ER/ APPLICANT INFORMATION

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Complete the submittal thecklist Owner Name, Title Property Address/Location ER/ APPLICANT INFORMATION Fold oversize mpies so that thry are no larger than 8 1/2 " l?

1 Complete the submittal thecklist Owner Name, Title Property Address/Location ER/ APPLICANT INFORMATION Fold oversize mpies so that thry are no larger than 8 1/2 " l?j 14 " Company Company Applicant Name, Title Submit all information as required at the pre- Street Address Street Address applitation meeting Collate all required information into 6 individual City State Zip City State Zip patkages (induding one pm kage containing originals) Telephone Number Telephone Number Bringyour thetk/ mdit t-ard to pcry fee Fax Number Project Name Pre-Application Mtg.- Plans Examiner Council District Case # Assigned Updated December 2 9, 211 Case Description

Page 2 PROJECT INFORMATION TYPE OF WAIVER REQUESTED Lot Split SUBMISSION PACK~AGE Six packages containing each of the following: Application Fee: $25 Application Form Boundary Survey Sketch of

2 Page 2 PROJECT INFORMATION TYPE OF WAIVER REQUESTED Lot Split SUBMISSION PACK~AGE Six packages containing each of the following: Application Fee: $25 Application Form Boundary Survey Sketch of Description (F.A.C. 61G17) Development Plan Joinder and Consent Affidavit Title Opinion Additional Information A user fee established by City Council to partially off-set the administrative and direct costs of processing an application. The application fee does not in any way ensure the applicant a favorable decision. All applications will be reviewed on the merits of the request alone, regardless of the application fee. All application fees are non-refundable, except for applications that are withdrawn within five (5) business days of the application submittal date. The Project Planner must receive a request for withdrawal by 5:p.m. on the day of the withdrawal deadline for the fee to be refunded. Complete and sign this application form, including checking the blank boxes to the right to indicate items submitted. A recent, accurate survey (no older than 9 days) showing all existing improvements on the property and certified by the surveyor, drawn to scale. Sketch of Description that contains a metes and bounds lega l description of the existing parcel and proposed parcels. The legal description for each parcel shall also be submitted in a digital format (MS Word. etc.: no AutoCadl on a floppy disk or CD. Copy of the proposed Development Plan- dimensioned, drawn to scale and depicting proposed lot lines and all development, existing and proposed. The Development Plan shall be drawn at the same scale as the survey. If there is a mortgage on the Property, a joinder and consent to subdivide the property is required from each mortgage holder (Appendix A). If you are not the property owner, but are acting on behalf of the property owner, you are required to have this form completed and notarized (Appendix B). A Title Opinion or Certificate of Title is required to be submitted with the request for waiver. The title opinion shall be dated no more than 3 days prior to filing of the application. A title insurance policy is not acceptable. Additional information as required by the Zoning Official: Reduced Copies CERTIFICATION By my signature below, Date

3 ASK YOUR PROJECT PLANNER FOR YOUR APPROPRIATE AFFIDAVIT FORM(S)

4 JOINDER & CONSENT TO WAIVER OF PLAITING Prepared by and Return to: City of Orlando Office of Permitting Services 4 S. Orange Avenue, Lobby Floor Orlando, Florida 32l"IJ...Io--. THE U described prop and that the undersigned hereby joins in and consents to the waiver of platting of the lands described above by the owner thereof, and agrees that its mortgage, lien or other encumbrance, which is recorded in Official Records Book, Page, in the Public Records of Orange County, Florida, shall be subordinated to the above waiver of platting requirements. IN WITNESS WHEREOF, the undersigned has caused these presents to be executed by its undersigned officer this day of, 2_. WITNESS: (COMPANY NAME) By: Print Name (Printed Name) Print Name (CORPORATE SEAL) STATE OF FLORIDA COUNTY OF ORANGE not take an oath; IN WITNESS W Notary Seal APPENDIX A

