The URL can be used to link to this page

Home My WebLink AboutV 353; THERRIEN; Variance (V)i kP PLICATIOd REQum Omne Change OMinor Mevelopnent Perpit OGeneral Plan Amendment OTentative Tract ~ap -' U~lanned Unit Developnent OMajor Condominium Permit OMinor Condominium Pennit HVariance Omster Plan Clplanning Comnission Determination OPrecise Developnent Plan OSpecific Plan OSite mvelopnent Plan @Conditional Use Permit ClSpecial Use Permit UPr3ministrative Variance 1 71 - Location of Project Am1 icant dI - , ,3434 MADisN SK I City and State Zip Telephone rt A THAT ALL THE ABOVE INFORMATION IS TRUE AND CORRECT To THE BEST OF My KNOWLEIX;E. SICNATURE Name (Print or Type) Mailing Address pIc.wy37 81 TIEWEN CAQICSljAt) CA 4m 8 729-1 1 Z I I CErnIFY THAT I AM THE CWER'S REPRESENTATIVE AND THAT ALJL THE ABOVE INFQRMATION IS TRUE AND CORRECX' To THE BEST OF MY KNOWLECGE. DATE Gross -res (or square faYtage, if less than acre) 7000 663. Fr. General Pla? Land Use Designaticn VUY" 7 F3y law a Variance may be approved cnly if certain facts are follnd to exist. Please read tkse requirements carefully and explain lxw tk proposed project me+' each of tkse facts. Use additimal skets if necessary. I 3 If aft2r: me infomtion V:*I have submitted has been rev: - wed, it is determined that 'further infomation required, you will be so ad. &, .. .. I. AGENT: Name .. Business Address .- Telephone Number . .. , .. . bEI.IBEI(S: .. Erame *(individual, partner, joint . Home Zddress venture, coqozation, syndication) Business Address Teleshone N-r Telephone Xiumber 3;siness =dress Ttiep'norzt Ncsthr Telephone Xunber .- (Attach more sheets if necessary) . I/W~ dwlze uzder pmlty Of perjury that the infomation contahed in this dis- closure is trio and correct and that it will remain true and correct and nay be' relice ugon as trus and correct until anended. .. .. Ap_olicant FEE: $100 RECEIPT NO: ENVIRONMENTAL IMPACT ASSESSMENT FORM -Part I (To Be Completed by APPLICANT) CASE NO: DATE: Applicant: ~ILHA@ t3. ~le:f:J Address of Applicant: zc,-a S11\:(E.. s.ttEE:r , so ,n:; ·c I CARI $ty\l;) CA ~t..D08 Phone Number: ({;.l&f ) 7t..9 -JIZ,/ Name, address and phone number of person to be contacted (if other than Applicant): GENERAL INFORMATION: Description of Project: 12.-(,)Nlf 5f)JIQ& C.t1]2e:,J!) AfAR[MWf t5LllLDINb · Project Location/Address: 34:34-MADI.SON Sf, CA~D CA. Assessor Parcel Number: '2.04: -/7 / -IB Zone of Subject Property: _...._g __ -____ 1-_________________ _ Proposed Use of Site: List all other applicable applications related to this project: . 2. 3. 4. Describe the activity.area, including distiguishlng natural and man- made characteristics; also provide precise slope analysis when appropriate. A so' x 1 4o • w-r -Ar ,✓ 1-rH A v~~Y su GHr, 6 ~Du,4-L SLOP£, NC DIS.'fl"\Gl)6Hl~b J\lATU~L oe MANMAD€ CttA~STll..£> , Describe energy conservation measures incorporated into the design and/or operation of the project. -SoLAIZ. \-./A$£. rt£"AnN6 -FOLL INSULATIO~I PE.te. 51'8:.IFlcAi\.ONS OF Trfl; cir'< op CAf~t>. -AU.. 6LA'Zlt.J 6 <ro MfE:r 5fECI F/lrtT7ONS CF nt(° QT"( OF CA.t.LS ISAP. If residential, include the number of units, schedule of unit sizes, range of sale prices or rents, and type of household size expected. 12. UNITS (_S) 4'71-~-l \'.3£DR.0O{'-{ ()N1'(5, I roZ. }'~NS 1 $-Sts-J31s. (A-) '5SO;e" -SfODIO UNITS, I P~SON 1½'1S ,.J3zs. 5. If commercial, indicate the type, whether neighborhood, city or regionally oriented, square footage of sales area, and loading facilities. N/A 6. If industrial, indicate type, estimated employment per shift, and loading facilities. N/A 7. If institutional, indicate the major function, estimated employment per shift, estimated occupancy, loading facilities, and community benefits to be derived from the project. -2- I. ENVIRONMENTAL IMPA~ ANALYSIS Answer the following questions by placing a check in the appropriate space. (Discuss all items checked "yes". Attach additional sheets as necessary.) 1) Could the project significantly change present land uses in the vicinity of the activity? 2) Could the activity affect the use of a recreational area, or area of important aesthetic value? 3) Could the activity affect the functioning of an established community or neighborhood? 4) Could the activity result in the displacement of community residents? 5) Could the activity increase the number of low and modest cost housing units in the city? 6) Could the activity decrease the number of low and · modest cost housing units in the city? 7) Are any of the natural or man-made features in the activity area unique, that is, not found in other parts of the county, state or nation? 8) Could the activity significantly affect an historical or archaeological site or its settings? 9) Could the activity significantly affect the potential use, extraction, or conservation of a scarce natural resource? 10) Does the activity significantly affect the potential use, extraction, or conservation of a scarce natural resource? 11) Could the activity significantly affect fish, wildlife or plant life? 12) Are there any rare or endangered plant species in the activity area? 13) Could the activity change existing features of any of the city's lagoons, bays, or tidelands? 14) Could the activity change existing features of any of the city's beaches? 15) Could the activity result in the erosion or elimination of agricultural lands? 16) Could the activity serve to encourage development of presently undeveloped areas or intensify develop- ment of already developed areas? -3- YES NO X X f.. i X ~ X K '6 'h X X X I X X 17) Will the activity require a variance from established environmental standards (air, water, noise, etc.)? 18) Will the activity require certification, authoriza- tion or issuance of a permit by any local, state or federal environmental_control agency? 19) Will the activity require issuance of a variance or conditional use permit by the City? 20) Will the activity involve the application, use, or disposal of potentially hazardous materials? 21) Will the activity involve construction of facilities in a flood plain? 22) Will the activity involve construction of facilities in the area of an active fault? 23) Will the activity involve construction of facilities on a slope of 25 percent or greater? 24) Could the activity result in the generation of significant amounts of noise? 25) Could the activity result in the generation of significant amounts of dust? 26) Will the activity involve the burning of brush, trees, or other materials? 27) Could the activity result in a significant change in the quality of any portion of the region's air or water resources? (Should note surface, ground water, off-shore.) 28) Will the project substantially increase fuel consumption (electricity, oil, natural gas, etc.)? 29) Will there be a significant change to existing land form? (a) ( b) ( C) Indicate estimated grading to be done in cubic yards: .~H~C~>ij~£---,--.---,--,-Percentage of alteration to the present land form: --~ij-<2U_-~----......,,.-Maximum height of cut or fill slopes: NONE- 30) Will the activity result in substantial increases in the use of utilities, sewers, drains or streets? 31) Is the activity carried out as part of a larger project or series of projects? -4- YES NO X X X. • X X X X )( , ... X ' X I X - II. STATEMENT OF NON-~GNIFICANT ENVIRONMENTAL EP'YECTS If you have answered yes to one or more of the questions in Section I but you think the activity will have no significant environmental effects, indicate your reasons below: ftf~ Ac..Tt VITY 1$ SHALL lN Sl.Cl~e Ai-JD us~o ONL'( ~o~ -roc ~£.Sll?E:l'l,lAL A\/A\LA$1UTY OF S~Nl6~ ct Tl 2..8'45 . III. COMMENTS OR ELABORATIONS TO ANY OF THE QUESTIONS IN SECTION I (If additional space is needed for answering any questions, attach additional sheets as needed.) X~/M-Date Signed u_ ---------.-~. ----------------- -5-