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567, Room addition will encroach in, Application• RECORDING REQUEST BY d /'///1 ////rs WHEN RECORDED MAIL TO NAME/ CE, /rl / /"i 4 // % .L I S ADDRES MAILING S CITY, STATE ZIP CODE al // ;v7 //''/ls , l l<1>2.1,inJe �- TITLE(S) 98 217313 h1177--/'///9 U/i) igee edo 739,Jc I'7) ('-)• r p r 4/2 r t3 j MAR 3 0 1998`° CITY OF ROLLING HILLS RECORDEDCORDROFFFI I L RECORDS LOS ANGELES COUNTY CALIFORNIA 10:41 AMi FEB 09 1998 SPACE ABOVE THIS LINE RESERVED FOR REQJ DER'S USE ,Fft�wS1.9 DA 2 C-20 R428 6/94 • • RECORDING REQUESTED BY AND MAIL TO: CITY OF ROLLING HILLS 2 PORTUGUESE BEND ROAD ROLLING HILLS, CA 90274 (310) 377-1521 (310) 377-7288 FAX Recorder's Use Please record this form with the Registrar -Recorder's Office and return to: City of Rolling Hills, 2 Portuguese Bend Road, Rolling Hills, CA 90274 (The Registrar -Recorder's Office requires that the formbe notarized before recordation). AFFIDAVIT OF ACCEPTANCE FORM STATE OF CALIFORNIA COUNTY OF LOS ANGEL .RS CITY OF ROLLING HILLS ZONING CASE NO. 567 ) §§ SITE PLAN REVIEW 0 VARIANCE • CONDITIONAL USE PERMIT O I (We) the undersigned state: I am (We are) the owner(s) of the real property described as follows: 32 CHUCKWAGON ROAD (LOT 27-CF) This property is the subject of the above numbered case. I am (We are) aware of, and accept, all the stated conditions in said ZONING CASE NO.567 SITE PLAN REVIEW VARIANCE • CONDITIONAL USE PERMIT 0 - I (We) certify (or declare) under the penalty of perjury that the foregoing is true and correct. Print Print Owner_ n_ ie v 4 . 1"./e- Owner Name Name Signature: .4� Signature Address Address j_.2_____' ri2Gcya-7of City/State l GG _Z-CP 2,_ 6_22' City/State Signatures must be acknowledged by a notary public. State of California ) County of Los Angeles ) On . C. FF' 9) \ P before me, ' \' Q SAST\\ NC personally appeared MM.)! C' [ ] i\. nw -OR- [1 proved to me on the basis of satisfactory evidence to be the person(._whose name(0) is/a* subscribed to the within instrument and acknowledged to me that 16/she/they executed the same in 1k/her/tlair authorized capacity(ip and that by 1 ss/her/tiger signatureK on the instrument the person(}, or the entity upon behalf of which the person(acted, executed the instrument. SANDRA SARTINI COMM. # 1057034 Notary Public — California LOS ANGELES COUNTY My Comm. Expires APR 23,1999 z Witness by hand and official seal. 00464,(9 Signature of Notary See Exhibit "A" attached hereto and made a part hereof 98 21.7313 RESOLUTION NO. 97-31 A RESOLUTION OF THE PLANNING COMMISSION OF THE CITY OF ROLLING HILLS GRANTING A VARIANCE TO ENCROACH INTO THE SIDE YARD SETBACK TO CONSTRUCT AN ADDITION AT AN EXISTING SINGLE FAMILY RESIDENCE IN ZONING CASE ' NO. 567. THE PLANNING COMMISSION OF THE CITY OF ROLLING HILLS DOES HEREBY FIND, RESOLVE AND ORDER AS FOLLOWS: Section 1. An application was duly filed by Mrs. Mary Graff with respect to real property located at 32 Chuckwagon Road (Lot 27-CF), Rolling Hills, requesting a Variance to encroach into the north side yard setback to construct an addition at an existing single family residence. An existing shuttered garden wall that extends to the eaves defines the limits of the proposed addition. Section 2. The Planning Commission conducted a duly noticed public hearing to consider the Variance application on November 18, 1997 and December 16, 1997, and at a field trip visit on December 13, 1997. Section 3. The Planning Commission finds that the project qualifies as a Class 1 Exemption (State CEQA Guidelines, Section 15301(e)) and is therefore categorically exempt from environmental review under the California Environmental Quality Act. Section 4. Sections 17.38.010 through 17.38.050 of the Rolling Hills Municipal Code permit approvalof a Variance from the standards and requirements of the Zoning Ordinance when exceptional or extraordinary circumstances applicable to the property and not applicable to other similar properties in the same zone prevent the owner from making use of a parcel of property to the same extent enjoyed by similar properties in the same vicinity. Section 17.16.120 requires a side yard setback for every residential parcel in the RA-S- 1 