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510A, Construct an 800 sq ft guest h, Application• City Ol /''O/ftfl L/ / INCORPORATED JANUARY 24, 1957 NO. 2 PORTUGUESE BEND ROAD ROLLING HILLS, CALIF. 90274 (310) 377.1521 FAX: (310) 377.7288 REOUEST FOR HEARING CONDITIONAL USE PERMIT PROPERTY OWNER: „ Ik,1 I 4 GL-p) Zc= C(-f !Z(5 c7 OWNER'S ADDRESS: Cj OP i i3 Q? TELEPHONE NO: 3 y 14- PROPERTY'S ADDRESS: AS ►4 meu (_ LEGAL DESCRIPTION: LOT NO. I I (-I- ASSESSORS BOOK NO. 7S (o7 PAGE OO`t- PARCEL O 1 AGENT'S NAME: AGENT'S ADDRESS: TELEPHONE NO: N NATURE OF PROPOSED PROJECT Describe in detail the nature of the proposed use and under what Section of the Zoning Ordinance the conditional use is permitted in the zone. CO(J S11ZO C-r -N g O S r.3 t+ U 4 ®Panted on Recycled Piny r • • Will the proposed use be compatible with the uses in the surrounding area, and if so, why? S A 1Z T kl- Az u9 t 7-i+ p t Aft u I-t-o (Is A -to J / o R S-3 Will the grant of this Conditional Use Permit be consistent with and in furtherance of the public health safety and general welfare? FILING FEE A filling fee must accompany the application. Make check payable to the CITY OF ROLLING HILLS. CHECKLIST FOR PLAN SUBMITTAL yC kfa The following information must be included on any plan submitted for checking to the Rolling Hills Planning Commission for: 1. Conditional Use Permit (including grading requirements). 2. Variance (including grading requirements). 3. Site Plan Review (including grading requirements). 4. Subdivisions and Lot Line Adjustments Show the following: / 1. Name, address and telephone o. of applicant, and name, address and telephone no. of archi� and civil engineer 2.0 I4 o plans nztsrtre stamped y a licensed civil engineer or land surveyor. P by g 3. Vicinity map drawn to scale with requested improvements dimensioned to property line and residences of all contiguous properties. V 4. North arrow and scale of plans. Existing contours of the entire lot. Show setbacks, easements, horse trails on entire lot. Outline and show square footage of building pads within allowable setbacks in accordance with Municipal Code Title 17 (form attached). ( 8. Computation of lot coverage in accordance with Municipal Code Title 17 (form attached). crzic. 5. oq1� 6. 77. tifp, 9. Pip 10. ✓ 11. All slopes shall not be steeper in slope than two horizontal to one vertical, or exceed a vertical height of thirty feet (30'). All slopes shall be marked with grade. (Municipal Code Title 15). Shade all cut and fill slopes. Show shaded area square footage, and the percentage of lot to be disturbed. (Title 15). Show all retairu g walls and sections through walls, height and height for all buildings.Ws Show proposed drainage pattern of graded areas. cut and fill totals, elevations. Show Designate the area(s) for which the Variance(Conditional Use Permi9r Site Plan Review is requested. / 14. Show outline of residence and any additional structures. All structures must be physically measured and square footage of each structure must be shown on drawing. A note must be on the drawing certifying to those measurements. • • Ipe 15. Show a graded area of not less than 450 square feet for the construction of a stable, 550 square feet for a corral, and a graded road of not more than 25% grade for vehicular access to the stable site. (Title 17). \p' 16. Sections should be shown through highest slope and through other areas where ground is steep, and as many additional sections as necessary to clearly delineate land contours with existing ground. PIN 17. A current survey and grading plan, with related soils, geology, hydrology/drainage reports, showing all structures on the property, with their distance from property lines delineated, will be required in applications where the requested change is close to easements, close to other properties, and/or where there is to be significant grading on the property. 