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398, Addition of a laundry room, en, Application• +� The undersigned Street Address (1) is/are the REQUEST FOR HEARING FOR ZONE VARIANCE CITY OF ROLLING HILLS AA) _9 0; 7-4 Name Telephone Number s� or is/are in lawful possession of (2) has permission of the owner Legal description of property situated at e57 7O S�/. Lot Tract /5- /i(P 6-5,2 (Q Street Address 006 Describe in detail the nature of the proposed use, including what aspects of the . project require a Variance. /N 0 A i-d f= l. 720 Criteria to be satisfied for grant of Variance r- y—f9cOf,a azoiy 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. Ric //Up 642 l 1- F-( tie_-/9-(2 6=3 E 7 t i Y %� o /1 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. /N/tc- V/9-(2-1- l�1 9-ie /J, c: /" el 0 <l- FILING FEE A filing fee must accompany the application. Make check payable to: OWNER'S DECLARATION I, (We), declare under penalty of perjury that the.foregoing is true and correct. Executed at /6711)- this /9--Oe' i,u G Mc( r , California, day of / 74- / , 19_C% s Address ,20 cc: l •41"//G` L f c7t92 71( 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 Not_ry Public of the State where the signature is ffixed, or before another officer of that State authorized by its laws to take acknowledgments, that he (it) owns the property described herein, and that the information in the accompanying this application is true to the best of his (its) knowledge and belief. Attach appropriate acknowledgment here. FORMS ISSUED TO: NAME - PILED ORGANIZATION FEE $ JOr ADDRESS •RECEIPT NO. DATE DECISION OF PLANNING COMMISSION B3� • 19 The action of the Planning Commission will be final unless within twenty (20) days following the notice to the applicant of the decision, an appeal in writing is filed with the City Clerk by: A. The applicant; B. Any person who protested, either orally or in writing, as a matter of record,, prior to the final vote of the Planning Commission on the matter and who, in addition, received or was entitled to receive the written notice specified in subdivision 2 of subsection. A of Section 17.40.060; or C. The City Council, upon the affirmative. vote of three members of the Council. In order to obtain a building permit, it will be necessary for the applicant to sign a copy of the findings that they understand and accept the conditons of approval. (rived 1980) • • APPENDIX II ENVIRONMENTAL INFORMATION AND CHECKLIST FORM (Initial Study) Date Submitted: ,5 - (O 0 / No. GENERAL INFORMATION 1. Name •and address of developer or project sponsor: A9N S (1.6 i SC % ( 2. Address of project: - /(/ . /' l(0LE /2106;E G- f' Assessor's Block and Lot Number %5f6 9 / C/ S /Oc',/o?c8't 3. Name, address, and telephone/,number of person to be contacted concerning this project: Av S//6.7 F/a AK!Eschil /5 A/ PO LF-- 4q,tit 26e-e-17J 6y- /f(L c • 9,2 _ J .2- cj/ ~ r c) g 4. List and describe any 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: /I9S -/ 6. Proposed use ,off site (Project for which this form is filed): ,�-iq u ry 'V 0 - .0 o / 4 , -/k n 7 74( --120c)14.,t PROJECT DESCRIPTION 7. Site size: %. - S /c,Z,f 8. Square footage: 3, cc) O So i- j-- 9. Number of floors of construction: / •• MI,K9-17A• • • 10. Amount of off-street parking provided: 11. (Attach plans.) 12. Proposed scheduling: 13. Associated projects: 14. Anticipated incremental development: 15. If residential, indicate the number of units, schedule of unit sizes, range of sale prices or rents, and type of household size expected: 16. If commercial, indicate the type, whether neighborhood, city or regionally oriented, square footage of sales area, and loading facilities: 17. If industrial, indicate type, estimated employment per shift, and loading facilities: 18. If institutional, indicate the major function, estimated employment per shift, estimated occupancy, loading facilities, and community benefits to be derived from the project: 19. If the project involves a variance, conditional use or rezoning application, state this and indicate clearly why the application is required: t r-O i./ i ENVIRONMENTAL SETTING /9Pecei' /2 a ivcf.z: c 20. On a separate page, 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. 21. On a separate page, 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, and scale of development (height, frontage, set -back, rear yard, etc.). Attach photographs of the vicinity. ENVIRONMENTAL IMPACTS (Explanations of all "yes" and "maybe" answers are required on attached sheets.) 