534, Construct a bay window and new, ApplicationAGENTS NAME:
AGENTS ADDRESS:
TELEPHONE NO.:
Ci O /E0// CUES INCORPORATED JANUARY 24, 1957
PROPERTY OWNER:
OWNER'S ADDRESS:
TELEPHONE NO.:
PROPERTY ADDRESS:
VARIANCE
NO. 2 PORTUGUESE BEND ROAD
REOUEST FOR HEARING ROLLING HILLS, CALIF. 90274
(310) 377-1521
RANDY C. SOPP AND'CATHERINE M. SOPP FAX (310)377.7288
2 WILLIAMSBURG LANE ROLLING HILLS,,CALIFORNIA
310-377-5459
2 WILLIAMSBURG LANE ROLLING HILLS, CALIFORNIA
LEGAL DESCRIPTION: LOT NO.
44, 45 &46
ASSESSOR'S BOOK NO. 7569 PAGE 016 PARCEL 005
EDWARD CARSON BEALL, A.I.A. AND ASSOCIATES
INTERIORS ARCHITECTURE PLANNING
14AGV t. HAICIICAJM
11777 H4WTHf1RNF Rill TT F VARf/ TOR RA MCC. C<FORUTA 0!u/".
TEL: (310) 378-1280 FAX: (310) 375.9530
E/Mail: ecbeall(I aol.com
MEMBERS OF THE AMERICAN INSTITUTE OF ARCHITECTS
Describe in detail the nature of the proposed use, including what aspects of the project
require a Variance.
ADDITION OF A BREAKFAST ROOM AND AN ENTRY TRELLIS WHICH ARE WITHIN THE FRONT
SET BACK AREA.
Criteria to be satisfied for grant of Variance
Such change is based upon the following described exceptional or extraordinary
circumstances or conditions that do not apply generally to other property in the same
vicinity and zone.
THE SET BACK. LINE RUNS DOWN THE CENTER OF THE EXISTING HOME, THE NEW BREAKFAST
BAY WILL ONLY PROJECT 4' BEYOND THE (E) HONE, AND THE TRELLIS WILL BE FLUSH
Such change will not be materially detrimental to the public welfare nor injurious to the
property or improvements in such vicinity and zone where property is located because
IT IS SET BACK WITHIN THE EXISTING PROJECTING GUEST ROOM AND WILL NOT CAUSE
A LARGE IMPACT ON THE EXISTING NEIGHBORHOOD OR CONDITIONS.
FILING FEE
A filing fee must accompany the application. Make check payable to: THE CITY OF
ROLLING HILLS.
i 07. 95 16:24 '$`311i5 9530
DATE
BITTLI)tNG AREAS EXISTING
NET LOT AREA
BUILDING PAD(S)
RESIDENCE
GARAGE
SWIMMING POOL/SPA
STABLE
RECREATION COURT 0
)
SERVICE YARD
OTHER
TOTAL STRUCTURES
% STRUCTURAL
COVERAGE
66.092
11.157
,167
475
445
375
E . C . BEALL&ASSOC. t 002
ZONING CASE NO. S� APPLICANT .SG/y
ADDRESS , & /// 5G yLakal
CALCULATION QF LOT COVERAGE
sq.ft.
sq.ft.
sq.ft
sq.ft.
sq.ft•
sq.ft
sq.ft.
PROPOSED
0 sq.ft.
Q__sq ft
334201sq.ft.
Q�_sq.ft.
0 sq.ft.
0 sq.ft.
TOTAL
L6.092
11.157
3.180
475
65
375
0
sq.ft.
sq.ft.
sq.ft
sq.ft.
sq.ft.
sq.ft.
sq.ft.
0. sq.ft. 208 sq.ft. • 208 sq.ft.
0 sq.ft. 2(-41 sq.ft. (-21 sq.ft.
4.482 sq.ft. 219 sq.ft. 4.701 sq.ft.
8 % .33 % 7.11 %
% TOTAL PAD al 7
_COVERAGE -—....._._
DRIVEWAY 1.100
PAVED WALKS AND
PATIO AREAS
POOL DECKING
TOTAL FLATWORK
% TOTAL FLATWORK
COVERAGE 4.82
-------- -- ---
TOTAL STRUCTURAL & FLATWORK
COVERAGE 7.672
% TOTAL COVERAGE 11 1
1.308
782
3.190
% 1.96 % 42.13 %
sq.ft. 0 sq.f t. 1.100 sq.ft.
sq.ft. 0 sq.ft. 1.308 sq.ft.
sq.ft. 0 sq.ft 782 sq.ft.
sq.ft. 0 sq.ft. 3.190 sq.ft.