5 Get Active Orlando Project Name Date Your Name ~--- A Walkable & Bikable Orlando Project Design Checklist Get Active Orlando recommends that planners, architects, landscape architects, engineers, citizens and developers review their projects for ease of walking and biking. Small details in a project's design can make a big difference in leading to a healthier lifestyle. Please consider each item below as you design your project. Submit this form with your plans when applying for development approval from the City of Orlando. City staff will examine how your project adheres to these principles and will include recommendations In the staff report. Connectivity and Crossings 1. Are direct, short, clear, well lighted pedestrian routes provided to building(s)' entrances, adjacent uses and surrounding neighborhoods? 2. Are connections provided to nearby public sidewalks and bikeways? 3. Are safe, direct crossings provided for walkers and transit users on site and in transition areas, including nearby intersections? (These could include "bulb-outs" at corners, median refuge islands, mid-block crossings, speed tables, high emphasis striping, and pedestrian count~down signals.) Entrances and Stairways 1. Are entrances to the building{s) visible and convenient from the street for all bicyclists, pedestrians and transit users? 2. Are wide central stairs provided in a prominent location to encourage walking rather than using elevators? Bicycle Parking and Support Facilities 1. Does the project provide conspicuous short term and/or longer term parking for bicyclists? 2. Is weather-protected bicycle parking conveniently located near primary entrances of the building (i.e.: within 1ft.)? 3. Are bike racks readily visible and identified with a City approved design? (City-approved designs depict either an upside down "u" or a "hitch"). 4. Are showers and lockers provided for office and commercial employees? Sidewalks, Walkways and Eliminating Barriers 1. Are sidewalks sufficiently wide to accommodate the anticipated number of walkers? (Provide a 5 ft. min. clear width without obstructions; i.e. cafe tables, newspaper boxes, electrical poles, etc.) 2. Is shade and/or rain protection provided over the sidewalks by canopy trees, awnings, or buildings? 3. Is sufficient sidewalk width provided for a bus stop and bus shelter? 4. Are there adequate walkways through parking areas to building entrances? 5. Are utility poles, traffic mast arms, and equipment boxes located outside the sidewalk and walk way areas? (These items should be located in the planter strip between the sidewalk and the street.) 6. Is there an opportunity to remove existing obstacles from the sidewalks? Get Active Orlando reminds all that we can be physically active every day by making choices such as walking to lunch instead of driving and taking the stairs instead of the elevator. Get Active Orlando seeks to provide the public with opportunities to being active and to remove barriers to physical activity. City of Orlando - City Planning DMsion Jan. 211

6 - c-- B'. -.,,t. ', '.. : U, > :.. ~ _.' "..., ; ''... The R.elictbfe O:rua~ OUC Pre-Application Checklist For City of Orlando Permits Please complete the list below prior to submittal of your application for permits: Parcel ID: Refer to OUC's Electric and Water Distribution System General Design Guidelines at under Commercial, then Development Services, then Design Guidelines Is your development project a high density, multi-use, condo high-rise, or downtown development? Yes, then OUC requests that you schedule a meeting* to go over your preliminary design prior to your submittal of final application for pennits. No Will your development project include environmental improvements, energy efficiency, and sustainability (i.e. LEED certification)? Yes, refer to OUC's Reliably Green website at under Make Your Mark, then Commercial, then Green Building No Electric and Water infrastructure needs are compliant with OUC's utility requirements. If you are unsure you will meet OUC's utility requirements, please feel free to schedule a meeting* to go over your preliminary design. _Please retmn this checklist with your application for city permits *A meeting can be scheduled at under Commercial, then Development Services, then Meeting Request Revised 12/11/11

6/14/2013 VIA . Evan Compton, Associate Planner Community Development Department City of Sacramento 300 Richards Blvd Sacramento, CA 95814

6/14/2013 VIA . Evan Compton, Associate Planner Community Development Department City of Sacramento 300 Richards Blvd Sacramento, CA 95814 6/14/2013 VIA EMAIL Evan Compton, Associate Planner Community Development Department City of Sacramento 300 Richards Blvd RE: Sacramento Natural Foods Co-Op (P13-025) Dear Mr. Compton: WALKSacramento appreciates