22. Earth. Will the proposal result in: a. Unstable earth conditions or in changes in geologic substructures? b. Disruptions, displacements, com- paction 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? YES MAYBE NO 17 EILW9-19A* • • f. 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? g. Exposure of people or property to geologic hazards such as earth- quakes, landslides, mudslides, ground failure, or similar hazards? 23. 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? 24. 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 of 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? f. Alteration of the direction or rate of flow of ground waters? g. Change in the quantity of ground waters, either through direct addi- tions or withdrawals, or through interception of an aquifer by cuts or excavations? YES MAYBE NO YES NAME NO 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? j. Significant changes in the temperature, flow, or chemical content of surface thermal springs? 25. Plant Life. Will the proposal result in: a. Change in the diversity of species, or number of any species of plants (including trees, shrubs, grass, crops, microflora and of plants? b. A 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 replenish- ment of existing species? d. Reduction in acreage of any agricultural crop? 26. Animal Life. Will the proposal result in: a. Change in the diversity of 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? 27. Noise. Will the proposal result in: a. Increases in existing noise levels? -5- IMAMS MLW -21A• • • b. Exposure of people to severe noise levels? 28. Light and Glare. Will the proposal produce new light or glare? 29. Land Use. Will the proposal result in a substantial alter- ation of the present or planned land use of an area? 30. 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? 31. 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, chemicals or radiation) in the event of an accident or up- set conditions? b. Possible interference with an emergency response plan or an emer- gency evacuation plan? 32. Population. Will the proposal alter the location, distribution, density,'or growth rate of the human population of an area? 33. Rousing.. Will the proposal af- fect existing housing, or create a demand for additional housing? 34. Transportation/Circulation. Will the proposal result in: a. Generation of substantial addi- tional vehicular movement? b. Effects on existing parking facilities, or demand for new parking? c. Substantial impact upon existing transportation systems? YES PSAYPE NO V7 t/ d. Alterations to present patterns of circulation or move- ment of people and/or goods? e. Alterations to waterborne, rail or air traffic? f. Increase in traffic hazards to motor vehicles, bicyclists or pedestrians? 35. 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? 36. Energy. 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? 37. 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? -7- YES MAYBE NO VI MMIIM V \-7 ,7 ,z (.7 1+Mi,t9-23A* • 38. 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 poten- tial health hazards? 39. Aesthetics. Will the proposal result in the obstruction of any scenic vista or view open to the public, or will the proposal re- sult in the creation of an aesthet- ically offensive site open to public view? 40. Recreation. Will the proposal result in an impact upon the quality or quantity of existing recreational opportunities? 41. 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 aesthet- ic 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? 42. Mandatory Findings 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 commun- ity, reduce the number or restrict YES MAYBE NO MLK9.24A* • the range of a rare or endangered plant or animal or eliminate impor- tant 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 environ- mental goals? (a short term impact on the environment is one which occurs in a relatively brief, defin- itive period of time while long-term impacts will endure well into the future.) YES MAYBE- NO c. Does the project have impacts • which are individually limited, but cumulatively considerable? (A project may impact on two or more separate re- sources where the impact on each resource is relatively small, but where the ef- fect of the total of those impacts on the environment is significant.) d. Does the project have environ- mental effects which will cause sub- stantial adverse effect on human be- ings, either directly or indirectly? CERTIFICATION: I hereby certify that the statements furnished above and in the attached exhibits present the data and infor- mation 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 5--/0-s7 (Signa re) For <f/ (Applicant) st/