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APPLICATION FOR: DEVELOPMENT AGREEMENT DENSITY BONUS AGREEMENT SPECIFIC PLAN SPECIFIC PLAN AMENDMENT GENERAL PLAN AMENDMENT PLANNED DEVELOPMENT City of Palmdale Case No.: Planning Division 38250 Sierra Highway Date: Palmdale, CA 93550 (661) 267-5200 Received by: [EMAIL REDACTED] Print Name INSTRUCTIONS TO APPLICANT The following application form is provided for all applicants requesting any of the above plans or agreements with the City of Palmdale. The applicant must complete the attached form as prescribed and submit the following information before the application can be accepted by the Planning Division. Designated numbers of items and/or documents required may vary significantly depending upon the project proposed. Please verify exact number and types of documents needed with case planner before formal submittal. SUBMITTAL CHECKLIST ALL MAPS MUST BE FOLDED BY APPLICANT TO A MAXIMUM 8½” x 11” SIZE The completed Application. A copy of the Development Advisory Board (DAB) letter (if applicable). A Title Report for the subject property prepared within the last six months which includes a declaration of all easements of record and copies of all easement/declaration instruments referenced. Note: Preliminary Subdivision Reports are not acceptable. 3 sets of property owners (including APN) and occupants mailing labels (self-sticking) within 500 feet of the subject property. Include all other persons to be notified. Labels must be numbered sequentially and cross-referenced to the radius map. See attached example of mailing labels. A copy of the mailing labels in tabular form. ---PAGE BREAK--- A radius map showing the subject parcel(s), nearest major cross streets, all properties within 500 feet of the boundaries of the subject parcel(s), and indicating the Assessor’s Parcel Number of every parcel within or touching the radius line. All parcels must be cross-referenced to the mailing list. The original Certified Property Owners List Affidavit. The original Letter of Authorization and attached legal description of the property. The original Hazardous Waste Certification. The original Public Hearing Sign Removal Authorization. The Development Agreement and/or General Plan Amendment summary (less than one typed page). Copies of the Screen Check Specific Plan. The actual number required to be determined by the Planning Manager. See City of Palmdale City Council Resolution Number 90-43 for submittal requirements for Specific Plans. Copies of the Screen Check Planned Development. The actual number required to be determined by the Planning Manager. See Section 28.05.C for submittal requirements. A vicinity map at a scale clearly indicating the subject parcel(s) and showing the existing major street patterns, zoning and land use designations, and actual land use projects, subdivision(s), creeks, railroads and other significant landmarks) within a minimum of one mile of the exterior boundaries of the site on 8½” x 11” paper. Note: Thomas Guide maps are not acceptable. 5 copies of the above vicinity map enlarged to a scale appropriate for a 2’ x 3’ display. Pursuant to the California Environmental Quality Act, the Planning Division will review the project and determine areas of potential environmental impact. Special studies including, but not limited to, traffic, biological, noise, and archaeological may be required. This information may also be obtained through preliminary project review by the Development Advisory Board (DAB). FEE CALCULATIONS* *Additional City, State and/or County fees will be required prior to project approval. Fee calculations may vary if case is submitted concurrently with other cases. See next page for fee calculation worksheet. If you have any questions regarding this application packet or required materials, please call the Planning Division. ---PAGE BREAK--- FEE CALCULATIONS FOR: DEVELOPMENT OR DENSITY BONUS AGREEMENT CASE NUMBER Base Fee: $ 3,450.00 Initial Environmental Study: 950.00 City of Palmdale Fish and Game Processing Fee: 25.00 @ $1.65 / label x 2: # of labels Public Hearing Notice: *City Attorney Deposit Fee: Computer Tracking Fee: GIS Fee: 173.00 TOTAL FEE RECEIVED: *Note: City Attorney Fees to be paid from this account. Additional fees to be billed. SPECIFIC PLAN CASE NUMBER Base Fee: $ @ $15 / unit: # of residential units @ $25 / 1,000 sq. ft.: sq. ft. of commercial Initial Environmental Study: 950.00 City of Palmdale Fish and Game Processing Fee: 25.00 @ $1.65 / label x 2: # of label Public Hearing Notice: Computer Tracking Fee: GIS Fee of + TOTAL FEE RECEIVED: ---PAGE BREAK--- GENERAL