LAND USE APPLICATION FORM

LAND USE APPLICATION FORM
APPLICATIONS ARE ACCEPTED BY APPOINTMENT ONLY - PLEASE TYPE OR WRITE LEGIBLY
Type of Permit Requested
Annexation
Coastal Admin Modification to CDP, DRP
Coastal Development Permit (CDP)
CBD Design Review Permit
Development Design Review Permit (DDR)
Final Parcel Map
Final Subdivision Map
General Plan Amendment
Lot Line Adjustment
Major Modification to SUP or PD
Minor Modification to SUP or PD
Planned Development Permit (PD)
Pre-Application
Special Use Permit (SUP)
Specific Plan Review/Amendment
Tentative Parcel Map
Tentative Subdivision Map
Zone Change
Zone Variance
Other
Description of Proposed Project
(Include type of development, number of residential units, number of affordable units/request for payment of in-lieu fee, parcel size, square feet of building
area, etc. If this application is for a modification, describe the requested change. Attach more pages if required.)
Property Information
Designated Agent (Attorney-in-Fact)
Name of Project
Designation of Agent (Attorney-in-Fact)
(optional)
I,
Property Location
(property owner)
hereby designate
(agent) as the Attorney-in-Fact for the Property Owner for all
purposes of processing this application with the City of Oxnard.
Assessor’s Parcel Number(s)
Signature
For multiple property owners, use additional Land Use Application forms.
Additional Info
Current Zoning
Current General Plan
___
Primary Contact/Designated Agent (Attorney-in-Fact)
Proposed Zoning
Name
Proposed GP
Address
Property Owner Information
Tel
Name
___Fax
Signature
Address
Email
Other Persons to be Notified
Phone
Email
I hereby certify that I am the owner of record of the subject
project property(ies) described on this application and that I
approve of the action requested herein.
Signature
For additional property owners & properties, please use the back of this form and
additional sheets if necessary.
OFFICE USE ONLY
Fees
Amount
Date Received
Related / Concurrent Permits
Permit Fee
Permit No.
Env. Fees
Env Det./No.
Total
Final Action
Rec’d By
Verified By
Expiration Date
Assigned to:
ADDITIONAL PROPERTY OWNERS
Assessor’s Parcel Number
Name
Address
Daytime Phone Number
I hereby certify that I am the owner of record of the subject property(ies) described on this application and
that I approve of the action requested by this permit application.
Signature
IF ADDITIONAL PERSONS OR CORPORATIONS OWN PROPERTY COVERED BY THIS APPLICATION, PLEASE ATTACH ADDITIONAL PAGES.
NOTES
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PERMIT NO.______________________
DATE REC’D_____________________