% 0 % 4.82
sq.ft. 219 sq.ft. 7.891 sq.ft.
% .33 . % 11.94
• DATE
.NING CASE NO. ADD
APPLIC
BUILDING AREAS
NET LOT AREA 36,507
BUILDING PAD(S) 1 1r 1 57.
RESIDENCE, 3,167
GARAGE 475
465
SWIMMING POOL/SPA
STABLE 375
CALCULATION OF LOT COVERAGE
EXISTING PROPOSED TOTAL
sq.ft. sq.ft. 36 , 507 sq.ft.
sq.ft. sq.ft. l I, 157 sq.ft.
sq.ft. '3( 2o) sq.ft. 12a sq.ft.
sq.ft. sq.ft. 475 sq.ft.
465
sq.ft. sq.ft. sq.ft.
sq.ft. sq.ft. 375 sq.ft.
RECREATION COURT
( ) sq.ft. sq.ft. sq.ft.
SERVICE YARD TR sq.ft. 2.8 sq.ft. 208 sq.ft.
OTHER Trellis sq.ft. 2 1}-) sq.ft. 2) sq.ft.
4,482
TOTAL STRUCTURES sq.ft. ' �1. sq.ft. 4--(..o 21 sq.ft.
% STRUCTURAL
COVERAGE 12 • & % • 58 . % 1 2. 7 %
% TOTAL PAD
COVERAGE ` 0.2- % 1.2. % 41- 4 %
DRIVEWAY 1,100 sq.ft. sq.ft. 1,10o sq.ft.
PAVED WALKS AND 1,308
PATIO AREAS 13 ° 5 sq.ft. sq.ft. sq.ft.
782 782
POOL DECKING sq.ft. sq.ft. .sq.ft.
TOTAL FLATWORK 3,f 90 sq.ft. sq.ft. 3,190 sq.ft.
% TOTAL FLATWORK
COVERAGE 8 7 % % P>•? %
TOTAL STRUCTURAL & FLATWORK
COVERAGE 7, C974. sq.ft. sq.ft. 7)61 sq.ft.
% TOTAL COVERAGE 21. 0 % % 2 . q- %
DATE 'CONING CASE NO. ADEOSS
APPLICANT
CALCULATION OF BUILDING PAD COVERAGE
PAD NO. 1
BUILDABLE PAD AREA
RESIDENCE
GARAGE
STABLE (BARN)
POOL
RECREATION COURT
OTHER.
7,312
3,200
475
261
TOTAL STRUCTURES ON PAD NO. 1 3,936
% BUILDING PAD COVERAGE
PAD NO. 2
BUILDABLE PAD AREA
RESIDENCE
GARAGE
STABLE (BARN)
POOL
RECREATION COURT
( •)
OTHER
375
465
840
TOTAL STRUCTURES ON PAD NO. 2
% BUILDING PAD COVERAGE 2-2,5
sq.ft.
sq.ft.
sq.ft.
sq.ft.
sq.ft.
sq.ft.
sq.ft.
sq.ft.
s q. ft.
sq.ft.
sq.ft.
sq.ft.
sq.ft.
sq.ft.
sq.ft.
• sq.ft.
CITY OF ROLLING HILLS
ZONING CASE
CERTIFIED PROPERTY OWNER'S LIST
AFFIDAVIT
STATE OF CALIFORNIA ) ,
COUNTY OF LOS ANGELES ) ss
CITY OF ROLLING HILLS )
I, RANDY C. SOPP , declare underpenalty
of perjury that the attached list contains the names and addresses of all persons to whom
all property is assessed as they appear on the latest available assessment roll of the County
within the area described and for a distance of one thousand (1,000) feet from the exterior
boundaries of property legally described as:
LOT 4 OV AOLLING HILLSTACT,, TN THE CITY OF ROLLING HILLS, COUNTY OF LOS
ANGELES, STATE OF CALIFORNIA, AS'PER MAP RECOREDE IN MAP BOOK 201, PAGE 29 TO 35 OF
OFFICIAL RECORDS', IN THE OFFICE OF THE COUNTY RECORDER OF SAID COUNTY
Executed at ROLLING HILLS
9Rth
Conditional Use Permit
Variance
Site Plan Review
Zone Change
California, this
day of SEPTEMBER ,19 95
1
COMPUTATION OF LOT COVERAGE
LOT COVERAGE (TITLE 171
Main buildings, accessory buildings, structures, tennis courts, swimming pools, service yards
(enclosed or unenclosed), stables, or an area of not less than 1,000 square feet for the
construction of a stable and corral (with vehicle access thereto) shall not cover more than
twenty percent (20%) of the net lot area, provided further that in addition to the above
described improvements, the areas included within driveways, parking space, walks, patios,
decks and asphalt or concrete paving of any kind excepting roads maintained by the Rolling
Hills Community Association, shall not cover more than thirty-five percent (35%) of the net
lot area.
