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589, Construct a new SFR with garag, ApplicationPROPERTY OWNER OWNER'S ADDRESS: TELEPHONE NO: PROPERTY'S ADDRESS: REQUEST FOR HEARING FOR SITE PLAN REVIEW 9/ C'A-Y 7 7t,2 (/&)378- z 9.67 LEGAL DESCRIPTION: LOT NO. t 'OL/NS #/1.4 S 7/r4GT, 4 7 6 7 ( ASSESSORS BOOK NO. PAGE . PARCEL AGENT'S NAME: AGENT'S ADDRESS: TELEPHONE NO: C/r/SS ,UwG RSow /81 b so v7p} r4 r5. X/0. 263 C. . Ito 2 ,Z F- (3(0) 5-44 - 588.7-. NATURE OF PROPOSED PROTECT Describe in detail the nature of the proposed project, including what aspects of the project require a Site Plan Review: / 1 .siiv��, ' 7/L • • SITE PLAN REVIEW CRITERIA Site plan review criteria upon which the Planning Commission must make an affirmative finding. Describe in detail the project's conformance with the criteria below: A. 1s the project compatible with the General Plan, the Zoning Ordinance and surrounding uses? Explain how it compares to the sizes, setbacks and other characteristics of neighboring houses. Y . - / ,51.ccorr. tv/4 /7-, 7-0, ©/ EV,Firoc2vz 7/N6 S - AW/G /- Vcc_ moo€ sn . jam'. B. How does the project preserve and integrate into the site design, to the maximum extent feasible, existing natural topographic features of the lot including surrounding native vegetation, mature trees, drainage courses, and land forts (such as hillsides and knolls)? Explain how the project preserves and integrates existing natural features. /1/4v• /1-/9-,0/4/a- d-sc; N/I7 C. How does the site development plan follow natural contours of the site to minimize grading? Extensive grading and recontouring of existing terrain to maximize buildable area shall not be approved. Graded slopes shall be rounded and contoured so as to blend with existing terrain. Grading shall not modify existing drainage redirect drainage flow unless into an existing drainage course. Explain the nature and'extent of the impact of grading and proposed minimization on lots. •) ei?i`i-P'Nc r9 W/ct: `E9 !,!7. /s/V,6- ffEatimer c®i D1Jr€/A) / //t/ D. To what extent does the site development plan preserve surrounding native vegetation and supplement it with landscaping that is compatible with and enhances the rural character of the community? Landscaping should provide a buffer and transition zone between private and public areas. Explain how the project preserves native vegetation, integrates landscaping and creates buffers. err 1f/t- r?F/ 47 U 7/�7'-' S4 i f/N. Cf./15r1V�� Gv/GL !`�G�lJiea2 • • E. How does the site development plan preserve the natural and undeveloped state of the lot by minimizing building coverage? Lot coverage requirements shall be regarded as maximums and the actual amount of lot coverage permitted should depend upon the existing buildable area of the lot. Explain how the lot coverage proposed compares with lot coverage square footage and percentages on neighboring lots. &) rXe.5�/c/7�Y jet 'E ' oX .. tO #Df By/L7 x P o 4 /Imo /I- P,rirait -) a/- B 71- Ye/e tic...,e_. F. Is the site development plan harmonious in scale and mass with the site, the natural terrain and surrounding residences? Setbacks shall be regarded as minimums and more restrictive setbacks shall be imposed where necessary to assure proportionality and openness. Explain how the proposed project setbacks compare with the existing setbacks of neighboring properties. llrlJ/C L S ��i j ,S Cd/'-L �8� % �r�.