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City of San Leandro 835 E. 14th Street San Leandro, CA 94577 Appeal Application To the City Council CITY OF SAN LEANDR, City Clerk AUG 1 6 2002 City Clerk's Office 510i577-33(ITY CLERK'S OFFICI Please provide the information required below and return this form with a check for S160*, (made payable to the City of San Leandro), to the City Clerk's Office at the address shown above. NOTE. Your application for an appeal must be made within fifteen (I;) calendar days of the decision (ten days if you are appealing a Tentative Map approval). If the appeal period ends on a weekend or holiday, the time limit shall be extended to the new working day. Decisions of the Site Development Sub -Commission, the Planning Commission, and Board of Zoning Adjustments are appealed to the City Council. Please note that decisions of the Zoning Enforcement Official (ZEO) or the Development Services Director are appealed to the Board of Zoning Adjustment or the Planning Commission, depending on the specific project or issue. A Planning Commission/Board of Zoning Adjustments appeal form (light green) must be used for these applications. I wish to appeal the decision of the: ❑ Ot)arr ❑ Site Devel��ent Sub -Commission; El Planning Commission; oard of Zoning Adjustments, for the Approval.Denial� Circle One) in the matter of (�o �.JC r i t ? ;`; � �Y.E I�� t j C �) - �i j t'r ;) 6 j�Q ( (please indicate project name or file number, and project address) which took action on i (date of zLeetine) The grounds upon which this appeal is filed are: (List all grounds relied upon in making this appeal. Attach additional sheets if more space is needed.) v L fie'A Signatur : Name: (Please print) I am: ❑ e Applicant; ❑ Conceud Resident JE Other for the project in question. Mailing Address. t!� '� — ; � C�� /�� vri , `i r 7- Daytime Phone Number: �� C% " �(0 (!J� 'NOTE: If the appellant is the applicant, direct costs for processing the appeal, which may include but are not limited to preparation of staff reports and meeting attendance, are charged. CITY USE ONLY Date Appeal Received: i!- By:.i, (c,� L ( '�. (attach copy of receipt) Hearing scheduled before City Council on: Z L,, IF -To the -Plan— er: Ple submit the City Council Publit Hearing Checklist and backup material to the City Clerk's Office not later `1/Gf n f,� ,1br1�)� G.ICLER%IDEBBIEIFOR'�1S41PPEAL01 than/ c l /