For the purposes of this Section "net area" shall exclude: a) any and all perimeter easements
measured to a minimum lineal distance of 10 feet perpendicular to the property lines; b)
any portion of the lot 'used for roadway purposes; c) any private drive or driveway which
provides access to any other lot or parcel; and d) the access strip portion of any flag lot.
COMPUTATION OF BUILDABLE AREA AND COVERAGE THEREOF
A policy of the City is to address coverage of an identified "EXISTING BUILDABLE
AREA." Coverage thereof is based upon the calculation of the "footprint" square footage
of the residence, garage, stable (barn), ' and other accessory structures proposed 'and/or
developed on said "buildable area."
For, purposes of this calculation, "buildable area" shall be defined as stated in Section
17.12.020 of the Rolling Hills Municipal Code which declares existing "buildable area" as the
portion of a lot that constitutes the existing building pad and any other contiguous portion
of the lot WITHIN ALLOWABLE SETBACKS THAT HAS AN AVERAGE SLOPE OF TEN
PERCENT (10%) OR LESS. If there is no existing building pad, it shall mean that portion
of a lot within allowable setbacks that has an average slope of ten percent (10%) or less.
•
•
,t
OWNER'S ACKNOWLEDGEMENT
Property development in Rolling Hills is governed;by ordinances of the CITY OF
ROLLING HILLS ("City") and by private deed restrictions enforced by the ROLLING
HILLS COMMUNITY°ASSOCIATION ("RHCA").
The land development permit process of the City and the RHCA are completely
independent and separate. Both must be satisfied and approval given by both the City and
the RHCA to develop property in Rolling Hills. An approval by either the City or the
RHCA does not mean or imply or ensure approval by the other.
The suggested sequence of property development is to obtain City approvals first.
I, (We), the undersigned, acknowledge that the above statement has been fully read and its
admonition is completely understood.
Executed at
P2LLINC HILLS
this 28th day of SEPTEMBER
, California
19 95
7 WTT,T,TAMSRTJRG LANE _._
Address
ROLLING HILLS, CALIFORNIA
OWNER'S DECLARATION
I (We) declare under penalty of perjury that the foregoing is true and correct.
Executed at ROLLING HILLS
this 28th day of SEPTEMBER
By:
By:
Address.
, California,
, 1995
2 WI IAM URG LANE
ROLLING HILLS, CALIFORNIA
NOTE: The Owner's Declaration can only be used if this application is signed in California.
If this application is signed outside of California, the applicant should acknowledge before
a Notary Public of the State where the signature is fixed, or before another officer of that
State authorized by its laws to take acknowledgements, that he (it) owns the property
described herein, and that the information accompanying this application is true to the best
of his (its) knowledge and belief. Attach appropriate acknowledgment here.
APPLICANT: itt/C0*, eCwatis
REPRESENTATIVE: i&4'R � Laq ,,k -t. mi
COMPANY NAME: ,e . () tali , A
RECEIPT NO:
COMPANY ADDRESS: BY:
ZONING CASE NO: 53 3 4
iYap . (?A 9 o
COMPANY PHONE NO. (3 (v 1 3 �� ' I Z()
PROJECT ADDRESS: (4 14;“-Se
i `+J
DATE FILED 1 a(I3 Ns'
FEE: q
(a O 7
TENTATIVE HEARING DATE:
•
Cry of i? Pfi,.y JJ,•PG
Date Filed
GENERAL INFORMATION
1. Applicant(s) RANDY CARTER SOPP AND CATHERINE SOPP Tel. (213) 377-5459
Address 1 WILLIAMSBURG LANE ROLLING HILLS, CALIFORNIA 90274
4.i Wit
INCORPORATED JANUARY 24, 1957
ENVIRONMENTAL INFORMATION FORM.
