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713, Issuance of Certificate of Com, Application• • City oi ild/3 INCORPORATED JANUARY 24, 1957 LOT LINE ADJUSTMENT APPLICATION ZONING CASE NO. The following information is necessary for the review of ALL applications. delay action. Attach extra sheets if necessary. RECORD OWNER(S)/Appl i c ants : William F. & Judith A. Hassoldt, co -trustees of the Yankee Trust, under declaration of trust Name dated 3-11-1992 10 Pine Tree Lane Address Rolling Hills City 90274 (310) 377-4114 Zip Phone NO 2 PORTUGUESE BEND ROAD ROLLING HILLS, CALIF, 90274 1310) 377.1521 FAX: (310) 377.72E18 Email: cityolrh@aol.com Failure to furnish information will APPLICANT'S AGENT: (Engineer, Licensed Surveyor, Other) Wynn Engineering, Inc. Name 27315 Valley Center Rd. Address Valley Center City 92082 (310)306-9728 Zip Phone (Attach a separate sheet if necessary, including names and addresses of members of partnerships, joint ventures and directors of corporations.) CONSENT: I consen to the submissio SIGNED SIGNED CERTIFIC SIGNED rty Owner) Wi 11 i am of the application accompanying this request. DATE Z' Z J -(95- . Hassoldt operty Owner) Judith N. Hassoldt TION: DATE - Zl '0S- I hereby certify under penalty of perjury that the information herein provided is orrect to the best of my knowledge. LEGAL DESCRIPTION: LOT NO. 1 , DATE: Z I ` 03 2 & 3 of PM 290-26-28 ASSESSOR'S BOOK NO 7569 PAGE 013 CITY OF ROLLING HILLS LOCATION: 10 Pine Tree r Lane (Street address or distance from nearest cross street) PARCEL 016,017,018 Between: Off Pnrtl, i sa Rana Ra - and �' i - c65 g —it if- �� �" • • In Land Use Zone RAS -2 General Plan Category Residential Agricultural Suburban - 2 acres Present Use of Site Lot 1 - exist, residence, Lots 2 & 3 vacant Proposed Use of Parcel(s) shown on Tentative Map Residential Surrounding Zoning: North RAS - 2 South RAS - 2 East RAS - 2 West RAS - 2 Domestic Water Source CA Water Service District 0nsite Waste Water Method of Sewage Disposal Systen District LEGAL DESCRIPTION (All ownership comprising the proposed lot(s)/project.) If petitioning for a zone change, attach legal description of exterior boundaries of area subject to change: Lots 1, 2 and 3 of PM 290-26-28 LOT LINE ADJUSTMENT: 1. Lots Existing (Gross each): Lot 1-2.83ac,Lot 2-2.54ac.,, Lot 3-2.47ac 2. Total Gross Acres: 7. 84ac 3. Lots Proposed: (Gross & Net each) Lot 1-2.74 ac gr 2.00 ac net Lot 2-2.5 ac gr 2.00 ac net Lot 3-2.60 ac gr 2.14ac net 4. Grading of Lot(s) by Applicant? YES NO X (Show necessary grading design on site plan or tentative map. All grading must be balanced cut/fill.) Amount Cut Amount Fill 5. Pad sizes for each lot: Lot 1-0.74 ac Lots 2 & 3, no pad exists 6. Area of disturbance on each lot: (Square Feet) Lot 1-34403sf_..Lots ._2&3_ urtdevP1 oped Percentage of net lot Lot 1-39% Lot 2-0% Lot 3-0% (40% Maximum OWNER'S DECLARATION I (We) declare under penalty of perjury that the foregoing is true and correct. Executed at fQ01.1-s.w 14Ic..-5 , California, this 2 1 day of r , 20 O S B y:g aZW/&(, By: /0 PPN6 ereg5 Address GI ilk- lG�S NOTE: The Owner's Declaration can only be used if this application is signed in Califomia. 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: William & Judith Hassoldt DATE FILED REPRESENTATIVE: Gary Wynn FEE: COMPANY NAME:Wvnn Engineering. Inc. RECEIPT NO: COMPANY ADDRESS: BY: 27315 Valley Center Road ZONING CASE NO: Valley Center, CA 92082 TENTATIVE HEARING DATE: COMPANY PHONE NO. 010) 306-9728 PROJECT ADDRESS: 10 Pine Tree Lane 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. 1, (We), the undersigned, acknowledge that the above statement has been fully read and its admonition is completely understood.�1�L Executed at 9 / hJtcd-s , California this 2 1 day of v[..Y , 20 0 5 /(..ek vida,eze_ o 44'5 7-44E- Ave Address uo,r- /I l� BLS City G', • • CITY OF ROLLING HILLS ZONING CASE CERTIFIED PROPERTY OWNER'S LIST AFFIDAVIT STATE OF CALIFORNIA ) COUNTY OF LOS ANGELES CITY OF ROLLING HILLS ) I, ) ss Gary Wynn , declare under penalty 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 1, 2 and 3 of PM 290-26-28 Executed at / tiO (Gl b' nt,,t5 day of , California, this ,201>5