1

Application Request- Select all that apply - (Subject to other permit requirements)

Application Request- Select all that apply - (Subject to other permit requirements)

Zoning Clearance (ZC)	Pre- Application (PA)	Minor Use Permit (MUP)
Conditional Use Permit (CUP)	Planned Development Permit (PDP)	Minor Modification (MM)
Variance (VA)	Boundary Adjustment/ Lot Merger (BA)	Tentative Map (TM) - 5 or more lots
Other	Tentative Parcel Map (TPM) - 4 or fewer lots	Certificate of Compliance (CC)
Zoning Amendment (ZA)	Specific Plan Amendment (SPA)	General Plan Amendment (GPA)
* Modification	* Time Extension	* Appeal
* Substantial Conformance Review

2

*** If you selected an application request with *, please describe what your application is for below. 

*** If you selected an application request with *, please describe what your application is for below.

3

Applicant Information

* If applicant or property owner is a trust, partnership, or corporation, please attach record(s) of ownership listing all trustees, partners, or officers, as applicable. 

Applicant Information * If applicant or property owner is a trust, partnership, or corporation, please attach record(s) of ownership listing all trustees, partners, or officers, as applicable.

Name

Address

Phoneext.

Faxext.

Email

4

Property Owner

Property Owner

Name

Address

Phoneext.

Faxext.

Email

5

Contact Person

Contact Person

Name

Address

Phoneext.

Faxext.

Email

6

Project

Project

Project Name

Address

Assessor's Parcel #/ Zone

Site Acreage

Detailed Description of Proposed Project Use, Structure, and Improvement

7

Applicant Certification: 

I hereby certify that the statements furnished in this application and in the supplemental materials present the data and information required for this project to the best of my ability, and that the facts, statements, and information presented are true and correct to the best of my knowledge. In addition, i grant permission to the City of Lemon Grove to reproduce submitted materials, including but not limited to plans, exhibits, photographs, and studies for distribution to staff, City Council and other agencies in order to process this application. 

Consent by Property Owner:

If applicant is other than the property owner, owner must consent to filing.  A designee authorization letter or signed property owner authorization is required to be attached.   If property owner is a corporation, partnership, trust, or other private entity, then copies of legal recorded documents establishing entity are required.   Property owner authorization shall include 1) Consent to the filing of this application and 2) Authorization for City representative(s) to enter upon their property for the purpose of examining and inspecting the property in preparation of any reports and/or required environmental review for the processing of the application(s) being filed. 

Please upload the following form below with the original signatures of the property owner. 

Property Owner Consent Form

Applicant Certification: I hereby certify that the statements furnished in this application and in the supplemental materials present the data and information required for this project to the best of my ability, and that the facts, statements, and information presented are true and correct to the best of my knowledge. In addition, i grant permission to the City of Lemon Grove to reproduce submitted materials, including but not limited to plans, exhibits, photographs, and studies for distribution to staff, City Council and other agencies in order to process this application. Consent by Property Owner: If applicant is other than the property owner, owner must consent to filing. A designee authorization letter or signed property owner authorization is required to be attached. If property owner is a corporation, partnership, trust, or other private entity, then copies of legal recorded documents establishing entity are required. Property owner authorization shall include 1) Consent to the filing of this application and 2) Authorization for City representative(s) to enter upon their property for the purpose of examining and inspecting the property in preparation of any reports and/or required environmental review for the processing of the application(s) being filed. Please upload the following form below with the original signatures of the property owner. Property Owner Consent Form

Signature

Applicant Certification: I hereby certify that the statements furnished in this application and in the supplemental materials present the data and information required for this project to the best of my ability, and that the facts, statements, and information presented are true and correct to the best of my knowledge. In addition, i grant permission to the City of Lemon Grove to reproduce submitted materials, including but not limited to plans, exhibits, photographs, and studies for distribution to staff, City Council and other agencies in order to process this application. Consent by Property Owner: If applicant is other than the property owner, owner must consent to filing. A designee authorization letter or signed property owner authorization is required to be attached. If property owner is a corporation, partnership, trust, or other private entity, then copies of legal recorded documents establishing entity are required. Property owner authorization shall include 1) Consent to the filing of this application and 2) Authorization for City representative(s) to enter upon their property for the purpose of examining and inspecting the property in preparation of any reports and/or required environmental review for the processing of the application(s) being filed. Please upload the following form below with the original signatures of the property owner. Property Owner Consent Form Click button for uploading file Clear Maximum size allowed: 5 MB Allowed types: .gif, .jpg, .png, .doc, .docx, .xls, .xlsx, .rtf, .pdf, .txt

1. To receive a copy of your submission, please fill out your email address below and submit.
2. Email Address

To prevent spam we utilize a verification code system. Please enter the code as it is shown in the box below:

 

Code:

Page 1 / 1