(To Be Completed By Applicant)
NO. 2 PORTUGUESE BEND ROAD
ROLLING HILLS. CALIF. 90274
(310) 377.1521
FAX (3101377.7288
Zoning Case No.
2. Legal Owner(s) CHASE MANHATTAN BANK Tel. (800) 242-7315
Address 399 THORNALL STREET, EDISON NEW JERSEY 08837
3. Project Address 2 WIT,T.TAMSRTTR(; TANE ROLLING HILLS. CALIFORNIA 90274
Assessor's Book No. 7569
616 Lot No. 44.45 , 46
' 4. Other related permits and other public approvals required for this project, including those required by
city, regional, state and federal agencies:
5. Existing zoning district
6. Proposed project/use of site
PROJECT DESCRIPTION
45,651 S.F.
7. Site size
8. Net lot area
36,507 S'.F.
S.F.R.
9. Total square footage of structures
10. Number of floors of construction ONE
11. Basement square footage
12. Total combined flatwork and structural lot coverage
13.
N/A,
4,62( S.F.
7,81) S.F.
Will any exterior walls be removed or relocated? Which walls? ES, .A PORTION OF THE .WEST WALL
14. Will any interior walls be removed or relocated? Which walls? NO
15. Will the entire building structure require a new roof? NO
• •
16. Will the existing roof remain intact, with less than 200 square feet added?
17. Will cut and fill be balanced? Amount cut 1 YARD
18. Area of disturbance. Square feet 294 Percentage of lot
19. If residential, include the unit size. Square feet 4776 S . F.
NO
Amount fill 0 YARDS
20. If commercial, indicate the type of project, whether neighborhood, city or regionally oriented, square
footage of sales area, estimated employment per shift and loading facilities.
N/A
21. If industrial, indicate the type of project, estimated employment per shift, and loading facilities.
N/A
22. If institutional, indicate the major function, estimated employment per shift, estimated occupancy,
loading facilities, and community benefits to be derived from the project.
N/A
23. Attach plans.
24. Proposed scheduling.
AS SOON AS.BUILDING DEPARTMENT APPROVES
25. If the project involves a site plan review, variance, conditional use or rezoning application, state this and
indicate clearly why the application is required.
A VARIANCE IS REQUIRED FOR FRONT SET BACK.
Are the following items applicable to the project or its effects? Discuss below all items checked yes (attach
additional sheets as necessary).
YES
X 26. Change in existing features of any bays, tidelands, beaches, lakes or hills, or substantial
alteration of ground contours.
X 27. Change in scenic views or vistas from existing residential areas or public lands or
roads.
X 28. Change in pattern, scale or character of general area of project.
-2•
-
YES Z1Q
X 29. Significant amounts of solid waste or litter.
X 30. Change in dust, ash, smoke, fumes, or odors in vicinity.
X 31. Change in ocean, bay, lake, stream or ground water quality or quantity, or alteration
of existing draining patterns.
X 32. Substantial change in existing noise or vibration levels in the vicinity.
X • 33. Site on filled land or on slope of 10 percent or more.
_ X 34. Use or disposal of potentially hazardous materials, such as toxic substances, flammable
or explosives.
35. Substantial change in demand for municipal services (police, fire, water, sewage, etc.).
X 36. Substantially increased fossil fuel consumption (electricity, oil, natural gas, etc.).
_X_ 37. Relationship to a larger project or series of projects.
ENVIRONMENTAL SETTING
38. Describe the project site as it exists before the project, including information on topography, soil ,
stability,, plants and animals, and any cultural, historical or scenic aspects. Describe any existing
structures on the site, and the use of the structures. Attach photographs of the site. Snapshots or
polaroid photos will be accepted.
EXISTING HOME WITH A RELATIVELY FLAT AREA FOR THE ADDITION. A SOILS REPORT HAS
BEEN MADE FOR THE EXISTING HOME, GARAGE, POOL, AND STABLE. TREES ARE CURRENTLY
BEING PLANTED AND A'REMODEL Qk' THE HOME INTERIORS ARE ALMOST COMPLETE. TREES ARE INTACT.
39. Describe the surrounding properties, including information on plants and animals and any cultural,
historical or scenic aspects. Indicate the type of land use (residential, commercial, etc.), intensity of land
use (one -family, guest house, office use, etc.) and scale of development (height, frontage, set -back, rear
yard, etc.). Attach photographs of the vicinity. Snapshots or polaroid photos will be accepted.
