784, Repair landslide area, ApplicationECEFVED
REOUEST FOR HEARING MAY 1 2010
FOR SITE PLAN REVIEW City of Rolling Hills
By
NOTE: According to Section 17.24.020 of the Rolling Hills Municipal Code, illegal uses or structures are required to be made
conforming or shall be removed. Therefore, you may be required to mods or remove any unauthorized or unlawful use or
structure on your property prior to or in conjunction with this application. In addition; pursuant to Resolution No.. 900 of the
City Council, any use or structure which would require a discretionary permit but which is conducted without the acquisition
of said permit, shall be subject to retroactive discretionary permit process, and is subject to higher application fee.
PROPERTY OWNER: c //'7 4 / AA (.0 C4 RL L
OWNER'S ADDRESS: 2-9 c7 v PA L(95 VePP /7.4'. /Jd,2
TELEPHONE NO: - O E33 EMAIL:
PROPERTY'S ADDRESS:
LEGAL DESCRIPTION: LOT NO. .
ASSESSORS BOOK NO. 7 h4 9 PAGE OD / PARCEL
AGENT'S NAME:
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AGENT'S ADDRESS: gSe ?4 `3a37.7
TELEPHONE NO: (?/L) 3 Z -- 5 5-g O
9a717
NATURE OF PROPOSED PROTECT
Describe in detail the nature of the proposed project, including what aspects of the project require a Site Plan
Review:
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I hereby certify that the statements furnished above, and in attached exhibits, presents the data and
information required for the site plan review. criteria evaluation to the best of my ability; and, that the facts,
statements and other information presented are tr d correct to the best of my knowledge and belief.
Date: / /I /f? , .20/0
Signatures
For:
Applicant
FILING FEE
A filing fee must accompany the application. Make check payable to: CITY OF ROLLING HILLS
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OWNER'S DECLARATION
I (We) declare under penalty of perjury that the foregoing is true and correct.
Executed at /o /-//A -5
this / 8�' day of 1%/.�
By:
L/=
By:
, California,
., 20 c CD
Z 9 C7 O P,A e O S I/2--72/7 : 5 /7 e NO.0T,42
Address
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City
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: A /",�1 DATE FILED
REPRESENTATIVE: /7v//(77 . /-/i/FEE:
COMPANY NAME:/ O -? A) Z:4%� C�2i./K7 RECEIPT NO:
COMPANY ADDRESS: BY:
2 S 8 3 /12O/11.t2e-_-4 (/L . ZONING CASE NO
d/`f / l rar 9-Q 7 / 7 TENTATIVE HEARING DATE:
COMPANY PHONE NO. (3/0 13-5
PROJECT ADDRESS: 2 90e
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