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Get CA Exemption Request Form

STATE OF CALIFORNIA -- THE RESOURCES AGENCY EDMUND G. BROWN JR Governor CALIFORNIA COASTAL COMMISSION SOUTH CENTRAL COAST AREA 89 SOUTH CALIFORNIA ST. SUITE 200 VENTURA CA 93001 805 585-1800 EXEMPTION REQUEST FORM Date Name mailing address telephone number of all applicants Project location Address APN Project Description Include detailed description of the proposed development including existing and proposed square footage and existing and proposed height as applicable attach additional sheets if needed Project Plans Include two 2 sets of proposed project drawings site plan floor plan and other plans as necessary. STATE OF CALIFORNIA -- THE RESOURCES AGENCY EDMUND G* BROWN JR Governor CALIFORNIA COASTAL COMMISSION SOUTH CENTRAL COAST AREA 89 SOUTH CALIFORNIA ST. SUITE 200 VENTURA CA 93001 805 585-1800 EXEMPTION REQUEST FORM Date Name mailing address telephone number of all applicants Project location Address APN Project Description Include detailed description of the proposed development including existing and proposed square footage and existing and proposed height as applicable attach additional sheets if needed Project Plans Include two 2 sets of proposed project drawings site plan floor plan and other plans as necessary. Drawings must be to scale with dimensions shown* All oak trees and riparian vegetation canopy streams and drainages wetlands easements and public hiking and equestrian trails including existing offers to dedicate trails must be identified on the site plan* Permit History Has any application for development on this site including any subdivision been submitted previously to the Coastal Commission If yes state previous application number s date and brief description* Structures Destroyed by Disaster. If the proposed development is the replacement of a structure s destroyed due to disaster please include copies of previous building or site plans if available to indicate the location size and height of structure s. Other potential information that can be used to demonstrate the size and location of structures includes but is not limited to photos of the property surveys showing foundation s building permits and assessor s records. Filing Fee. Per the application fee schedule effective July 1 2012 the filing fee for an exemption determination is 265. SUITE 200 VENTURA CA 93001 805 585-1800 EXEMPTION REQUEST FORM Date Name mailing address telephone number of all applicants Project location Address APN Project Description Include detailed description of the proposed development including existing and proposed square footage and existing and proposed height as applicable attach additional sheets if needed Project Plans Include two 2 sets of proposed project drawings site plan floor plan and other plans as necessary. Drawings must be to scale with dimensions shown* All oak trees and riparian vegetation canopy streams and drainages wetlands easements and public hiking and equestrian trails including existing offers to dedicate trails must be identified on the site plan* Permit History Has any application for development on this site including any subdivision been submitted previously to the Coastal Commission If yes state previous application number s date and brief description* Structures Destroyed by Disaster.

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