18. Note distances from the center line of all existing and proposed streets adjacent to P c-P^1 the subject property. 19. Show the existing buildable area which is that portion of a lot that constitutes the existing building pad and any contiguous portion of the lot WITHIN REQUIRED MINIMUM SETBACKS that has an average slope of ten percent (10%) or less. If there is not an existing building pad, the buildable area shall mean that portion of a lot within allowable setbacks that has an average slope of ten percent (10%) or less. • • 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 129i,u 6 t_t,S CA- • , California this � day of M AIZC N- , 19 Q . BY: CTID. of,„„t„. By: 61 o Pen) 2Mi ►� Address r2 . City 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, DM i !) CI-HZ I SQL= N� &k) , declare under penalty of perjury that the attached 1 'st contains the names and addresses of all persons to whom all property is assessed as the appear on the latest available assessment roll of the County within the area described ar I a distance of one thousand (1,000) feet from the exterior boundaries of property leg escribed as: O Pt J T I J iz.) A—P7S6-1— 004-031 1 c,OTr l t 4- Executed at 20 t-t o & �� % , California, this day of I'VI P-ZC ,19 SIGNATURE Conditional Use Permit Variance Site Plan Review Zone Change DATE 3l jot '+ AING CASE NO. ADDRE• ct 0 Pr_=k) APPLICANT _P , C c-t-z., S as L CALCULATION OF LOT COVERAGE BUILDING AREAS EXISTING PROPOSED TOTAL NET LOT AREA 17 i (n 0 0 sq.ft. N (G sq.ft. l \-7 ,(goo sq.ft. BUILDING PAD(S)(3) 9 0 of) sq.ft. N (c sq.ft. Cj 0 0 0 sq.ft. RESIDENCE Z (0 0Qsq.ft. F3 ©cJ s ft. 31-1- OV sq.ft. 6 GARAGE 45 0 sq.ft. i N (G sq.ft. 4-S- 0 sq.ft. 4sz SWIMMING POOL/SPA 400 sq.ft. 01C sq.ft. 4- 0 D sq.ft. 4 cr STABLE 4o 0 sq.ft. JG-Lt h sq.ft. —0 sq.ft. 4S?) RECREATION COURT ( ) — sq.ft. --- sq.ft. -- sq.ft. SERVICE YARD -- sq.ft. — sq.ft. — sq.ft. OTHER &-ti, 1 ',to L -- sq.ft. sq.ft. sq.ft. FA 4 70(a TOTAL STRUCTURES 38 5 o sq.ft. 40 0 N sq ft. % STRUCTURAL 3 3 % .3 % COVERAGE 42. n 0 sq.ft. 3.(p % % TOTAL PAD COVERAGE \Z.' % LI % 4 7,Z % DRIVEWAY ! Lt op sq.ft. tit 1 C sq.ft. (LI- 0 0 sq.ft. PAVED WALKS AND PATIO AREAS 14 SO sq.ft. N IC sq.ft. L 'I- 5 O sq.ft. POOL DECKING ?3O4(. sq.ft. N (c-sq.ft. to le_ sq.ft. TOTAL FLATWORK 2-SSO sq.ft. 0 (C_ sq.ft. Z cj 0 sq.ft. % TOTAL FLATWORK COVERAGE 2 A % — % 2.4 % TOTAL STRUCTURAL & FLATWORK COVERAGE i0-7 0 0 sq.ft. 4 0 0 sq.ft. `7 10 0 sq.ft. % TOTAL COVERAGE 5.7 % 43 % ( 0 % DATE I 'i' i 4- ZSING CASE NO. ADDRE• D PC-- r-; Tt.�ZA APPLICANT 17 • C 4 Z f S l A_) CALCULATION OF BUILDING PAD COVERAGE PAD NO. 1 BUILDABLE PAD AREA 2 4 00 sq.ft. RESIDENCE p 0 sq.ft. GARAGE — sq.ft. STABLE (BARN) sq.ft. POOL -- sq.ft. RECREATION COURT sq.ft. OTHER — sq.ft. TOTAL STRUCTURES ON PAD NO. 1 ZOO sq.ft. %' BUILDING PAD COVERAGE 33 % PAD NO. 2 BUILDABLE PAD AREA RESIDENCE GARAGE STABLE (BARN) POOL RECREATION COURT sq.ft. sq.ft. sq.ft. sq.ft. sq.ft. sq.ft. OTHER sq.ft. TOTAL STRUCTURES ON PAD NO. 2 % BUILDING PAD COVERAGE sq.ft. OWNER'S DECLARATION I (We) declare under penalty of perjury that the foregoing is true and correct. Executed at i20 pd. wt , California, this 1 S % day of I\'l MZC r.a- , 19 cl By: 6..1 .. By: Sekluip 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: D . Ci-hZ I S i ts�l1 �aC DATE FILED 3 / I / q REPRESENTATIVE: — FEE: $1/ f i COMPANY NAME: RECEIPT NO: 4(11 -3! COMPANY ADDRESS: BY: ZONING CASE NO: `' 7° TENTATIVE HEARING DATE: COMPANY PHONE NO. ( 1 PROJECT ADDRESS: q 0 Pcr+J J PROPERTY OWNER: OWNER'S ADDRESS: TELEPHONE NO: PROPERTY'S ADDRESS: LEGAL DESCRIPTION: AGENT'S NAME: REOUEST FOR HEARING FOR SITE PLAN REVIEW c2mz i s 9 d ;0C7J ,3,z4-at,) i2 cJ. 3/0 —� yy— en 2-r3—9j7'7— 3 cf7Y w 9 c9P(/ ,3,7.j ,2J. LOT NO. ASSESSORS BOOK NO. Al /.- AGENT'S ADDRESS: TELEPHONE NO: NATURE OF PROPOSED PROJECT PAGE PARCEL Describe in detail the nature of the proposed project, including what aspects of the project require a Site Plan Review: i�.