PLAN AMENDMENT CASE NUMBER Base Fee: $ 3,000.00(A) @ $50 / acre: # of acres 0-200 @ $25 / acre: # of acres 201 Initial Environmental Study: 950.00 City of Palmdale Fish and Game Processing Fee: 50.00 @ $1.65 / label x 2: # of labels Public Hearing Notice: Computer Tracking Fee: GIS Fee of + TOTAL FEE RECEIVED: PLANNED DEVELOPMENT Base Fee: $ 3,000.00(A) @ $50 / acre: # of acres 0-10 @ $25 / acre: # of acres 11 Initial Environmental Study: 950.00 City of Palmdale Fish and Game Processing Fee: 25.00 @ $1.65 / label: # of labels Public Hearing Notice: Computer Tracking Fee: GIS Fee of + TOTAL FEE RECEIVED: ---PAGE BREAK--- APPLICATION FOR DEVELOPMENT AGREEMENT / DENSITY BONUS AGREEMENT SPECIFIC PLAN / SPECIFIC PLAN AMENDMENT GENERAL PLAN AMENDMENT / PLANNED DEVELOPMENT Case No.: Pre-Application No.: Request to change Land Use Designation from to on acres. Existing Land Use: ATTACH A BRIEF SUMMARY (LESS THAN ONE TYPED PAGE) OF DEVELOPMENT AGREEMENT OR GENERAL PLAN AMENDMENT. Project Location (Address if Available): Assessor’s Parcel Number(s): Approximately Feet N or S of (Circle) (Street Name) Approximately Feet E or W of (Circle) (Street Name) List all related project case numbers (current applications, previously submitted, and/or previously approved cases): APPLICANT: Name/Email: Address: City: State: Zip: Telephone No.: ( ) Fax No.: ( ) OWNER: Name/Email: Address: City: State: Zip: Telephone No.: ( ) Fax No.: ( ) ENGINEER/REPRESENTATIVE: Name/Email: Address: City: State: Zip: Telephone No.: ( ) Fax No.: ( ) Use additional sheets in the case of multiple parcel numbers, owners, etc. Please include in mailing list all other persons to be notified regarding this application. ---PAGE BREAK--- CITY OF PALMDALE PLANNING DIVISION OWNER AUTHORIZATION LETTER CASE NUMBER(S): ASSESSOR’S PARCEL NUMBER(S): If the applicant is not the owner of record, then a letter authorizing the applicant to represent the owner(s) must be submitted. Note: All owners must sign as their names appear on the deed to the land. This letter shall serve to notify and verify that I/we am/are the legal owners of the property described and attached hereto and do hereby authorize the applicant to file and represent my/our interest in the above referenced applications(s). I/we have read this Letter of Authorization and know the contents thereof; and so hereby certify (or declare) under penalty of perjury under the laws of the State of California that the information contained in the above referenced application(s) is true and correct. OWNER(S) OF RECORD (Include extra sheets if necessary): Printed Name Signature Date Printed Name Signature Date I certify under penalty of perjury that I am the applicant and that the foregoing statements and answers herein contained and the information herein submitted, are in all respects true and correct. APPLICANT / APPLICANT’S REPRESENTATIVE: Printed Name Signature Date Address Telephone Printed Name Signature Date Address Telephone SUBSCRIBED AND SWORN TO BEFORE ME THIS DAY OF 20___ NOTARY PUBLIC NOTE: ATTACH LEGAL DESCRIPTION OF PROPERTY TO THIS DOCUMENT. ---PAGE BREAK--- CITY OF PALMDALE PLANNING DIVISION HAZARDOUS MATERIALS / WASTE PRODUCTS CERTIFICATION Pursuant to Section 65962.5(f) of State Government Codes, project applicants must identify whether a project site contains any hazardous materials and/or wastes included on any list compiled by the State Department of Health Services, the State Water Resources Control Board or the California Integrated Waste Management Board or are known by the owner or applicant. These lists generally identify sites that have pending corrective action regarding leaks or migration of hazardous materials. CERTIFICATION I have consulted the list compiled pursuant to Section 65962.5 of the Government Code and hereby certify that the project site and any alternatives to the project are are not identified on any of these lists. I further certify that, to the best of my knowledge, there are are not such hazardous materials on this site. Assessor’s Parcel Number(s): Case Number(s): Project Location (address if available): Approximately Feet N or S of (Circle) (Street Name) Approximately Feet E or W of (Circle) (Street Name) Use additional sheets if necessary. Date Owner’s Signature Date Owner’s Signature Date Applicant’s Signature If the site is listed, which listing agency has identified the site? If the site is listed, what is the Regulatory Identification Number associated with the site? NOTE: Before the Lead Agency can accept the application as complete, this certification must be reviewed and signed by the project owner(s) and