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ZONING ORDINANCE AMENDMENT APPLICATION Planning Division Case No.: 38250 Sierra Highway Palmdale, CA 93550 Date: (661) 267-5200 [EMAIL REDACTED] Received by: INSTRUCTIONS TO APPLICANT The following application form is provided for all applicants requesting a Zoning Ordinance Amendment with the City of Palmdale. The applicant must complete the application form as prescribed and submit the following information before the application can be accepted by the Planning Division SUBMITTAL CHECKLIST The completed Application A copy of the Development Advisory Board (DAB) letter (if applicable) A statement outlining that portion of the Zoning Ordinance to be amended and the exact wording requested as replacement FEE CALCULATIONS $2,250 950 25 113 Base Fee: Initial Environmental Study: City of Palmdale Fish and Wildlife Processing fee: GIS Fee of Base Fee): Public Hearing Notice: 1,600 Total Fee Received: $4,938 If you have any questions regarding this application packet or required materials, please call the Planning Division. ---PAGE BREAK--- Case Number: Pre-Application Number: Request to change City of Palmdale Zoning Ordinance: Article Number: , Section Number: Article Name: Section Name: ATTACH A STATEMENT OUTLINING THAT PORTION OF THE ZONING ORDINANCE TO BE AMENDED AND THE EXACT WORDING REQUESTED AS REPLACEMENT. List all related project case numbers (current applications, previously submitted, and/or previously approved cases): APPLICANT: Name: Address: City: State: Zip: Telephone No.: ( ) Fax No.: ( ) Email Address ENGINEER/REPRESENTATIVE: Name: Address: City: State: Zip: Telephone No.: ( ) Fax No.: ( ) Email Address