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v. 08/22/18 FY 2018-2019 CITY OF SAN LEANDRO PLANNING SERVICES www.sanleandro.org/planning City Clerk’s Office | 835 East 14th Street, San Leandro, CA 94577 | (510) 577-3367 OFFICIAL USE ONLY APPEAL RECEIVED By Date DEPOSIT PAID FEE PAID CC: Planning CAO I wish to appeal the decision of the: Board of Zoning Adjustments Planning Commission Site Development Sub-Commission MUST BE SUBMITTED IN PERSON General Information + Appeal TimingDecisions of the Board of Zoning Adjustments, Planning Commission, or the Site Development Sub-Commission may be appealed to City Council and are filed with the City Clerk’s Office.This appeal application must be submitted within fifteen (15) calendar days of the decision, and within ten (10) calendar days of a Tentative Map approval. If the appeal period ends on a weekend or holiday, the time limit shall be extended to the next working day. Appeal Application + FeesBring the following items to the City Clerk’s Office:1. Signed and completed Appeal Application (front side.)2. Signed and completed Agreement for Payment of Appeal Fees (back side.)3. 4. Check payable to City of San Leandro or credit card (with a 2.5% fee) to pay the planning deposit (check with a Planner .)Check payable to City of San Leandro or credit card (2.5% fee) to pay the separate $534 city clerk fee PLANNING APPEAL APPLICATION TO CITY COUNCIL Project Address Project # PLN ___ ___ – ___ ___ ___ ___ Date of Action Approved Denied Reasons for Appeal - List all grounds relied upon in making this appeal. APPELLANT INFORMATION Print Full Name Applicant Concerned Resident Concerned Business Owner Other: _______________________________________________________ Mailing Address Phone # Email Signature of Appellant Date City State Zip Address (Attach additional sheets if necessary) (attach copy of receipt) (attach copy of receipt) May 19, 2021 A. Mogensen 5/19/2021 1129.55 x 58