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HomeMy WebLinkAbout2002-05-15; Planning Commission; ; GPA 01-13|CUP 01-04|HDP 01-10 - CHURCH OF JESUS CHRIST-LDSQhi e City of Carlsbad Planning Departm< 9 A REPORT TO THE PLANNING COMMISSION Item No ® P.C. AGENDA OF: May 15, 2002 Application complete date: November 21, 2001 Project Planner: Anne Hysong Project Engineer: Mike Shirey SUBJECT: GPA 01-13/CUP 01-04/HDP 01-10 - CHURCH OF JESUS CHRIST - LDS - Request for a general plan amendment to define designated open space boundaries, and a conditional use permit, and hillside development permit to allow the development of a church on property located on the west side of Camino de los Coches between Stage Coach Park and La Costa Avenue in Local Facilities Management Zone 11. I. RECOMMENDATION That the Planning Commission ADOPT Planning Commission Resolution No. 5197 RECOMMENDING ADOPTION of a Mitigated Negative Declaration and Mitigation Monitoring and Reporting Program and ADOPT Planning Commission Resolution No. 5198 RECOMMENDING APPROVAL of General Plan Amendment GPA 00-13 and ADOPT Planning Commission Resolutions No. 5199 and 5200 APPROVING Conditional Use Permit CUP 01-04 and Hillside Development Permit HDP 01-10 based on the findings and subject to the conditions contained therein. II. INTRODUCTION This project entails a conditional use permit and hillside development permit to allow a 16,842 square foot church and parking lot on the 6.82 acre parcel designated for Residential Medium density (RM) development and Open Space (OS). The parcel is located within the boimdaries of the original La Costa Master Plan and is adjacent to Stage Coach Community Park to the south and single and multiple family development to the north, east and west in the southeast quadrant of the City. The project also requires a General Plan Amendment to define designated open space boimdaries to coincide with the boundaries of a north-south drainage channel/wetland riparian habitat existing on the property. As designed and conditioned, the project is consistent with all applicable standards and policies and the necessary findings to approve the project can be made. III. PROJECT DESCRIPTION AND BACKGROUND The project site is an imdeveloped, but previously disturbed, 6.82 acre infill parcel located west of the intersection of Camino de los Coches and Via Calendo and north of Stage Coach Commimity Park. The site, which is designated by the General Plan for Residential Medium (RM) density development and Open Space (OS) and zoned Planned Community (P-C), is located within the boundaries of the original La Costa Master Plan. The Master Plan identifies the site as Plarming Area SE 10 and designates it for multi-family residential development. The property is abutted by multi-family residential development to the north and west, Stagecoach Park to the south, and single family development above Camino de los Coches to the east. GPA 01-13/CUP 01-04/HW01-10 - CHURCH OF JESUS CHRlS<s<- LDS May 15,2002 Page 2 Topographically, the site descends slightly to split level pads from Camino de los Coches. The split level pads are separated by a 15' - 20' manufactured slope. The site contains two drainages; an east-west chaimel that flows into a more prominent north-south drainage channel. A descending slope separates the level pads fi-om the north-south drainage channel located along the westem boimdary of the property. Although the majority of the site is devoid of native vegetation, the onsite drainages support approximately .5 acre of southem willow scmb and fi-eshwater marsh vegetation. The proposed project would eliminate the east-west drainage area and disturb the associated wetland vegetation. The project includes a request for approval of a General Plan amendment, conditional use permit and hillside development permit to enable the constraction of a 16,842 square foot church and requisite parking. The proposed General Plan amendment is necessary to define designated open space boundaries to coincide with the north-south drainage area on the site. The General Plan Map, which shows generalized boundaries of designated open space, identifies an approximate 200' wide open space area along the drainage channel. The project's drainage study and biological analysis delineate the boundaries of the drainage area and associated wetland vegetation within an existing onsite 70' wide drainage easement located along the westem boundary of the property. The drainage easement is bounded to the west by an existing condominium project approved and developed in the 1980s. The proposed open space is within the boundaries ofthe project site and includes an average 50' wide habitat buffer to the east of the 70' wide drainage chaimel for a total average open space width of 120' as shown on Exhibit "GPA 01-13". It is assumed that a portion ofthe open space shown on the General Plan Map is within the adjacent property boundary to the west of the drainage channel. Proposed development within the average 50' wide buffer adjacent to the drainage channel includes 3:1 and 2:1 manufactured slopes with rip-rap at various locations to prevent soil erosion and wetland revegetation areas. The wetland revegetation is required as mitigation for project impacts to wetland habitats located within the east-west drainage channel. Chapter 21.42 of the Zoning Ordinance permits churches in any residentially designated area upon approval of a conditional use permit (CUP). The proposed site abuts another conditional use to the south (Stage Coach Community Park) and is separated from multi-family residences to the west by a 70' wide drainage channel and to the east by Camino de los Coches, a secondary arterial roadway. Access to the site is provided fi'om the north and south by circulation arterial roadways (Camino de los Coches via La Costa Avenue and Rancho Santa Fe Road). The proposed Jesus Christ of Latter Day Saints Church (LDS) consists of a 16,842 square foot, 28' high, single story stmcture with a 32' high steeple for a total of height of 60'. The proposed floor plan identifies a 254 seat chapel, a cultural center, meeting rooms, and offices. The development also includes a 189 space landscaped parking lot with two points of ingress and egress from Camino de los Coches. The proposed grading scheme requires 42,000 cubic yards of remedial grading to remove and replace undocumented fill soils that extend 5' to 15' below the ground surface. To minimize the amount of import required, deep foundations will be used to provide adequate support for the GPA 01-13/CUP 01-04/HW 01-10 - CHURCH OF JESUS CHRfts#- LDS May 15,2002 Page 3 proposed stracture. Because the site contains a 15' or greater elevation differential and greater than 15% slope, a hillside development permit is required. The proposed project is subject to the following plans, ordinances, standards, and policies: A. General Plan B. La Costa Master Plan C. Title 21 of the Carlsbad Mimicipal Code (Zoning Ordinance) 1. Chapters 21.24/21.44 - RD-M Zone/Parking Ordinance 2. Chapters 21.42 - Conditional Uses 3. Chapter 21.90- Hillside Development Regulations D. Growth Management IV. ANALYSIS The recommendation for approval of this project was developed by analyzing the project's consistency with the applicable regulations and policies. The project's compliance with each of the above regulations is discussed in detail in the sections below. A. General Plan The project is consistent with the following elements of the General Plan as indicated by the following table: GENERAL PLAN COMPLIANCE ELEMENT USE, CLASSIFICATION, GOAL, OBJECTIVE, OR PROGRAM PROPOSED COMPLY Land Use Designation: RM/OS- Provide for a sufficient diversity of land uses so that schools, parks, churches, and commercial centers are available in close proximity to each resident of the City. Church of Jesus Christ of Latter Day Saints Yes Boundary Definition: Where boundaries appear to reflect environmental and resource management considerations, boundaries shall be constraed in a manner which is consistent with the considerations that the boundary reflects. Open Space boundary reflects the 70' wide drainage channel easement and an average 50' wide habitat buffer. Yes* GPA 01-13/CUP 01-04/HW 01-10 - CHURCH OF JESUS CHRI^- LDS May 15,2002 Page 4 GENERAL PLAN CO! VIPLIANCE, continued ELEMENT USE, CLASSIFICATION, GOAL, OBJECTIVE, OR PROGRAM PROPOSED COMPLY 9 Circulation Require new development to dedicate and improve all roadways and drainage facilities necessary to serve development. The project is served by existing circulation arterial roadways and drainage facilities required for the project will be improved. