL TO CITY COUNCIL <br />GENERAL INFORMATION <br />This appeal application must be submitted within fifteen (15) calendar days of the decision, and within ten (10) calendar days <br />of a Tentative Map approval. If the appeal period ends on a weekend or holiday, the time limit shall be extended to the next business <br />day. <br />Please note that decisions of the Zoning Enforcement Official (ZEO) or the Community Development Director are appealed to the <br />Board of Zoning Adjustments or the Planning Commission, depending on the specific project or issue. An Appeal Application to the <br />Planning Commission /Board of Zoning Adjustments must be used for these appeals and is available at the Community Development <br />Department. <br />/T <br />Kelationsmp to rrolect: <br />K Applicant ❑ Concerned Resident ❑ Other <br />Daytime Telephone Number: Email Address: <br />&Q 211 C0&,Ln794&aerrA 611161'r COM <br />Mailing Address: l S <br />An appeal is hereby submitted on the decision of. <br />` of Zoning Adjustments ❑ Planning Commission ❑ Site Development Sub - Commission ❑ Other <br />For the ❑ Approval or Denial of: <br />Planning (PLN) Permit Number: Date o Action: <br />MV <br />Projec <br />c9 ,� (a1 Addr J ess:. <br />[e <br />for Appeal (List all grounds relied upon in making this appeal. Attach additional sheets if more space is needed): <br />Signature: Date: <br />�r g <br />Please return the completed form with a fee for $500 (payable to the City of San Leandro) to the City Clerk's Office at the address <br />shown above. If the appellant is the applicant, direct costs for processing the appeal, which may include but are not limited to <br />preparation of staff reports and meeting attendance, are charged in addition to the appeal fee. <br />Office Use Only <br />APPEAL APPLICATIIO�ONN/ <br />Filed timely. LfYes ❑ Nq <br />Received by �-► ' <br />Appeal fee $ U " (attach copy of receipt) <br />CITY COUNCIL HEARING <br />Scheduled for <br />Checklist due on to City Clerk's Office <br />cc: Planner <br />Revised July 2010 <br />APPELLANT INFORMATION (Please print) <br />