Zone to be twenty (20) feet. The existing residence encroaches up to 7.5 feet into the north side yard setback and encroaches up to 10 feet into the south side yard setback. The applicant is requesting to construct a 39.3 square foot L-shaped addition at the northwestern corner of the residence that will encroach up to 10.5 into the side yard setback. With respect to this request for a Variance, the Planning Commission finds as follows: A. There are exceptional and extraordinary circumstances and conditions applicable to the property or to the intended use that do not apply generally to the other property or class of use in the same zone because much of the building pad is located within the front yard. The existing development pattern on the lot and the sloping rear portion precludes continued expansion of the residence on .the lot other than into the side yard setback. RESOLUTION NO. 97-31 PAGE 1 OF 3 98 217313 • • B. The Variance is necessary for the preservation and enjoyment of a substantial property right possessed by other property in the same vicinity and zone, but which is denied to the property in question. The Variance is necessary because development of the site in a manner comparable to other properties in the vicinity will require some incursion into the setback on this site. C. The granting of the Variance would not be materially detrimental to the public welfare or injurious to the property or improvements in such vicinity and zone in which the property is located. Development on the pad will allow a substantial portion of the lot .to remain undeveloped and the extent of the incursion is no greater than what already exists. Section 5. Based upon the foregoing findings, the Planning Commission hereby approves the Variance for Zoning Case No. 567 to permit the encroachment of a residential addition into the side yard setback, to a maximum encroachment of 10.5 feet into the side yard setback, as indicated on the development plan submitted with this application and incorporated herein by reference as Exhibit A, subject to the conditions specified in Section 6 of this Resolution. Section 6. The Variance to the side yard setback approved in Section 5 of this Resolution is subject to the following conditions: A. The Variance approval shall expire within one year from the effective date of approval as defined in Section 17.38.070. B. It is declared and made a condition of the approval, that if any conditions thereof are violated, this approval shall be suspended and the privileges granted thereunder shall lapse; provided that the applicant has been given written notice to cease such violation and has failed to do so for a period of thirty (30) days. C. All requirements of the Buildings and Construction Ordinance, the Zoning Ordinance, and of the zone in which the subject property is located must be complied with unless otherwise set forth in the Permit, or shown otherwise on an approved plan. D. The lot shall be developed and maintained in substantial conformance with the site plan on file dated October 29, 1997 and marked Exhibit A, except as otherwise provided in these conditions. E. The project must be reviewed and approved by the Rolling Hills Community Association Architectural Review Committee prior to the issuance of any building or grading permit. F. Prior to the submittal of an applicable final grading plan to the County of Los Angeles for plan check, a detailed grading and drainage plan with related geology, soils and hydrology reports that conform to the development plan as approved by the Planning Commission must be submitted to the Rolling Hills RESOLUTION NO. 97-31 PAGE2OF3 98 217313 Planning Department staff for their review. Cut and fill slopes shall not exceed a steepness of a 2 to 1 slope ratio. G. The applicant shall execute an Affidavit of Acceptance of all conditions of this Variance approval or the approval shall not be effective. H. All conditions of this Variance approval must be complied with prior to the issuance of a building or grading permit from the County of Los Angeles. PASSED, APPROVED AND ADOPTED THIS 16TH DAY O �E EI , 1997. ATTEST: MARILYN KERN, DEPUTY CITY CLERK STATE OF CALIFORNIA COUNTY OF LOS ANGELES CITY