�'/� //f 7 COV5/L2E,eie,V;. w/ram- psi . G. Is the site development plan sensitive and not detrimental to convenience and safety of circulation for pedestrians and vehicles? Explain how the number and types of vehicles relate to the driveway location, design, trip data, landscaping and other on -site parking or storage areas. Y Y. �.5 X477- % K . %d F/17e_ 41 H. Does the site development plan conform with the requirements of the California Environmental Quality Act? Explain how the project impacts the environment, e.g. significant impact, proposed mitigation measures. • I hereby certify that the statements furnished above, and in attached exhibits, presents the data and information required for the site plan review criteria evalu • to e t of i y ability; and, that the facts, statements and other information presented d rr' to the best of my knowledge and belief. Date: t 2-2--1 Signa For: Applican 40 i DATE /0• ZZ • 16 ZONING CASE NO. ADDRESS 9/ �57 )d7t0 / APPLICANT SIP• c-AWP iVfL ' _CALCULATION OF LOT COVERAGE BUILDING AREAS EXISTING PROPOSED TOTAL NET LOT AREA l 6/0 sq.ft. — sq.ft. /17 6/0 sq.ft. BUILDING PAD(S) 6 9;Oa sq.ft. — sq.ft. 69,¢.Sa sq.ft. / RESIDENCE Z6S8 sq.ft. 6056 sq.ft.. 8 7/5— sq.ft. GARAGE • '9.5 sq.ft. //oS sq.ft. /oo sq.ft. SWIMMING POOL/SPA — sq.ft. -- sq.ft. sq.ft. STABLE - RE) 1 sq.ft. — sq.ft. l t sq.ft. RECREATION COURT ( ) — sq.ft. SERVICE YARD — sq.ft. /6e sq.ft. /°b sq.ft. OTHER sq.ft. — sq.ft. sq.ft. — sq.ft. — sq.ft. TOTAL STRUCTURES 3 6 0 3 sq.ft. 724/ sq.ft. % STRUCTURAL Z • % 9 % COVERAGE (08u5 sq.ft. 7• % % TOTAL PAD COVERAGE S./ % 7.7 % /$4 % % DRIVEWAY / 8/° sq.ft. ZS3o sq.ft. /7/390 sq.ft. PAVED WALKS AND PATIO AREAS 'f S ' sq.ft. 8 93 sq.ft. (Z 99 sq.ft. POOL DECKING — sq.ft. — sq.ft. -- sq.ft. TOTAL FLATWORK fSZ 4. sq.ft. 3373 sq.ft. /8 437 sq.ft. % TOTAL FLATWORK COVERAGE /O.3 % 2.. 3 f a. % TOTAL STRUCTURAL & FLATWORK COVERAGE (5302. 3o2. sq.ft. fob 637 sq.ft. Z7 32 sq.ft. % TOTAL COVERAGE /O. 3 % 7. 2- % M. 9 % • • DATE /0.22. 96 ZONING CASE NO. ADDRESS l I sT ronp APPLICANT MR'. PIPED ff7174' eALCULATION OF BUILDING PAD COVERAGE PAD NO. 1 BUILDABLE PAD AREA 69, "--a sq.ft. RESIDENCE 8 %/,S sq.ft. GARAGE /6QD sq.ft. STABLE (BARN) 451) sq.ft. POOL "— sq.ft. RECREATION COURT ( ) sq.ft. OTHER — sq.ft. TOTAL STRUCTURES ON PAD NO. 1 % BUILDING PAD COVERAGE (D 7 (' S sq.ft. /5 s % PAD NO. 2 BUILDABLE PAD AREA sq.ft. RESIDENCE sq.ft. GARAGE sq.ft. STABLE (BARN) sq.ft. POOL sq.ft. RECREATION COURT ( ) sq.ft. OTHER sq.ft. TOTAL STRUCTURES ON PAD NO. 2 sq.ft. % BUILDING PAD COVERAGE .tea• • Cu, Rotting J4//J Date Filed Id/ [ ENVIRONMENTAL INFORMATION FORM (To Be Completed By Applicant) INCORPORATED JANUARY 24, 1957 NO. 2 PORTUGUESE BEND ROAD ROLLING HILLS. CALIF. 90274 (310) 377-1521 FAX (310) 377-7288 E-mait eityofrh@aol.com Zoning Case No.-�rq GENERAL INFORMATION 1. Applicant(s) fig.. uUZS. Tel. (.4,14 )$ Address 21S" Vs LA 60. O _ _+ , 10277 2. Legal Owner(s) vtme Tel. ( ) Address Q 11 3. Project Address 91 vAsT p. Assessor's Book No. Lot No. 4. Other related permits and other public approvals required for this project, including those required by city, regional, state and federal agencies: 'I1 Icvrlaw l twiL,,�►N& ?LI 4 K 5. Existing zoning district 1�� — 1 6. Proposed project/use of site t 61..e. ) L"(re_ F PROJECT DESCRIPTION 7. Site size ( -' 2."f'9 Cam' ► f . 8. Net lot area' . "Net Lot Area" means the total area included within the lot lines of a lot or par I f iproperty, exclusive of. (a) the entire area within a recorded roadway easement plus the area within ten (10) feet measured perpendicular to the edge of the roadway easement; (b) the ten (10) foot perimeter of the lot perpendicular to the property lines; (c) any private drive or driveway that provides access to any other lot or parcel; and (d) the access strip portion of a flag lot." 9. Total square footage of structures 1 O S&5 10. Number of floors of construction 1 r 11. Basement square footage 12. Total combined flatwork and structural lot coverage 13. Will any exterior walls be removed or relocated? Which walls? _peterIa 14. wll any interior walls be removed or relocated? Which walls? ..X1gt If 15. Will the entire building structure require a new roof? 5-05-98 ®Printed on Recycled Pane. • • 1- 16. Will the existing roof remain intact, with less than 200 square feet added? 