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X ���ZS�GsLS��OO 2S�J nF MRE ***DESIGN REVIEW BOARD***
'DEPARTMENT OF ENVIRONMENTAL SERVICES
PLANNING DIVISION
Applicant 1please F,am)
Mailing Address Telephone
City
REQUEST: (Describe specific nature of approval requested)
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PROPERTY DESCRIPTION:
ASSESSOR IS PARCEL NO. 4.2 '9 O S O d t� 1_ i
EXISTING ZONING R ES1dA:,v73.4L
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Property Owner Authorization THE UNDERSIGNED STATES THAT THEY ARE THE OWNER (S) OF THE PROPERTY DESCRIBED HEREIN AND HEREBY GIVE AUTHOR-
IZATION FOR THE FILING OF THIS APPLICATION.
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GNATUR -- DATE
AGREEMENT ABSOLVING THE CITY OF PALM DESERT OF ALL LIABILITIES RELATIVE TO ANY DEED RESTRICTIONS.
I DO BY MY SIGNATURE ON THIS AGREEMENT, ABSOLVE THE CITY OF PALM DESERT OF ALL LIABILITIES REGARDING ANY DEED RES-
TRICTIONS THAT MAY BE APPLICABLE TO THE PROPERTY DESCRIBED HEREIN.
Applicants Signature
I
(FOR STAFF USE ONLY) ENVIRONMENTAL STATUS
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MINISTERIAL ACT E.A. No.
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CATEGORICAL EXEMPTION
NEGATIVE DECLARATION
n
THFR
_ /I- fi- 93.-
DATE
/r - 2 i • Ps -
DATE
ACCEPTED BY
CASE No. - -
Design Review of:
CITY OF PALM DESERT
APPLICATION FORM
DESIGN REVIEW BOARD PROCESS
TYPE OF PROJECT
APPLICANT
CASE NO.
Agreement of compliance to be signed by those applying for review.
I hereby acknowledge that I have read and agree, to comply
with all the following requirements, and understand that
the Department of Building and Safety will not issue a
building permit or allow occupancy on the use permitted
until this signed confirmation has been received by the
Department of Environmental Services.
The development of this project shall conform substantially
to all development plans submitted in behalf of this case,
and as revised according to the Design Review Board process.
Any minor change requires approval by the Director of Envi-
ronmental Services. Any substantial change requires ap-
proval by the Design Review Board.
All requirements of any law, ordinance, or regulation of
the State, City, and any other applicable government entity
shall be complied with as part of the development process.
This approval is applicable, subject to the development of
this project, commencing within one year from approval date
and being promptly completed.
Landscaping (with irrigation system) shall be installed
prior to final inspection and receiving certificate of
occupancy.
Curb, gutter, curb cuts, and tie-in paving shall be provided
along the full frontage of the lot by means of installation
prior to final inspection or other provisions as approved by
the City Engineer. Construction shall conform to City Stan-
dards and all requirements of the City Engineer.
(Signature) Date
Department of Environmental Services Form 1
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