�, t_. (dL . -_ • a '4- a-;t4,4 '7"-7E- .-etdo-w --e-c Le;7Lk4 a- cZD'- L 7` G 494_ a-3 / / e— 7 • 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. Is 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. '7176)-1' a,� 9 &Lel 1- It , itact a- 9 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 forms (such as hillsides and knolls)? Explain how the project preserves and integrates existing natural features. c. ~r -Gt= Gam. e 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. /1% 0 C' -ti1,2-CQ.41.4a .A4 r 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. / lt?1 sL wv-c4e (- - Gc,c; i • • 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. / / tic D , -.(1��u t e lu cre_., u)e Z'a e9 +...Q.._• 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. Y•f- lGS Gait-� 1 Q rTT'l 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. l.0 a-� (� 4 , a/� a, �J 7tait ._ we-Gt.E ' a--t Q���c-��.�v� er -cu -..e_ e.c-o pt , e,..v. ,.ems �t,� e, t � �P�-t i- c H. a e CoJL & .c r-Cn cU..41, oes the site development pla conform with the requirements o fCalifQ ty Explain how the project impacts the environment, e.g. significant impact,t,proposed mitigation measures. //A � -�/lA 4-liv«-t,Jl,Lf± �' 4it . L IJ 41AC/C.14.,,,frie e,.-14 c� , the Cali mia Environmental uali Act? • • 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 true and correct to the best of my knowledge and belief. Date: q-PV9 Signature For: Applicant 011,14 c_ 7ZA71-7 0/4-6 Z 47/74 Aui%tD • CON-rzoL, IzZt: F .eD DATE 3 it Iq'+ 'NING CASE NO.5/04 ADDRE 0 Pe ->a t) iL D APPLICAP. . j • C f-1-215T J CALCULATION OF LOT COVERAGE BUILDING AREAS EXISTING PROPOSED TOTAL NET LOT AREA t 17, co o o sq.ft. 01 c sq.ft. 1 1-t , (o o a sq.ft. BUILDING PAD(S)(3) cl 0 of) sq.ft. N (G sq.ft. Cj 0 D 0 sq.ft. RESIDENCE Z (o OOsq.ft. 7 ZD sq.ft. 337,0 sq.ft. GARAGE 4 5 0 sq.ft. N( G sq.ft. 4-S 0 sq.ft. SWIMMING POOL/SPA 400 sq.ft. STABLE 4o 0 sq.ft. RECREATION COURT ( ) sq.ft. G sq.ft. 4- 0 0 sq.ft. <4 o o) Demo i4 c o sq.ft. yJ O sq.ft. sq.ft. -- sq.ft. SERVICE YARD sq.ft. — sq.ft. — sq.ft. OTHER — sq.ft. sq.ft. sq.ft. TOTAL STRUCTURES -2, 'g SO sq.ft. % STRUCTURAL 3 ; 3 % COVERAGE % TOTAL PAD COVERAGE 7 7 0 sq.ft. o% DRIVEWAY f op sq.ft. M /Csq.ft. PAVED WALKS AND PATIO AREAS (45 O sq.ft. POOL DECKING Ik30Je- sq.ft. TOTAL FLATWORK 2-SSO sq.ft. % TOTAL FLATWORK COVERAGE 2 % (C sq.ft. N (c—sq.ft. t) 1 C_ sq.ft. TOTAL STRUCTURAL & FLATWORK COVERAGE (61 0 0 sq.ft. 3-7 0 sq.ft. % TOTAL COVERAGE 5.7 % e 3 % 4620 sq.ft. 3.9. % 51,3. % Li- O 0 sq.ft. ( 0-1-0 sq.ft. to i C. sq.ft. Z c s c7 sq.ft. Z•% sq.ft. G, % DATE 3 /'1 i `i 4- •NING CASE NO. ' ADDRS cl 0 Pt= ST-RAIj j) APPLICAIN 1' D. C z .i EA&.) CALCULATION OF BUILDING PAD COVERAGE PAD NO. 1 BUILDABLE PAD AREA 6-u6s-r Ito use RESIDENCE GARAGE STABLE (BARN) POOL RECREATION COURT 2LI 00 sq.ft. '72O sq.ft. sq.ft. sq.ft. sq.ft. sq.ft. OTHER -- sq.ft. TOTAL STRUCTURES ON PAD NO. 1 77,D sq.ft. %` BUILDING PAD COVERAGE 3 0 % PAD NO. 2 BUILDABLE PAD AREA RESIDENCE GARAGE STABLE (BARN) POOL RECREATION COURT sq.ft. sq.ft. sq.ft. sq.ft. sq.ft. sq.ft. OTHER sq.ft. TOTAL STRUCTURES ON PAD NO. 2 sq.ft. % BUILDING PAD COVERAGE % Date Filed • • City O/ /E'0/i',g //S INCORPORATED JANUARY 24, 1957 ENVIRONMENTAL INFORMATION FORM (To Be Completed By Applicant) �p1 R.CI.+ i I �ci LJ NO. 2 PORTUGUESE BEND ROAD ROLLING HILLS, CALIF. 90274 (310) 377.1521 FAX: (310) 377.7288 Zoning Case No. GENERAL INFORMATION 1. Applicant j kQ t J • 4 C (.A' I IZ(= C T71 Address a 0 P(J C3Rik-ikit3 1ZD 2. Legal Owner C Zl4,i?-'-7l)$c-lJ / A-Mtt.7 'nay Address S 17-, i I% 3. Project Address /k-c, A-T1 0 V C.:— Assessor's Book, Page, Parcel No. 7 5-67 - 0 0 4- - 03 1 Lot No. Tel. 2-'13— _3 Tel. AS ,k cvL_ 114 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: L ,4. Co . 