17. Grading quantites shall be balanced. Amount cut %c'b coy. Amount fill �7iC-e) !�! (Include any basement cut in grading quantities.) 18. Area of disturbance. 40% maximum; any remedial grading (temporary disturbance), any graded slopes and building pad areas, and any no raded area where impervious surfaces will remain or are proposed to be added. Square feet Percentage of Net Lot Area 19. If residential, include the unit size. Square feet ta715 20. if commercial, indicate the type of project, whether neighborhood, city or regionally oriented, square footage of sales area, estimed employment per shift and loading facilities. 21. If industrial, indicate the type of project, estimated employment per shift, and loading facilities. 22. If institutional, indicate the major function, estimated employment per shift, estimated occupancy, loading facilities, and community benefits to be derived from the project. 23. Attach plans. 24. Proposed scheduling. CIn01,1 5q111+4.VV 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. Srr ?iM 1 vI W Pelt. G-,l'ry �l �lh �•, (1•1.W p g D c) Are the following items applicable to the project or its effects? Discuss below all items checked yes (attach additional sheets as necessary). ▪ J� 26. Change in existing features of any bays, tidelands, beaches, lakes or hills, or substantial alteration of ground contours. O 27. Change in scenic views or vistas from existing residential areas or public lands or roads. O 28. Change in pattern, scale or character of general area of project. -2- • • YU fig O 1? 29. Significant amounts of solid waste or litter. ❑ ili30. Change in dust, ash, smoke, fumes, or odors in vicinity. ❑ / 31. Change in ocean, bay, lake, stream or ground water quality or quantity, or alteration of existing draining patterns. ❑ A 32. Substantial change in existing noise or vibration levels in the vicinity. O / 33. Site on filled land or on slope of 10 percent or more. O Pe 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.). ❑ i436. Substantially increased fossil fuel consumption (electricity, oil, natural gas, etc.). ❑ 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. WIT Eck ett1 /) L E P c&F (-1, +G I s.F. VIP-zoo-4 t? W Q5 •ais-(uur 9ve vaD 2 i t 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. '1017 t-cs'Pf-II420"` '" t° 1&“ rbtAp 4..r.s ee,isjoleNKitp,o SS Ia. ea/Fri P.1 fka.+5E1• -3- • • EVALUATION OF ENVIRONMENTAL IMPACTS: VI. A brief explanation is required for all answers except No Impact" answers that are adequately supported by the information sources a lead agency cites in the parentheses following each question. A 'No Impact' answer is adequately supported if the referenced information sources show that the impact simply does not apply to projects like the one involved (e.g. the project falls outside a fault rupture zone). A "No Impact' answer should be explained where it is based on project -specific factors as well as general standards (e.g. the project will not expose sensitive receptors to pollutants, based on a project -specific screening analysis). VII. All answers must take account of the whole action involved, including off -site as well as on -site, cumulative as well as project -level, indirect as well as direct, and construction as well as operational impacts. VIII. 'Potentially Significant Impact' is appropriate if there is substantial evidence that an effect is significant If there are one or more 'Potentially Significant Impact" entries when the determination is made, an EIR is required. IX. 