ONE. k'AMILYHOUSE.. NITH. A SMALL PRQT'OSED ADDITION IN THE FRONT, NO
TREES' WILL BE AFFECTED AND NO PROTECTIONS' WILL PROJECT OVER EXISTING ROOF PLANE.
-3-
•
5NVIRONMENTAL IMPAC 5
(Please explain all "yes' and "maybe" answers on separate sheets.)
40.
Earth. Will the proposal result in:
a. Unstable earth conditions or in changes in geologic
substructures?
b. Disruptions, displacements, compaction or overcovering
of the soil?
c. Change in topography or ground surface relief features?
d. The destruction, covering or modification of any unique
geologic or physical features?
e. Any increase in wind or water erosion of soils, either on
or off the site?
g•
Changes in deposition or erosion of beach sands, or changes
in siltation, deposition or erosion which may modify the
channel of a river or stream or the bed of the ocean or any
bay, inlet or lake?
Exposure of people or property to geologic hazards such as
earthquakes, landslides, mud slides, ground failure; or
similar hazards?
41. Air. Will the proposal result in:
a. Substantial air emissions or deterioration of ambient air
quality?
b. The creation of objectionable odors?
c. Alteration of air movement, moisture or temperature, or any
change in climate, either locally or regionally?
42. Water. Will the proposal result in:
a. Changes in currents, or the course or direction of water
movements, in either marine or fresh waters?
b. Changes in absorption rates, drainage patterns, or the rate
and amount of surface water runoff?
c. Alterations to the course or flow of flood waters?
d. Change in the amount of surface water in any water body?
e. Discharge into surface waters, or in any alteration of
surface water quality, including but not limited to
temperature, dissolved oxygen or turbidity?
YES MAYBE �IQ
X
X
'X
X
X
X
X_
X
X
-4-
f. Alteration of the direction or rate of flow of ground waters?
g•
Change in the quantity of ground waters, either through
direct additions or withdrawals, or through interception
of an aquifer by cuts or excavations?
h. Substantial reduction in the amount of water otherwise
available for public water supplies?
i. Exposure of people or property to water -related hazards
such as flooding or tidal waves?
Significant changes in the temperature, flow, or chemical
content of surface thermal springs?
43. Plant Life. Will the proposal result in:
a. Change in the diversity of species, or number of any species
of plants (including tress, shrubs, grass, crops, microflora
and aquatic plants)?
b. Reduction of the numbers of any unique, rare or endangered
species of plants?
c. Introduction of new species of plants into an area, or in a
barrier to the normal replenishment of existing species?
d. Reduction in acreage of any agricultural crop?
44. Animal Life. Will the proposal result in:
a. Change in the diversity of species, or numbers of any species
or numbers of any species of animals (birds, land animals
including reptiles, fish and shellfish, benthic organisms,
insects or microfauna)?
b. Reduction of the numbers of any unique, rare or endangered
species of animals?
c. Introduction of new species of animals into an area, or result
in a barrier to the migration or movement of animals"
d. Deterioration to existing fish or wildlife habitat?
45. Noise. Will the proposal result in:
a. Increases in existing noise levels?
b. Exposure of people to severe noise levels?
46. Light and Glare. Will the proposal produce new light or glare?
47. , Land Use. Will the proposal result in a substantial alteration of the
present or planned land use of an area?
HA MAYBE VD
X
X
48 Natural Resources. Will the proposal result in:
a. Increase in the rate of use of any natural resources?
b. Substantial depletion of any nonrenewable natural resource?
49. Risk of Upset. Will the proposal involve:
a. A risk of an explosion or the release of hazardous substances
(including, but not limited to, oil, pesticides, chemical or
radiation) in the event of an accident or upset conditions?
b. Possible interference with an emergency response plan or an
emergency evacuation plan?
50. Population. Will the proposal alter the location, distribution,
density, or growth rate of the human population of an area?
51. Housing. Will the proposal affect existing housing, or create a
demand for additional housing?
52. Transportation/Circulation, Will the proposal result in:
a. Generation of substantial additional vehicular movement?
b. Effects on existing parking facilities, or demand for new
parking?
c. Substantial impact upon existing transportation systems?
d. Alterations to present patterns of circulation or movement of
people and/or goods?
e. Alterations to waterborne, rail or air traffic?
f. Increase in traffic hazards to motor vehicles?
53. Public Services. Will the proposal have an effect upon, or result in
a need for new or altered governmental services in any of the following
areas:
a. Fire protection?
b. Police protection?
c. Schools?
d. Parks or other recreational facilities?
e. Maintenance of public facilities, including roads?
f. Other governmental services?
