PARCEL MAP WAIVER APPLICATION SUBMITTAL INSTRUCTIONS

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PARCEL MAP WAIVER APPLICATION SUBMITTAL INSTRUCTIONS In accordance with Section 9-3.302 of the City of Thousand Oaks Municipal Code, the Director of the Community Development Department may waive the filing of a parcel map, upon finding that the proposed division complies with all requirements as set forth in the Code Section above. This application package is to be submitted in person at the Community Development Department public counter, located at 2100 E. Thousand Oaks Boulevard, Thousand Oaks, California, 91362. Please follow the application submittal instructions detailed below. Failure to complete the application package as required may result in your package being rejected at time of submittal. Additionally, once your application is filed, the City has 30 days to review all submitted items and determine if it is complete for processing. If it is not accepted as complete for processing, you will be notified in writing of the missing information. You must resubmit the additional items which triggers another 30-day review period. 1. Application: The application shall be typed or printed legibly, in blue or black ink, with all requested information completed. The application must be submitted with an original signature before your application will be accepted as complete for processing. 2. Filing Fee/Deposit: The Thousand Oaks Municipal Code requires that a fee be paid at the time of filing to cover the costs incurred in processing the application. Refer to the City s Fee Schedule or contact the Community Development to determine the current filing fee. 3. Title Report & Assessor Parcel Map: One copy of the Title Report for the subject property and one copy of the Assessor Parcel Map depicting the subject lots must be submitted with your application. 4. Plans: Submit each plan listed below in bound sets as follows: 5 sets of plans (two bound/stapled rolled sets in 36 x 48 size, three bound/stapled sets in 11 x 17 size). (The City reserves the right to request more copies of plans in order to efficiently process your application package.) A map of the land drawn to a scale not less than 1"=100' and showing the dimensions and area of existing lots and the dimensions and area of each proposed resulting lot. Location of all existing structures, easements, improvements, oak trees and/or other legally protected trees; distances to existing property lines.

Parcel Map Waiver Application Submittal Instructions Page 2 Additional information as may be required by the City to determine compliance of your request with the Thousand Oaks Municipal Code. All plans shall display the Title Block in the lower right-hand corner as well as a North Arrow. Only plans collated into sets will be accepted. 5. Electronic Files: Submit a CD containing a.pdf version of all plans submitted with this application. 6. Supplemental Information: may be requested during processing in order to adequately process your case.

PROJECT #: PARCEL MAP WAIVER APPLICATION AND AFFIDAVIT I. PROPERTY OWNER INFORMATION (list all property owners/attach additional sheets if needed) II. APPLICANT INFORMATION (The person/organization/entity the projects is being completed for.)

Parcel Map Waiver Application Page 2 III. PROJECT COORDINATOR/APPLICANT S REPRESENTATIVE INFORMATION Relationship of Project Coordinator to Applicant: Project is being done for Company/Organization: IV. PROPERTY INFORMATION Assessor s Parcel No.(s): Street address (if not available, location description): Current zoning of the property is: Map, Section(s) as shown on the Thousand Oaks Zoning Is this a gated community? Yes No The EXISTING dimensions of each lot involved with the subject Parcel Map Waiver are as follows: (ATTACH SUPPLEMENTAL SHEET IF NECESSARY) Lot No. Lot Dimensions Area in Square Feet # of Acres The PROPOSED dimensions of each lot involved with the subject Parcel Map Waiver are as follows: (ATTACH SUPPLEMENTAL SHEET IF NECESSARY) Lot No. Lot Dimensions Area in Square Feet # of Acres The resulting lot(s) will receive access from which street/avenue: Describe the nature of the subject Parcel Map Waiver and reasons for filing:

Parcel Map Waiver Application Page 3 VI. AFFIDAVIT* I declare under penalty of perjury, that I/we,, am/are the (circle one) property owner, attorney of the property owner, or person with power of attorney from the property owner for the property listed above, and that the foregoing is true and correct, and that I am legally authorized to submit this application on behalf of the property owner. Executed at (city), California, this day of, 20. Printed Name and Title *IF THE PROPERTY OWNER/APPLICANT is a Corporation, the names, addresses and titles of all officers of the Corporation shall accompany this application. If the property owner/applicant is a General Partner, the name and address of all General Partners shall accompany this application. (For Department Use Only) Fee $ received: Received by: cdd:420-10\cj\h:\common\forms_app's_handouts_templates\planning\planning Applications\Parcel Map Waiver.doc (5/2010)

RECORDING REQUESTED BY AND WHEN RECORDED, MAIL TO: City of Thousand Oaks CITY CLERK'S DEPARTMENT 2100 Thousand Oaks Boulevard Thousand Oaks, California 91362 (Space Above This Line for County Recorder's Use) NOTICE OF MERGER Pursuant to Section 66451.12 of the Government Code of the State of California and Section 9-3.1211 of Title 9 of the Thousand Oaks Municipal Code, notice is hereby given by the City of Thousand Oaks that the parcels of real property described below and located within the City of Thousand Oaks, County of Ventura, State of California, are contiguous and under common ownership and have been merged with the consent of the property owners of record. CASE NO. Applicant: DESCRIPTION OF PROPERTY: OWNER(S) OF PROPERTY DESCRIBED ABOVE HAVE REQUESTED AND CONSENTED TO SUCH MERGER: (NOTE: ALL SIGNATURES MUST BE NOTARIZED ON 8½ x 11 SHEET.) AUTHORIZED CITY REPRESENTATIVE: COMMUNITY DEVELOPMENT DEPARTMENT