'Potentially Significant Unless Mitigation Incorporated" applies where the incorporation of mitigation measures has reduced an effect from 'Potentially Significant Impact" to a 'Less than Significant Impact.' The lead agency must describe the mitigation measures, and briefly explain how they reduce the effect to a less than significant level (mitigation measures from Section V, 'Earlier Analysis,' above may be cross-referenced). X. Earlier analyses may be used where, pursuant to the tiering, program EIR, or other CEOA process, an effect has been adequately analyzed in an earlier EIR or negative declaration. See Section 15063(c)(3)(D) of the State CEOA Guidelines. Earlier analyses are discussed in Section V, above. XI. Lead agencies are encouraged to incorporate into the checklist references to information sources for potential impacts (e.g. general plans, zoning ordinances). Reference to a previously prepared or outside document should, where appropriate, include a reference to the page or pages where the statement is substantiated. A source list should be attached, and other sources used or individuals contacted should be cited in the discussion. Issues (and Supporting Information Sources): LAND USE AND PLANNING. Would the proposal: a) Conflict with general plan designation or zoning? 0 0 0 b) Conflict with applicable environmental plans or 0 0 ❑ EY polices adopted by agencies with jurisdiction over the project c) Be incompatible with existing land use in the 0 0 ❑ vicinity? d) Affect agricultural resources or operations (e.g. 0 0 ❑ �t impacts to soils or farmlands, or impacts from incompatible land uses)? e) Disrupt or divide the physical arrangement of an 0 0 0 established community (including a low-income or minority community)? I I . POPULATION AND HOUSING. Would the proposal: a) Cumulatively exceed official regional or local 0 0 0 population projections? -4- Potentially Significant Potentially Unless Less Than Significant Mitigation Significant No impact I -. , . ‘ t. J Impact Impact b) Induce substantial growth in an area either 0 ❑ 0 directly or indirectly (e.g. through projects in an undeveloped area or extension of major infrastructure)? c) Displace existing housing, especially affordable 0 0 0IR housing? Ili. GEOLOGICAL PROBLEMS. Would the proposal result in or expose people to potential impacts involving: a) Fault rupture? 0 0 0 N b) Seismic ground shaking? 0 0 0 NR c) Seismic ground failure, including liquefaction? 0 0 0 d) Seiche, tsunami, or volcanic hazard? 0 0 0 ist e) Landslides or mudflows? 0 0 0IR f) Erosion, changes in topography or unstable soil 0 0 0 14 conditions from excavation, grading, or fill? g) Subsidence of the land? 0 0 0 lik h) Expansive soils? 0 0 0 i) Unique geologic or physical features? 0 0 0 \ IV. WATER. Would the proposal result in: a) Changes in absorption rates, drainage pattems, 0 0 0 IR or the rate and amount of surface runoff? b) Exposure of people or property to water related . 0 0 0 hazards such as flooding? c) Discharge into surface water or other alteration 0 0 0 of surface water quality (e.g. temperature, dissolved oxygen or turbidity)? d) Changes in the amount of surface water in any 0 0 0 water body? e) Changes in currents, or the course or direction of 0 0 0 water movements? f) Change in the quantity of ground waters, either 0 0 0 through direct additions or withdrawals, or through interception of an aquifer by cuts or excavations or through substantial Toss of groundwater recharge capability? g) Altered direction or rate of flow of groundwater? 0 0 0 h) Impacts to groundwater quality? 0 0 0 Q i) Substantial reduction in the amount of 0 0 ❑ �7\ groundwater otherwise available for public water \ supplies? V. AIR OUAUTY. Would the proposal: a) Violate any air quality standard or contribute to an existing or projected air quality violation? ❑ ❑ ❑ l@ -5- 4 Potentially Sign Potentially Unless Less Than Signifiificant No Impact Incorporated Mitigation3 impact lmpac t b) Expose sensitive receptors to pollutants? 