54. Enerey. Will the proposal result in:
a. Use of substantial amounts of fuel or energy?
b. Substantial, increase in demand upon existing sources of
energy, or require the development of new sources of energy?
55. Utilities. Will the proposal result in a'need for new systems, or
substantial alterations to the following utilities:
a. Power or natural gas?
b. Communications systems?
c. Water?
d. Sewer or septic tanks?
e. Storm water drainage?
f. Solid waste and disposal?
56. Human Health. Will the proposal result in:
a. Creation of any health hazard or potential health hazard
excluding mental health?
b. Exposure of people to potential health hazards?
57. Aesthetics. Will the proposal result in the obstruction of any
scenic vista or view open to the public, or will the proposal
result in the creation of an aesthetically offensive site open to
public view?
58. Recreation. Will the proposal result in an impact upon the
quality or quantity of existing recreational opportunities?
59. Cultural Resources.
a. Will the proposal result in the alteration of or the
destruction of a prehistoric or historic archeological
site?
b. Will the proposal result in adverse physical or aesthetic
effects to a prehistoric or historic building, structure,
or object?
c. Does the proposal have the potential to cause a physical
change which would affect unique ethnic cultural values?
d. Will the proposal restrict existing religious or sacred
uses within the potential impact area?
YES MAYBE ZiQ
X
X
X
X
X
7-
60. Mandatory Findinr, of Significance.
a. Does the project have the potential to degrade the quality of
the environment, substantially reduce the habitat of a fish
or wildlife species, cause a fish or wildlife population to
drop below self-sustaining levels, threaten to eliminate a
plant or animal community, reduce the number or restrict the
range of a rare or endangered plant or animal or eliminate
important examples of the major periods of California history
or prehistory?
b. Does the project have the potential to achieve short-term, to
the disadvantage of long-term, environmental goals? (A short-
term impact on the environment is one which occurs in a
relatively brief, definitive period of time while long-term
impacts will endure well into the future.)
c. Does the project have impacts which are individually limited,
but cumulatively considerable? (A project may affect two or
more separate resources where the impact is relatively small,
but where the effect of the total of those impacts on the
environment is significant.)
d. Does the project have environmental effects which will cause
substantial adverse effect on human beings, either directly
or indirectly? g
YES MAYBF ZIQ
-$-
4 psd,.[r.:"1 t
NOTE: Before the Lead Agency can accept this application as complete, the applicant must consult the lists
prepared pursuant to Section 65962.5 of the Government Code and submit a signed statement indicating whether
the project and any alternatives are located on a site which is included on any such list, and shall specify any list.
HAZARDOUS WASTE AND SUBSTANCES STATEMENT
The development project and any alternatives proposed in this application are contained on the lists compiled
pursuant to Section 65962.5 of the Government Code. Accordingly, the project applicant is required to submit
a signed statement which contains the following information:
1. Name of applicant:
2. Address:
RANDY CARTER SOPP AND CATHERINE SOPP
2 WILLIAMSBURG LANE
ROLLING HILLS, CALIFORNIA 90274
3. Phone Number: q i n_377_541 Q
4. Address of Site (street name and number if available, and ZIP code):
2 WILLIAMSBURG., LANE
ROLLING HILLS, CALIFORNIA
5. Local Agency (city/county): ROLLING HILLS
LOS ANGELES COUNTY
6. Assessor's book, page, and parcel number: 7569-016-005
7. Specify any list pursuant to Section 65962.5 of the Government Code: STATE OF CALIFORNIA
HAZARDOUS WASTE AND SUBSTANCES SITES LIST (available at City Hall).
8. Regulatory identification number:
9. Date of List: JULY 1992
Date 9-28-95
S nature
For
Applicant
-9-
• •
NOTE: In the event that the project site and any alternatives are not listed on any list compiled pursuant to
Section 65962.5 of the Government Code, then the applicant must certify that fact as provided below.
I have consulted the lists compiled pursuant to Section 65962.5 of the Government Code and hereby certify that
the development project and any alternatives proposed in this application are n� contained on these lists.
Date
9-28-95
CERTIFICATION: I hereby certify that the statements furnished above and in the attached exhibits present the
data and information required for this initial evaluation to the best of my ability, and that the facts, statements,
and information presented are true and correct to the best of my knowledge and belief.
Date
forms\environm.app
Signature
For
Applicant
-10-