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For Staff Use Only Case Number: In-Take Planner: Date: CITY OF PALM SPRINGS Department of Planning Services 3200 E. Tahquitz Canyon Way, Palm Springs, CA 92262 Tel 760-323-8245 FAX 760-322-8360 PARCEL OR TENTATIVE TRACT MAP PLANNING / ZONING GENERAL INFORMATION FORM PLANNING ENTITLEMENTS REQUESTED: Administrative Minor Modification Change of Zone Conditional Use Permit HSPB Action Major Architectural Minor Architectural Parcel Map / Tract Map Planned Development District Single-Family Architectural Variance TO THE APPLICANT: Please fill out information requested below and attach the appropriate supplemental application. Project Site Information: Project Address: APN: Project (Name of Condo or HOA) Zone: GP: Section/Township/Range: / / Description of Project: Property Owner Information: Property Owner s Property Owner s Address: Property Owner s Phone #: FAX: Property Owner s Email: Project Manager, Contractor, Owner s Representative: Company / Agent s Agent s Signature: Agent s Mailing Address: Agent s Owner s Phone #: FAX: Agent s Owner s Email:

CITY OF PALM SPRINGS Department of Planning Services 3200 E. Tahquitz Canyon Way, Palm Springs, CA 92262 Tel 760-323-8245 FAX 760-322-8360 PLANNING DEPARTMENT APPLICATION PARCEL OR TENTATIVE TRACT MAP TO THE APPLICANT: Fill out a General Information Cover Form first and attach this supplemental information sheet. Is the proposed project: Conservation Area (MSHCP) Abut State Highway 111 Downtown Parking Combining Zone Historic Designation / District Specific Plan Resort Combining Zone Water Course / Floodplain Hillside Lot Noise Impact Zone On the Agua Caliente Band of Cahuilla Indian Reservation Land Fall within the Riverside County Airport Land Use Commission Review Area General Information: Common Name of Project: When did present owner acquire the property: Relationship to larger project: Existing use of project site: Residential Projects: Proposed building square footage: Net Lot Area: Number of dwelling units: Number of stories: Height: ft. Largest single building: (sq. ft.) Number of stories: Height: ft. Describe recreational facilities: Parking spaces required: Number provided: (Per PSZC 93.06) Commercial Projects: Proposed building square footage: Net Lot Area: Type of uses and major functions: Square footage of building area devoted to each proposed use: Number of stories: Height: ft. Largest single building: (sq. ft.) Number of stories: Height: ft. Parking spaces required: Number provided: (Per PSZC 93.06) Hours of operation: Maximum number of clients, patrons, shoppers at one time: Maximum number of employees at one time: Area and percent of total project devoted to: Building sq. ft. % Paving including streets or drives: sq. ft. % Landscaping, Open, Recreation: sq. ft. % TOTAL PROJECT AREA sq. ft. %

CITY OF PALM SPRINGS PLANNING DEPARTMENT APPLICATION PARCEL OR TENTATIVE TRACT MAP APPLICANT S REQUIRED MATERIAL CHECKLIST The following items must be submitted before a Parcel or Tentative Tract Map application will be accepted. Please check off each item to assure completeness. Applicant City Use Application Information: Only Only General Information Form + Parcel or Tentative Tract Map Form (3 copies with notarized signature) Justification Letter Title Report Public Hearing Labels Project sponsorship labels Tentative Map: Full size (20 copies) folded no larger than 9 x 12. If the project fronts on State Highway 111, two (2) additional copies are required for CalTrans review. Tract or Parcel number. This number shall be obtained from the Riverside County Road Department. Complete legal description Date, north arrow, scale, gross new site area (acreage and square footage), project phasing, and zoning Location map indicating the location of the proposed land division in relation to the surrounding area Name, address, and phone number of the record owners, lessee, subdivider, and the registered civil engineer or licensed surveyor (and the registration number) under whose direction the map was prepared The existing topography of the land proposed to be subdivided using Minimum contour intervals of: 2 on terrain 0-2% 4 on terrain 3-9% 10 on terrain 10% plus Tentative grading and drainage plan Revised 10/22/13 GM

The following information is required for the City to process your application properly: Company Address: Phone #: Web Site: OFFICERS ARCHITECT ENGINEER LANDSCAPE ARCHITECT

The following forms must be completed in the presence of a Notary Public. Select the form best fitting the type of authorization required. OWNER AFFIDAVIT State of California ) )ss. County: On before me, Name and Title of Officer Personally appeared Name(s) of Signer(s) Who proved to me on the basis of satisfactory evidence to the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed in his/her/their authorized capacity (ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executedt he instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct WITNESS my hand and official seal Signature of Notary Public State of California ) )ss. County: LESSEE OR AGENT AUTHORIZATION On before me, Name and Title of Officer Personally appeared Name(s) of Signer(s) Who proved to me on the basis of satisfactory evidence to the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed in his/her/their authorized capacity (ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed The instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct WITNESS my hand and official seal Signature of Notary Public State of California ) )ss. County: LESSEE AFFIDAVIT On before me, Name and Title of Officer Personally appeared Name(s) of Signer(s) Who proved to me on the basis of satisfactory evidence to the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed in his/her/their authorized capacity (ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct WITNESS my hand and official seal Signature of Notary Public

