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Form Ds-18 - Request For Reasonable Accommodations - City Of San Diego Development Services - 2009 Page 2

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City of San Diego • Development Services Department

Request for Reasonable Accommodations

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Please attach any documents that you feel are necessary to support your request for reasonable accommoda-

tion and would assist us in considering your request, (e.g. medical documentation which supports the need

for the accommodation as prescribed under disability law). Please note that all documents submitted will be

kept as a record of the decision and will be made available to the public upon request.

8. Owner Declaration: I ____________________________, certify, under penalty of perjury under the laws of

the State of California, that the information provided above is correct and is being submitted to facilitate a

currently anticipated use of the development by a person with a disability.

Signature:

_________________________________________

Date:

_____________________________

A person with disability pursuant the Fair Housing Amendments Act of 1988 means any person who has a physical

or mental impairment that substantially limits one or more major life activities; anyone who is regarded as having

such impairment; or anyone who has a record of such impairment.

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FOR CITY USE ONLY

The following findings have been made to support the reasonable accommodation request:

Yes No

❏ ❏

The development will be used by a person with a disability.

❏ ❏

The deviation request is necessary to make specific housing available to a person with disability

and complies with all applicable development regulations to the maximum extent feasible.

❏ ❏

The deviation request will not impose an undue financial or administrative burden on the City of

San Diego.

❏ ❏

The deviation request will not create a fundamental alteration in the implementation of the City’s

zoning regulations for the __________________________________ zone.

)

ndIcate

one

❏ ❏

For coastal development in the Coastal Overlay Zone, that is not exempt from a Coastal

Development Permit pursuant to Section 126.0704, there is no feasible alternative that provides

greater consistency with the certified Local Coastal Program.

Additional Information for the Administrative Record:

❏

Approved

Denied

If requested accommodation is denied provide reason(s) based on required findings:

Staff Name: ___________________________________________

Staff Title: _____________________________

Signature: _____________________________________________

Date: __________________________________

Form Ds-18 - Request For Reasonable Accommodations - City Of San Diego Development Services - 2009 Page 2

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