3c.0G D P 5. Existing zoning district IZ S - 6. Proposed project/use of site: (., I11% S , l-f f) UST -- PROJECT DESCRIPTION 7. Site size 2, 7 k c iZ c 8. Net lot area Z , `1 ,6c-L' .R.trI 9. Total square footage of structures 3co th 10. Number of floors of construction 11. Basement square footage Il1/%k 12. Total combined flatwork and structural lot coverage 8o o 13. Will any exterior walls be removed or relocated? Which walls? M0 14. Will any interior walls be removed or relocated? Which walls? N 0 15. Will the entire building structure require a new roof? -I • • 16. Will the existing roof remain intact, with less than 200 square feet added? tJ I A- 17. Will cut and fill be balanced? Amount cut tJ I - Amount fill N /A- 18. Area of disturbance. Square feet IJ f 1UG . Percentage of lot M % A- 19. If residential, include the unit size. Square feet 0 0 t:L 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. kVA- 21. If industrial, indicate the type of project, estimated employment per shift, and loading facilities. N IA- 22. If institutional, indicate the major function, estimated employment per shift, estimated occupancy, loading facilities, and community benefits to be derived from the project. im for 23. Attach plans. 24. Proposed scheduling. 3E6rN 5'' 4- , C.17MPLE"SZ`• I O /64 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. 60t%T 1-009z S 12C-"ZO l e lr tX+UTt 0IJ 14- US t-' Perem t Are the following items applicable to the project or its effects? Discuss below all items checked yes (attach additional sheets as necessary). YES NO _. 26. Change in existing features of any bays, tidelands, beaches, lakes or hills, or substantial alteration of ground contours. 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- 29. Significant amounts of solid waste or litter. )( 30. 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. 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. )� 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.). 2 36. Substantially increased fossil fuel consumption (electricity, oil, natural gas, etc.). _ _2S.. 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. Ft,A- StTG% I,u/ xiSrtNG ST 3L 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. 2 uRkt, ILO ' OrAu-i- t A-t. A-. - • ENVIRONMENTAL IMPACTS (Please explain all "yes" and "maybe" answers on separate sheets.) YES MAYBE NO 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? 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 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? X • . t YES MAYBE NO 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 animals9 c. Introduction of new species of animals into an area, or result in a barrier to the migration or movement of animals9 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? — X • • YES MAYBE NO 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? _ _ X b. Police protection? _ X c. Schools? d. Parks or other recreational facilities? e. Maintenance of public facilities, including roads? _ X. f. Other governmental services? _ _ X -6- YES MAYBE NO 54. Energy. Will the proposal result in: a. Use of substantial amounts of fuel or energy? — X 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: X 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? -7- • • 60. Mandatory Findinns of Significance. YES MAYBE NO 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? x -8- • • NOTE: Before the Lead Agency can accept this application as complete, the applicant must consult the lists prepared pursuant to Section 65962.5 pf 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: 3. Phone Number: 4. Address of Site (street name and number if available, and ZIP code): 5. Local Agency (city/county): -. 6. Assessor's book, page, and parcel number: 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: IULY 1992 Date Signature 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 not contained on these lists. Date -sit ate( Signature For For 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 and correct to the best of my knowledge and belief. Date 3 +' /CH forms\environm.app ato-te,1 - a.* Signature For Applicant -10-