0 0 0 \IP c) After air movement, moisture, or temperature, or 0 0 0 cause any change in climate? d) Create any objectionable odors? 0 0 0 Lk VI. TRANSPORTATION/CIRCULATION. Would the proposal result in: a) Increased vehicle trips or traffic congestion? 0 0 0 b) Hazards to safety from design features (e.g., 0 0 0 ‘Q sharp curves or dangerous intersections) or \ incompatible uses (e.g., farm equipment)? c) Inadequate emergency access or access to 0 0 0 nearby uses? d) Insufficient parking capacity on -site or off -site? 0 0 0 e) Hazards or barriers for pedestrians or bicyclists? 0 0 0 f) Conflicts with adopted policies supporting 0 0 0 i11 alternative transportation (e.g., bus tumouts, bicycle racks)? g) Rail, waterbome or air traffic impacts? 0 0 0 VI I. BIOLOGICAL RESOURCES. Would the proposal result in impacts to: a) Endangered, threatened or rare species or their 0 0 0 habitats (including but not limited to plants, fish, insects, animals, and birds)? b) Locally designated species (e.g., heritage 0 ❑ 0 trees)? c) Locally designated natural communities (e.g., 0 0 oak forest, coastal habitat, etc.)? d) Wetland habitat (e.g., marsh, riparian and vemal 0 0 0 pool)? e) Wildlife dispersal or migration corridors? 0 0 0 VIII. ENERGY AND MINERAL RESOURCES. Would the proposal: a) Conflict with adopted energy conservation 0 plans? b) Use non-renewable resources In a wasteful and 0 inefficient manner? c) Result in the Toss of availability of a known mineral resource that would be of future value to the region and the residents of the State? IX. HAZARDS. Would the proposal involve: a) A risk of accidental explosion or release of hazardous substances (including, but not limited to: oil, pesticides, chemicals or radiation)? • b) Possible interference with an emergency response plan or emergency evacuation plan? ❑ ❑ ip ❑ D �] O 0 ❑ �Q ❑ 0 D O 0 ❑ -6- Potent"' potentially n0 less t Less Than Significantcant No 1 ImpImpact act Impact c) The creation of any health hazard or potential 0 0 0 III health hazard? d) Exposure of people to existing sources of 0 0 0 potential health hazards? e) Increased fire hazard in areas with flammable 0 0 0 X brush, grass, or trees? X. NOISE. Would the proposal result in: a) Increases in existing noise levels? 0 0 0 b) Exposure of people to severe noise levels? 0 0 0 XI. PUBUC SERVICES. Would the proposal have an \ effect upon, or result in a need for new or altered government services in any of the following areas: a) Fire protection? 0 0 0 b) Police protection? 0 0 0 b1/4 \ c) Schools? 0 0 0 d) Maintenance of public facilities, Including roads? 0 0 0 IN e) Other govemmental services? 0 0 0 XI I. UTILITIES AND SERVICE SYSTEMS. Would the proposal result in a need for new systems or supplies, or substantial alterations to the following utilities: a) Power or natural gas? 0 0 0 X b) Communications systems? 0 0 0 c) Local or regional water treatment or distribution 0 0 0 X facilities? d) Sewer or septic tanks? 0 0 0 e) Storm water drainage? 0 0 0 f) Solid waste disposal? 0 0 0 g) Local or regional water supplies? 0 0 0 XI II. AESTHETICS. Would the proposal: a) Affect a scenic vista or scenic highway? 0 0 0 b) Have a demonstrable negative aesthetic effect? 0 0 0 c) Create Tight or glare? • 0 0 0 1S XIV. CULTURAL RESOURCES: Would the proposal: a) Disturb paleontological resources? 0 0 0 iQ b) Disturb archaeological resources? 0 0 0 c) Affect historical resources? 0 0 0 d) Have the potential to cause a physical change 0 0 0 \\ which would affect unique ethnic cultural values? e) Restrict existing religious or sacred uses within 0 0 0 the potential impact area? Potentially Potentially St� Less Than Sig ifcard Atetigation Significant No Impact L r . e,:, J Impact Impact XV. RECREATION. Would the proposal: a) Increase the demand for neighborhood or 0 0 0 regional parks or other recreations facilities? b) Affect existing recreational opportunities? 