OF ROLLING HILLS ) §§ ALLAN ROBERTS, CHAIRMAN I certify that the foregoing Resolution No. 97-31 entitled: A RESOLUTION OF THE PLANNING COMMISSION OF THE CITY OF ROLLING HILLS GRANTING A VARIANCE TO ENCROACH INTO THE SIDE YARD SETBACK TO CONSTRUCT AN ADDITION AT AN EXISTING SINGLE FAMILY RESIDENCE IN ZONING CASE NO. 567. was approved and adopted at an adjourned regular meeting of the Planning Commission on December 16, 1997 by the following roll call vote: AYES: Commissioners Hankins, Margeta, Sommer, Witte and Chairman Roberts. NOES: None. ABSENT: None. ABSTAIN: None. and in compliance with the laws of California was posted at the following: Administrative Offices. g • 1-{, DEPUTY CITY ERK RESOLUTION NO. 97-31 PAGE 3 OF 3 98 217313 • C1i 0/ �2 ff 9 Jl,•P7 PROPERTY OWNER: OWNER'S ADDRESS: TELEPHONE NO.: VARIANCE REOUEST FOR HEARING MARS 3Z G11U.'K\\//�&0N RC".. 31.0- 377 - 8t©I PROPERTY ADDRESS: 3 Z • INCORPORATED JANUARY 24, 1957 NO. 2 PORTUGUESE BEND ROAD ROLLING HILLS, CALIF. 90274 (310) 377-1521 FAX: (310) 377-7288 Ro 4r1.1 N� 1� 1 G.\--Uc.K.eN. e:',N Rip, t KO L.LI1,4 Co t-ILLS, GA LEGAL DESCRIPTION: LOT NO. Z7 ASSESSOR'S BOOK NO. f 5 ("4" PAGE 6 PARCEL 30 AGENTS NAME: AGENTS ADDRESS: TELEPHONE NO.: KUSSEL.L, NARA.-1ls,lzA. 1405 V11\ &A13M1EL, PAS VtS, Efl GIB 310- 376- 037-0 Describe in detail the nature of the proposed use, including what aspects of the project require a Variance. P✓l/0/ 4, 4/1/4`/14n1 Gt4 , /04 d ) vyva f vv1 f e IAAf/ a vu. q,friAA,t - ✓Yvvvil, Criteria to be satisfied for erant of Variance 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. PA f a _A, ✓V% l4,) ,t.i(/1L/ GL A 4 / 1-1;0?'1 bid-W%t/u. 7-^ , eLvy) . 11,(, Wx H'J4 4 to t.1 Gwt-L 1 I I/ 1) 1/tii rAA( 1-IM� 1, t L' A_ /-1-(7744} ri7/Y! A vl'UA U 14) O,f 1J w 1 if vvvyf `^ Om Di1vl v�, vwl 4rL& 11' i/'t- . 'IA IJ)4 w M � r/U.f) ,n'i ✓,f.T HJGLta k. • 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 1k1411/01 W OA) 1-11,4 4. 4 d_tir-va kitAAL,14-ng ✓ vi-/v J ci/ Yi1-ivwr i 274- vri-u' r ✓1/ Ate vvr -7,L e,o-vi i'i c-161 k24;v1).,r FILING FEE A filing fee must accompany the application. Make check payable to: THE CITY OF ROLLING HILLS. • • OWNER'S ACKNOWLEDGEMENT Property development in Rolling Hills is , governedi,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 / z Z 1%4- /x r , California this day of , 19 'mil 7. . By: G By: Address /fZ��' OWNER'S DECLARATION I (We) declare under penalty of perjury that the foregoing is true and correct. Executed at ,/( 4r-e4;• %0 » , California, this 7! day ofG By: ��� 6-i: By: / 1,/,f/ke} • Address - " ,19 j7 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: NAMZY DATE FILED REPRESENTATIVE: P.,U6 E L-1_ NiNF,A,1A/s t FEE: COMPANY NAME: OAKE 1 Et_o C—�P, RECEIPT NO: COMPANY ADDRESS: BY: k. "6 ZONING CASE NO: 'PA L06 VBRpe.6 G... TENTATIVE HEARING DATE: COMPANY PHONE NO. (310) 37 6 - 03 70 PROJECT ADDRESS: 3 Z z-AU r k.\VA i7 /J"LLi ,& RLL-L- ; G-A D,Z. 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, ®2%A/L , declareunderpenalty 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: MAP 154,6).K. 75 67 PIS&e to , PAKL-C-1_ Executed at /eoV // /S , California, this day of Conditional Use Permit Variance Site Plan Review Zone Change ,19 ?7 Gliu-� C97.�1� ,S'IGNATU Cuy oiRolfayJd.PF ENVIRONMENTAL INFORMATION FORM (To Be Completed By Applicant) Date Filed 11 I .!4 % GENERAL INFORMATION 1. Applicant(s) MARY RA F * • Address 3Z e1-kVGKwikee,D14 • INCORPORATED JANUARY 24, 1957 NO. 2 PORTUGUESE BEND ROAD ROLLING HILLS,,CALIF. 90274 (310) 377-1521 FAX: (310) 377.7288 Email cityoirh@aol.com Zoning Case No. •_4-67 Tel. (310) 3'77-gate)] R12. RDLLAM& IA ILLS 902. 2. Legal Owner(s) M Y &RArP Tel. (310) 3' 7- e I D Address 32 Ue-K 1VAlaON R,'D. RD LL1 IJ.L, 1411.46 GA 41 2:14 3. Project Address 52. 6.1-We-V N/Adv0%4, RP. Assessor's Book No. --4"5 (a -10 Lot No. . Z.* 4. Other related permits and other public approvals required for this project, including those required by city, regional, state and federal agencies: ,t1 L.Ott4/0 PPR.MITt 5. Existing zoning district 6. Proposed project/use of site iC I17rM4. a.ti4( 1 PROJECT DESCRIPTION 7. Site size 36 I..6Z co oev. FT. 8. Net lot area -4 3, 71 Z 54'. "Net Lot Area". means the total area included within the lot lines of a lot or parcel of property, 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 314 3. 5 64'• FT. 10. Number of floors of construction 1 11. Basement square footage 0 12. Total combined flatwork and structural lot coverage 5 6 L ► 3 5Q . FT. . 13. Will any exterior walls be removed or relocated? Which walls? 14. Will any interior walls be removed or relocated? Which walls? 15. Will the entire building structure require a new roof? ia0 -1- °415.97 (1)Prrled c ' Ra. • .Iod Pn;• 16. Will the existing roof remain intact, with Tess than 200 square feet add 1(5,6 17. Grading quantites shall be balanced. Amount cut (Include any basement cut in grading quantities.) O . Amount fill 18. Area of disturbance. 40% maximum; any remedial grading (temporary disturbance), any graded slopes and building pad areas, and any nongraded area where impervious surfaces will remain or are proposed to be added. Square feet 39. 3 Percentage of Net Lot Area oe 0q 19. If residential, include the unit size. Square feet Jqe 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. LI LA 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. `V I " _ MAP` I V 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. 12T the-k A r VARI C MWzP 0/' -TIco - 1- NApe. ifoR j f-T"hOC.e Are the following items applicable to the project or its effects? Discuss below all items checked yes (attach additional sheets as necessary). YES ISD /la 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. X28. Change in pattern, scale or character of general area of project. -2- YES x x x X. 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. 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.). 36. 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. /-v/W 4_/d4 -t v 41 arc e--- 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. . i A'I�AA/T 0. (/1/v fAA'-Yn('_ G i1/iit/J • '1147141AL. r9Z 0 4-1 J0-14A1 (i14i . 714), ,,/�t A_ of 1 I ✓ 1-i d / , / 1 u A4 e.tVO 4G& 74Ze -I Lvuote 1- 4.. d ENVIRONMENTAL IMPACTS (Please explain all "yes" and "maybe' answers on separate sheets.) 37:55 MAYBE BD 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• K Exposure of people or property to geologic hazards such as earthquakes, landslides, mud slides, ground failure, or similar hazards? 9c 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? -4- YES MAYBE • Q 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? _ j. 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 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? 45. Noise. Will the proposal result in: a. Increases in existing noise levels? b. Exposure of people to severe noise levels? 46. Lieht 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? 2 -5- 48. Natural Resourcel. 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. Housine. 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? b. Police protection? c. Schools? d. Parks or other recreational facilities? e. Maintenance of public facilities, including roads? f. Other governmental services? -6- • • 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 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: MAP( C--('AFF v\i,A5c0 P 12at_LA)N-- HILLS 3. Phone Number: -5 \CD 4. Address of Site (street name and number if available, and ZIP code): c+orl N, P7-3 R9 (LI !4 Cis , CA-- qo Z-74 5.. Local Agency (city/county): PO Lc! N1'5- '- a L / '� r 6. Assessor's book, page, and parcel number: G 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: s)ULY 1992 Date Signature .2 ' For 1\ ` Le `-'�T F 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 nj contained on these lists. Date I t For Signature 121 KlecakikArth MP - Gaff-, 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 t ( 1 forms\environm.app I // Signature' far im- For A y is Applicant -10- 54. 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? 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: 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. CulturaI 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- 1I MAYBE i4 • • 60. 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 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? YES MAYBE , iQ X -8-