HomeMy WebLinkAboutOV1602323�PLLEY AAi
TOWN OF ORO VALLEY
DEVELOPMENT & INFRASTRUCTURE SERVICES DEPARTMENT
-4 11000 N. LA CANADA DRIVE, ORO VALLEY, AZ. 85737
PHONE: (520) 229-4800 FAX: (520) 742-1022
g www.orovallevaz.gov/dis
UNDEO 19 -014
1.2 GENERAL APPLICATION FORM
Office Use
Application Type:
❑ Major General Plan Amendment ❑ Final Plat
❑ Rezoning/PAD Amendment ❑ Pre -Application
❑ Planned Area Development ❑ Zoning Verification SEP 5 ?016
❑ Conditional Use Permit ❑ Sign Criteria
❑ Zoning Code Amendment ❑ Sign - PAD Exemption BY: .......................
❑ Conceptual Site Plan ❑ Master Sign Program
❑ Conceptual Public Art ' ❑ Communication Facility — Tier 1 and 2 Minor
❑ Conceptual Architecture ❑ Communication Facility — Major
❑ Final Site Plan ❑ Revised Development Plan
❑ Conceptual Landscape Plan Other 20 %tid (l✓ v # JW4t
Subiect Property Information:
Address: _ 3 SS Al. Oro P /C N
Subdivision / Commercial Center Name: _ Cufq1i 4tq V t 110
Book / Page or Sequence Number: 9 - ! 5
Legal Description: Ca ,l9 [: V'. a tl �r J I a 9 (? PC) ( 0�a
Code:225-'S1 -- 22SO
Lot Number(s) 1 2- d 13
12 d- 13 6xc K9J
Section/Township/Range: 3 6 — 12. 0 — U C Area of Property: 6 6 4 2, p o r
Existing Land Use: A i
"0 Proposed Land Use: _ Sct IN �
Applicant Information:
* If more than one, attach list
Applicant *: _ ? /
Name: O µq IQf/ r Firm: �Qu`o It/ t e (` a DG i0
Address: 73 S� lV nnd�^C7G l Jo� City: a V 1+0 State: Zip: 9�-7_!
Telephone: �2 - 2.19 777 ZFax: S20 -46S -7313 Email: t M i 11,el C O
Property Owner(s) if different from Applicant *:
Name: �AA-)O Firm:
Address:
Telephone:
Fax:
Consultant: ScL�,�. (Discipline)
Name:
Address:
Telephone:
Fax:
City: —
Email:
Firm:
_ City: _
Email:
4
State: Zip:
State: Zip:
Project Description/Narrative:
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I hereby certify that I have read and examined this application and know the same to be true and correct. I am the owner
of the property or the Owner's authorized representative, and if not the owner, I have obtained the owner's permission to
perform stated work. All provisions of laws and ordinances governing this type of work will be complied with whether
specified herein or not. The approval of this application does not presume to give authority to violate or cancel the
provisions of any other federal, state or local law for which this project may be subject to.
Notice: It is the applicant/owner's responsibility to ensure all private rules and regulations (such as Covenants, Conditions
& Restrictions (CC&R's)) of the subdivision and/or commercial center are adhered to. Contact your Home Owners
Association or property management to determine applicable requirements.
It is also the applicant's responsibility to coordinate with all outside agencies to secure their acceptance or clearance.
Failure to do so may delay issuance of permits. See attached list of agencies.
��e741 ]A"_ - - -T�
Applicant's Signature Print Name
Date
Important Note: All submittals received after 4:00 p.m. will be processed the next day
Submittals will be reiected if:
• Not folded using Pima County fold & collated;
• There are missing items on the checklist unless otherwise approved by Planning Division Manager or Town Engineer.
• Re -submittals cannot be accepted without a transmittal and a written narrative summary describing the purpose of
submittal.
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