General Application Form - City of Petaluma, California

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This form, together with corresponding
application forms for specific permits,
GENERAL APPLICATION FORM
will become the permit document.
There is no fee for this form.
Type of Application
For City Use Only
 Conditional Use Permit: Minor / Major
Permit No: _______________________________
 Fence
___________________________
Project Name:
 Home Occupation Permit
 Preliminary Review by Staff
Date Permit filed: _________________________
 SPAR: Minor / Major
Date Permit issued: ________________________
 Tentative Map: ≤4 / ≥5 lots
 Zoning Amendment: Minor Revision _________
Received by: _____________________________
 Other:
Approved by (if applicable): _________________
Property Information
Land Use Information
(ask if unsure)
Address/Location:_____________________________
Existing Use of Property:______________________
Assessor’s Parcel No.:__________________________
General Plan Designation:_____________________
Property Size:_________________________________
Zoning Designation:_________________________
Historic Designation:_________________________
Contact Information
Owner:
________________________________
Agent:
_______________________________
Firm (opt.):
________________________________
Firm (opt.):
_______________________________
Phone:
________________________________
Phone:
_______________________________
Email:
________________________________
Email:
_______________________________
Address:
________________________________
Address:
_______________________________
________________________________
_______________________________
Authorization of Agent, Declaration of Accuracy, and Agreement for Inspection
(not required for Home Occupation Permit applications)
I, ________________________________, am the  owner /  agent of the property for which the
development or change is proposed. The above information and attached documents are true and accurate to
the best of my knowledge. I have read and agree with all of the above.
___________________________________
___________________________
Signature of Property Owner or Agent
Date
I, the owner, hereby  do /  do not authorize the agent to act on my behalf for this project, be notified of all
application proceedings, and agree to allow employees or authorized agents of the City of Petaluma to enter
upon the subject property, as necessary, to inspect the premises and process this application.
___________________________________
___________________________
Signature of Property Owner
Date
Page 1 of 1
General Application Form
Last updated: December 12, 2012
T: (707) 778-4470
City of Petaluma Planning Division
For faster responses, please e-mail us at:
11 English Street, Petaluma, CA 94952
Hours: 8 am – 12 pm and 1 pm – 5 pm,
petalumaplanning@ci.petaluma.ca.us
http://cityofpetaluma.net/cdd/planning.html
Mondays through Thursdays. Closed Fridays.
This form, together with corresponding
application forms for specific permits,
GENERAL APPLICATION FORM
will become the permit document.
There is no fee for this form.
Type of Application
For City Use Only
 Conditional Use Permit: Minor / Major
Permit No: _______________________________
 Fence
___________________________
Project Name:
 Home Occupation Permit
 Preliminary Review by Staff
Date Permit filed: _________________________
 SPAR: Minor / Major
Date Permit issued: ________________________
 Tentative Map: ≤4 / ≥5 lots
 Zoning Amendment: Minor Revision _________
Received by: _____________________________
 Other:
Approved by (if applicable): _________________
Property Information
Land Use Information
(ask if unsure)
Address/Location:_____________________________
Existing Use of Property:______________________
Assessor’s Parcel No.:__________________________
General Plan Designation:_____________________
Property Size:_________________________________
Zoning Designation:_________________________
Historic Designation:_________________________
Contact Information
Owner:
________________________________
Agent:
_______________________________
Firm (opt.):
________________________________
Firm (opt.):
_______________________________
Phone:
________________________________
Phone:
_______________________________
Email:
________________________________
Email:
_______________________________
Address:
________________________________
Address:
_______________________________
________________________________
_______________________________
Authorization of Agent, Declaration of Accuracy, and Agreement for Inspection
(not required for Home Occupation Permit applications)
I, ________________________________, am the  owner /  agent of the property for which the
development or change is proposed. The above information and attached documents are true and accurate to
the best of my knowledge. I have read and agree with all of the above.
___________________________________
___________________________
Signature of Property Owner or Agent
Date
I, the owner, hereby  do /  do not authorize the agent to act on my behalf for this project, be notified of all
application proceedings, and agree to allow employees or authorized agents of the City of Petaluma to enter
upon the subject property, as necessary, to inspect the premises and process this application.
___________________________________
___________________________
Signature of Property Owner
Date
Page 1 of 1
General Application Form
Last updated: December 12, 2012
T: (707) 778-4470
City of Petaluma Planning Division
For faster responses, please e-mail us at:
11 English Street, Petaluma, CA 94952
Hours: 8 am – 12 pm and 1 pm – 5 pm,
petalumaplanning@ci.petaluma.ca.us
http://cityofpetaluma.net/cdd/planning.html
Mondays through Thursdays. Closed Fridays.

Download General Application Form - City of Petaluma, California

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