applicant. ---PAGE BREAK--- CITY OF PALMDALE PLANNING DIVISION PROPERTY OWNERS CERTIFICATION CASE NUMBER(S): I certify under the penalty of perjury that on the day of the attached property owners list contains the names and addresses of persons to whom property is assessed as they appear on the latest available equalized assessment roll of the County of Los Angeles within the subject property and for the parcels within 500 feet of the boundary of the subject property. PLEASE PRINT ALL INFORMATION EXCEPT SIGNATURE. Name: Title: Company: Address: Phone: ( ) Signature: Date: ---PAGE BREAK--- LEAVE THIS AREA BLANK Applicant’s Name Address City, State, Zip Code THIS FORM MUST BE USED TO CREATE MAILING LABELS. Use the following format: Owner’s Name Address City, State, Zip Code Assessor’s Parcel No. Name Address City, State, Zip Code Representative / Engineer Name Address City, State, Zip Code ---PAGE BREAK--- -10- CITY OF PALMDALE PLANNING DIVISION PROCEDURES FOR PROJECT SITE SIGN POSTING In order to increase public awareness of pending development proposals requiring public hearings, the City of Palmdale has included “Project Site Sign Posting” in its public hearing notice procedures. The applicant of a proposed project scheduled for a public hearing before the City Council, Planning Commission, or Planning Manager is required to post a sign with public hearing information, which will be visible to the public right-of-way from the subject site. Late or inaccurate sign posting will cause postponement of the public hearing for the case. CASES REQUIRING SITE PLAN POSTING: Conditional Use Permits General Plan Amendments Site Plan Reviews Specific Plans Subdivisions Variances Zone Changes Amended or Revised Cases of any of the above Annexations Land Divisions Prezone Changes SIGN SPECIFICATIONS: 1. SIZE: Dimensions shall be four feet by eight feet. 2. HEIGHT: Sign shall be six feet in height. 3. MATERIALS: ½ inch plywood (minimum). Sign shall be constructed with 4” x 4” supporting posts placed at a minimum depth of two feet with 2” x 4” cross supports as shown in the diagram. 4. LOCATION: NOT LESS THAN FIVE feet inside the property line in residential zones, and not less than one foot inside the property line in commercial and industrial zones. Shall be located in the area most visible to the public on the project site. 5. COLOR: Black letters on white background. 6. LETTERING: Shall be block style with 4” major letters and 2” minor letters. 7. LIGHTING: Shall NOT be illuminated. 8. Only one sign may be displayed per street frontage of the site. A site which is not visible from an existing street or not adjacent to an existing development ---PAGE BREAK--- -11- MAY be exempted from the site plan posting requirement at the discretion of the Planning Manager. 9. Sign shall include ONLY the information provided by the assigned planner. If it becomes necessary to revise the information required on the sign, such as a change in the number of lots or square footage of buildings, it shall be the responsibility of the applicant to obtain approval of such revision(s) from the assigned planner. 10. Sites with multiple cases shall combine the information for each case on the sign. SIGN SCHEDULE: 1. Sign shall be posted no less than ten (10) days prior to the hearing date. It shall be the responsibility of the applicant to contact the Planning Division to obtain the appropriate date and time. 2. Hearing date on the sign shall be changed for Commission items which are continued or are to be heard by the City Council including, but not limited to, Zone Changes, General Plan Amendments, Specific Plans, and appealed items. Said date shall be changed a minimum of eleven (11) days prior to the hearing. 3. Sign shall be removed within fourteen (14) days following the Planning Commission hearing date or IMMEDIATELY following final City Council action. It is recommended that the cost of sign removal be included in a sign contract with the sign company. ---PAGE BREAK--- -12- Planning Division ---PAGE BREAK--- -13- CITY OF PALMDALE PLANNING DIVISION PUBLIC HEARING SIGN REMOVAL AUTHORIZATION Case Number(s): Assessor’s Parcel Number(s): Location (address if available): Approximately Feet N or S of (Circle) (Street Name) Approximately Feet E or W of (Circle) (Street Name) By this signature, I acknowledge that I understand the requirements for posting the subject property for public hearing and do agree to pay all costs for the removal and storage of said public hearing sign if it is not removed within 14 days of the final hearing for this/these case(s). Applicant/Agent: Date: Owner: Date: