594, Addition to existing SFR, Application•
Cd1y
PROPERTY OWNER:
OWNER'S ADDRESS:
TELEPHONE NO.:
PROPERTY ADDRESS:
VARIANCE
REOUEST FOR HEARING
Dr. Marano
•
INCORPORATED JANUARY 24, 1957
NO. 2 PORTUGUESE BEND ROAD
ROLLING HILLS, CALIF. 90274
(310) 377-1521
FAX: (310) 377-7288
#2 Southfiled Drive, Rolling Hills
(310) 370-6294
#2 Southfield Drive, Rolling Hills
LEGAL DESCRIPTION: LOT NO. Portion of Lot 62, Record of Survey 59-8-10
ASSESSOR'S BOOK NO. PAGE PARCEL
AGENT'S NAME: ni atpr Thomas AIA
AGENT'S ADDRESS: P.O. Box 7000-23, Redondo Beach, CA 90277
TELEPHONE NO.: (310) 543-1808
Describe in detail the nature of the proposed use, including what aspects of the project
require a Variance.
The owner, recently remarried, is in need of two more bedrooms
and baths for his two daughters.
While the actual increase in lot coverage is only 3.24%,
tne cumulative lot coverage,- aue to earlier, more generous area
calculations, now will be 26.080
Criteria to be satisfied for grant 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.
The property is bounded by .three public easements: Creast Road,
Southfield Drive, and Flying Mane Road. Thus the buildable area, due
to the easements and setbacks is reduced to a little more than 1/2
of the gros lot area (per Denn Engineering the gros Is 1.0076 acres
or 4b,bbb sq.rt. The net area is U.4bbil acres or zufi1L sq.It.')
In addition, the existing residence and acessory buildingsare
located on 2 pads part of which are not considered to be buildable
area. Therefore the pad coverage indicates a cistort 1i vip 9r>,�,,p�„a�
relation to tne net area and existing pads. ,< """
• •
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
The project is compatible with the residences in the neighborhood
and does not impact the privacy, view, and opneness of the properties
enjoyed by the neighbors.
FILING FEE
A filing fee must accompany the application. Make check payable to: THE CITY OF
ROLLING HILLS.
DATE 2/19/99 ZING CASE NO.
ADDRE
APPLIC
(,OWNED.
42 Southfield Drive
�j Dieter Thomas AIA
Dr. Marano
BUILDING AREAS
NET LOT AREA
BUILDING PAD(S)
RESIDENCE
GARAGE
SWIMMING POOL/SPA
STABLE
RECREATION COURT
SERVICE YARD
OTHER
TOTAL STRUCTURES
CALCULATION
OF LOT COVERAGE
EXISTING PROPOSED TOTAL
20,312
10,109
2,591
506
720
480
sq.ft.
sq.ft.
sq.ft.
sq.ft.
sq.ft.
sq.ft.
sq.ft.
sq.ft.
344 sq.ft.
4,641
sq.ft.
% STRUCTURAL
COVERAGE 22.84 %
% TOTAL PAD 45.91
COVERAGE
DRIVEWAY 2,652 sq.ft.
PAVED WALKS AND
PATIO AREAS 538 sq.ft.
POOL DECKING
2,056 sq.ft.
5,246
TOTAL FLATWORK sq.ft.
% TOTAL FLATWORK 25.83
COVERAGE
TOTAL STRUCTURAL & FLATWORK
COVERAGE 9,887 sq.ft.
% TOTAL COVERAGE 4 8. 6 8 %
658
sq.ft.
sq.ft.
sq.ft.
sq.ft.
sq.ft.
sq.ft.
sq.ft.
sq.ft.
sq.ft.
658 sq.ft.
3.24 %
6.5
sq.ft.
88 sq.ft.
88
0.43
746 sq.ft.
sq.ft.
sq.ft.
20,312
10,109 sq.ft.
3,249
506
720
480
344
sq.ft.
sq.ft.
sq.ft.
sq.ft.
sq.ft.
sq.ft.
sq.ft.
sq.ft.
5,299 sq.ft.
26.08 %
52.41
2,652 sq.ft.
626 sq.ft.
2,056 sq.ft.
5,334
sq.ft.
26.26 %
10,633 sq.ft.
3.67 % 52.35 %
DATE 2/19/99 , ZOINOG CASE NO. ADDRESS • Southfield Drive
APPLICANT Dieter Thomas AIA
OIATNIR; Dr. Na.rano
CALCULATION OF BUILDING PAD COVERAGE
PAD NO. 1
BUILDABLE PAD AREA 10,109 sq.ft.
RESIDENCE 3,249 sq.ft.
GARAGE 506 sq.ft.
STABLE (BARN) 480 sq.ft.
POOL 720
sq.ft.
RECREATION COURT
sq.ft.
OTHER 344 sq.ft.
TOTAL STRUCTURES ON PAD NO. 1 5,299 sq.ft.
% BUILDING PAD COVERAGE 52.41 %
PAD NO.2
BUILDABLE`EAD AREA sq.ft.
RESIDENCE sq.ft.
GARAGE sq.ft.
STABLE (BARN) / sq.ft.
POOL sq.ft.
RECREATION COURT
sq.ft.
OTHER `sq.ft.
sq.ft.
TOTAL SpU4RES ON PAD NO. 2
% BUI ING PAD COVERAGE
•
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 /lf 7)--t r� , California
,- - p
bt-
this ! �' day of Eeh� , 19
By: 77/,febr,.,4 %4:- ‘161,t4.-e-e)
By:
William F. Marano
#2 Southfiled Drive
Rollinr Hills, CA 90274
Address
• •
OWNER'S DECLARATION
I (We) declare under penalty of perjury that the foregoing is true and correct.
Executed at /D ,nA-P
this
day of
By:
By:
Address
, California,
, 19 9%
/461ve,„r,( W/i,eg-2 eef a4>.4
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: William F . Marano
Thomas
& Thomas
REPRESENTATIVE: Dieter
COMPANY NAME: Friel
COMPANY ADDRESS:
P.O. Box 7000-23
Redondo Beach, CA 90277
AIA
Architecs
COMPANY PHONE NO. ( 310) 5 4 3 -18 0 8
PROJECT ADDRESS: #2 Southfiled Drive
Rollina Hills CA 90274
DATE FILED 2// q l q q
FEE:
RECEIPT NO: 687J
(,41/V4
BY:
ZONING CASE NO:
TENTATIVE HEARING DATE:
3/(6 If?
Date Filed 2/19/99
GENERAL INFORMATION
1. Applicant(s)
Address
2. Legal Owner(s)
Address
•
Cuy o/ ie0iitnS �ee,
•
ENVIRONMENTAL INFORMATION FORM
(To Be Completed By Applicant)
Dieter Thomas AIP_
P.O. Box 7000-23,
3. Project Address
Dr. Marano
#2 Southfield
INCORPORATED JANUARY 24, 1957
Zoning Case No.
NO. 2 PORTUGUESE BEND ROAD
ROLLING HILLS, CALIF. 90274
(310) 377-1521
FAX (310) 377-7288
E-mail: cityofrh@aol.com
Tel. (310 ) 543-1808
Redondo Beach, CA 90277
Tel. (310 ) 370-6294
Drive, City of Rolling Hills
City of Rolling Hills
Portion of Lot 62
Lot No.RPcc)rd of S lrvey
59-8-10
4. Other related permits and other public approvals required for this project, including those required
by city, regional, state and federal agencies:
#2 Southfield Drive,
Assessor's Book No.
5. Existing zoning district
6. Proposed project/use of site addition to single family residence
PROJECT DESCRIPTION
7. Site size Exist' g residence 2,591 sq.ft. , addition 658 sq.ft.
8. Net lot area 20,312 s q . f t "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
10. Number of floors of construction
11. Basement square footage
5,299 sq.ft.
one story
none
12. Total combined flatwork and structural lot coverage
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? yes
10,633 sq.ft.
no
no
5-05-98
-1-
c.
Printed on Recycled Paper.
I
• •
16. Will the existing roof remain intact, with less than 200 square feet added?
17. Grading quantites shall be balanced. Amount cut
(Include any basement cut in grading quantities.)
none
no
. Amount fill
none
18. Area of disturbance. 40% maximum; any remedial grading (temporary disturbance), any graded
slopes and building pad areas, and any nonraded area where impervious surfaces will remain or
are proposed to be added. Square feet nonePercentage of Net Lot Area none (exist' g)
19. If residential, include the unit size. Square feet 3,249 sq . ft.
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.
N.A.
21. If industrial, indicate the type of project, estimated employment per shift, and loading facilities.
N.A.
22. If institutional, indicate the major function, estimated employment per shift, estimated occupancy,
loading facilities, and community benefits to be derived from the project.
N.A.
23. Attach plans.
24. Proposed scheduling.
Summer 1999
25. ff the project involves a site plan review, variance, conditional use or rezoning application, state
this and indicate clearly why the application is required.
A variance is requested because care structural coverage exceeds
200
Are the following items applicable to the project or its effects? Discuss below all items checked yes (attach
additional sheets as necessary).
0 .;Id 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.
O 28. Change in pattern, scale or character of general area of project.
- 2
• •
YES NO
❑ 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.
❑ k( 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.).
❑ 74 36. Substantially increased fossil fuel consumption (electricity, oil, natural gas, etc.).
❑ 71 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.
Addition to existing residence on existing pad. No grading required.
New footings to be on natural grade
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.
Single .Family residential neighborhood in rural surroundings.
-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 CEQA process,
an effect has been adequately analyzed in an earlier EIR or negative declaration. See Section
15063(c)(3)(D) of the State CEQA 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):
Potentially
Significant
Potentially . Unless Less Tfian
Significant .. Mitigation S ificant
Impact Incorporated
ncorp .._ Impact:
LAND USE AND PLANNING. Would the proposal:
a) Conflict with general plan designation or zoning? 0 0
b) Conflict with applicable environmental plans or 0 0 0
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 0
impacts to soils or farmlands, or impacts from
incompatible land uses)?
e) Disrupt or divide the physical arrangement of an 0 %
established community (including a low-income
or minority community)?
I I. POPULATION AND HOUSING. Would the proposal:
0
a) Cumulatively exceed official regional or local 0 0 0
population projections?
-4-
• •
Potentially
Significant
Potentially Unless Less Than
Significant Mitigation Significant No
Impact Incorporated Impact Impact
b) Induce substantial growth in an area either 0 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 0 c
housing?
III. GEOLOGICAL PROBLEMS. Would the proposal
result in or expose people to potential impacts
involving:
a) Fault rupture? 0 0 0
b) Seismic ground shaking? 0 0 0 X
c) Seismic ground failure, including liquefaction? ❑ 0 0
d) Seiche, tsunami, or volcanic hazard? 0 0 0
e) Landslides or mudflows? 0 0 0 (
f) Erosion, changes in topography or unstable soil 0 0 0
conditions from excavation, grading, or fill?
g) Subsidence of the land? 0 0 0
h) Expansive soils?
i) Unique geologic or physical features? 0 0 0
IV. WATER. Would the proposal result in:
a) Changes in absorption rates, drainage patterns, 0 0 0
or the rate and amount of surface runoff?
b) Exposure of people or property to water related ❑ 0 0 >EI
hazards such as flooding?
c) Discharge into surface water or other alteration 0 0 ❑i
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 loss of
groundwater recharge capability?
g) Altered direction or rate of flow of groundwater? 0 0 0
h) Impacts to groundwater quality? 0 0 0 g
i) Substantial reduction in the amount of 0 0 0
groundwater otherwise available for public water
supplies?
V. AIR QUALITY. Would the proposal:
a) Violate any air quality standard or contribute to 0 0 0
an existing or projected air quality violation?
❑ ❑ ❑
-5-
• •
Potentially
Significant
Potentially Unless Less Than
Significant Mitigation Significant No
Impact Incorporated Impact Impact
b) Expose sensitive receptors to pollutants? 0 ❑ ❑ )5.-
c) Alter air movement, moisture, or temperature, or 0 0 0
cause any change in climate?
d) Create any objectionable odors? 0 0 0
VI. TRANSPORTATION/CIRCULATION. Would the
proposal result in:
a) Increased vehicle trips or traffic congestion? 0 0 0 'J
b) Hazards to safety from design features (e.g., 0 0 0
sharp curves or dangerous intersections) or
incompatible uses (e.g., farm equipment)?
c) Inadequate emergency access or access to ❑ 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 ❑ R.
alternative transportation (e.g., bus turnouts,
bicycle racks)?
g) Rail, waterborne 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 0 X
trees)?
c) Locally designated natural communities (e.g., 0 0 0 )2;
oak forest, coastal habitat, etc.)?
d) Wetland habitat (e.g., marsh, riparian and vernal 0 0 0 i
pool)?
e) Wildlife dispersal or migration corridors? 0 0 ❑
VI I I. ENERGY AND MINERAL RESOURCES. Would the
proposal:
a) Conflict with adopted energy conservation 0 0 0 ti
plans?
b) Use non-renewable resources in a wasteful and 0 0 0 5
7
inefficient manner?
c) Result in the loss of availability of a known 0 0 ❑
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 0 0 ❑ X
hazardous substances (including, but not limited
to: oil, pesticides, chemicals or radiation)?
b) Possible interference with an emergency 0 0 0
response plan or emergency evacuation plan?
-6-
c) The creation of any health hazard or potential
health hazard?
d) Exposure of people to existing sources of
potential health hazards?
e) Increased fire hazard in areas with flammable
brush, grass, or trees?
X. NOISE. Would the proposal result in:
Potentially
Significant
Potentially Unless Less Than
Significant Mitigation Significant No
Impact Incorporated Impact Impact
❑ ❑ ❑
❑ 0 0 Ce
❑ ❑ ❑ g
a) Increases in existing noise levels? 0 0 0
b) Exposure of people to severe noise levels? 0 0 0
Xl. PUBLIC 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
c) Schools? 0 0 0
d) Maintenance of public facilities, including roads? 0 0 0
e) Other governmental 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 ,i
b) Communications systems? 0 0 0
c) Local or regional water treatment or distribution 0 0 0
facilities?
d) Sewer or septic tanks? 0 0 0
e) Storm water drainage? 0 0 0 e
f) Solid waste disposal? 0 0 0 12'
g) Local or regional water supplies? 0 0 0 q/
XIII. AESTHETICS. Would the proposal:
a) Affect a scenic vista or scenic highway? 0 0 ❑/
b) Have a demonstrable negative aesthetic effect? 0 0 0
c) Create light or glare? 0 0 0
XIV. CULTURAL RESOURCES: Would the proposal:
a) Disturb paleontological resources? 0 0 0
b) Disturb archaeological resources? 0 0 0 5'
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 ❑ ,ie
the potential impact area?
-7-
•
Potentially
Significant
Potentially Unless Less Than
Significant Mitigation Significant No
Impact Incorporated 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 1;24
XVI. MANDATORY FINDINGS OF SIGNIFICANCE.
a) Does the project have the potential to degrade 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 long-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. EARUER 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.
a) Earlier analyses used. Identify earlier analyses 0 ❑
and state where they are available for review.
b) Impacts adequately addressed. Identify which 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 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.
❑
F
-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 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:
ulilliam F. Marano
2. Address: #2 Southfiled Drive
Rolling Hills CA 90274
3. Phone Number: (.310) _ 370-62.94
4. Address of Site (street name and number if available, and ZIP code):
._ same. as above
5. Local Agency (city/county): Rolling Hills
6. Assessor's book, page, and parcel number:
Portion of lot 62
Record of Survey 59-8-10
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: JULY 1992
Date
/ U`J` (5 /SS,
For
-CK_
Signature
Applicant
am"
-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 nf51 S
7 Signature
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.
Datec-7C' 6 / ( q1 /�!/ ,7� �� / ( c
For
Signature
Applicant
fo rms\env i ronm. 1998app
-10-