CITY OF PALM SPRINGS Department of Planning Services 3200 E. Tahquitz Canyon Way, Palm Springs, CA 92262 Tel 760-323-8245 FAX 760-322-8360 JUSTIFICATION LETTER PARCEL OR TENTATIVE TRACT MAP A Justification Letter explaining your application will be included in the materials reviewed by the Planning Commission; multiple related applications may be addressed in a single comprehensive letter. This letter may be prepared by the applicant or a representative. The following format is provided to assist you in the preparation of this letter. Project Description: Please provide a detailed description of the project. Include items such as intended use of the property; possible environmental impacts; and architectural changes. Information: Please provide the following information and any other that will assist the Planning Commission in making their decision: Number of employees / residents Number of lots Any existing similar uses owned or operated by the applicant and their location Range or sale prices / rents Number of clients, patrons, shoppers, etc Findings: Please describe in detail how the project meets/supports existing City regulations for ALL of the findings of approval of each application type per the Palm Springs Zoning Ordinance. The Justification Letter must have original signature of named owner, applicant or representative identified as such. Note: Palm Springs Zoning Code (PSZC) Finding Sections as follows: Administrative Minor Modification: 94.07.00(B)(2) Change of Zone: 94.07.00(A) Conditional Use Permit: 94.02.00(B)(6) Minor / Major Architectural: 94.04.00(D) Planned Development District: 94.02.00(B)(6) Parcel or Tentative Tract Map: 9.63.070 PSZC can be found on the Planning Services web page at www.palmspringsca.gov

City of Palm Springs DEPARTMENT OF PLANNING SERVICES DEVELOPER NEIGHBORHOOD PROCEDURES The City of Palm Springs strongly recommends that project applicants meet with surrounding property owners and Neighborhood Organizations located in or near the project to solicit input in the beginning stage of the design and development process. Some of the benefits that can result from early consultation with the neighbors: Neighborhood feedback can strengthen projects and add value to final results. Neighborhood feedback may prevent problems at a later stage in the development process, often avoiding expensive delays. The Planning Commission and the City Council prefer to know that development applicants have contacted Neighborhood Organizations and sought their input. APPLICANT S STEPS TO TAKE FOR ANY NEIGHBORHOOD MEETING: SETTING UP Meeting should be held at least 7 days prior to the Architectural Advisory Committee or Planning Commission meeting (whichever comes first). Determine a place and time for your meeting, within the following guidelines: Time: Start between 5:30 p.m. 6:30 p.m. Days: Monday, Tuesday, or Thursday only. Place: Use a commercial or public location (not a private residence), as close as possible to the project location, and located within the city. Prepare notice with contents: a. Thorough description of proposed project. Include From... To..., street address and / or Assessor Parcel Number. b. Date of meeting. c. Time of meeting: Provide a start time, but do not list an end time. 1 September 2013

d. Place of meeting: Include room number / name and directions. e. Contact name and phone number for night of meeting for directions / questions (contact number must be available up to and during the time of the meeting). f. Tentative date of Architectural Advisory Committee or Planning Commission meeting. Fax or E-notice meeting information to the Department of Planning Services 760-323- 8245. City staff will assess for suitability of time and location. Approval or corrections to notice will be faxed back within 1-2 working days. MAILING Approved notices are to be mailed to all property owners and Lessees and Sub-Lessees (as recorded with the Riverside County Assessor s office) within five hundred (500 ) of subject property and electronically mailed to City of Palm Springs registered Neighborhood Organizations within one half mile of subject property. Notices should be postmarked at least 10 days prior to the neighborhood meeting date. MEETING Applicant and/or representative(s) to conduct the meeting, answer questions and open and close the facility. City staff will attend, but only to monitor. Applicant to have someone available to answer the phone number given at least one half (1/2) hour before and after the start time regardless of attendance. Applicant to remain on-site at least one half (1/2) hour after the start time regardless of attendance. STAFFING City staff will attend the meeting to observe only. They will be available to answer technical questions as necessary FILING Applicant to complete the Neighborhood Meeting Affidavit indicating time and date of meeting and attach the mailing list used along with a copy of the notice. Deliver affidavit and mailing list to the Department of Planning Services, at least seventytwo (72) hours prior to the Architectural Advisory Committee or Planning Commission meeting (whichever comes first). 2 September 2013