0 0 0 XVI. MANDATORY FINDINGS OF SIGNIFICANCE a) Does the project have the potential to degrade 0 0 0 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 example of the major period of California history or prehistory? b) Does the project have the potential to achieve 0 0 0 ‘, short-term, to the disadvantage of Tong -term, environmental goals? c) Does the project have impacts that are 0 ❑ 0 Individually limited, but cumulatively considerable? ('Cumulatively considerable' means that the incremental effects of a project are considerable when viewed in connection with the effects of past projects, the effects of other current projects and the effects of probable future projects.) d) Does the project have environmental effects 0 0 0 which will cause substantial adverse effects on human beings, either directly or indirectly? XVII. EARLIER ANALYSES. Earlier Analyses may be used where, pursuant to the tiering, program EIR, or other CEQA process, one or more effects have been adequately analyzed in an earlier EIR or negative declaration. See Section 15063(c)(3)(D) of the State CEQA Guidelines. In this case a discussion should identify the following on attached sheets. gar , J a) Earlier analyses used. Identify earlier analyses 0 0 ❑ and state where they are available for review. b) Impacts adequately addressed. Identify which 0 0 effects from the above checklist were within the scope of and adequately analyzed in an earlier document pursuant to applicable legal standards, and state whether such effects were addressed by mitigation measures based on the earlier analysis. c) Mitigation measures. For effects that are -Less 0 than Significant with Mitigation Incorporated, describe the mitigation measures which were incorporated or refined from the earlier document and the extent to which they address site - specific conditions for the project. 0 ❑ �Q -8- 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 Govemment 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 d elopment project and any alternatives proposed in this application are contained on the lists compil pursuant to Section 65962.5 of the Govemment Code. Accordingly, the project applicant is required , submit a signed statement which contains the following information: 1. Nam of applicant: 2. Address\ 3. Phone Numb c 4. Address of Site s t name and number if available, and ZIP code): 5. Local Agency (city/county): 6. Assessor's book, P9 a e, and parc number: 7. Specify any list pursuant to Section 659 .5 of the Govemment Code: STATE OF CALIFORNIA HAZARDOUS WASTE AND SUBSTAN S SITES LIST (available at City Hall), 8. Regulatory identification number: 9. Date of List: JULY 1992 Date For Signature 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 Govemment Code, then the applicant must certify that fact as provided below. I have consulted the lists compiled pursuant to Section 65962.5 of the Govemment Code and hereby certify that the development project and any alternatives proposed in this application are nat contained on these lists. Date f d ' 22: Signature For ,�RIP T Applicant 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 d correct erthp best of my knowledge and belief. Date For tormsknvitonm. 1998app Signature i� 1 t.► Applicant - 10 - • • OWNER'S DECLARATION I (We) declare under penalty of perjury that the foregoing is true and correct. Executed at , California, this day of , 19 By: By: Address 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: /7,I REPRESENTATIVE: COMPANY NAME: COMPANY ADDRESS: if/10 S0. efe., Are., zatotze goz77 COMPANY PHONE NO. ( ) PROJECT ADDRESS: Q/ eard A/lad- 1-12a DATE FILED 0/Y3 iqr dfi 1 in )9.r,d RECEIPT NO: (P 7$ 8' BY: pU ZONING CASSNO: 5rq TENTATIVE HEARING DATE: %7/91 FEE: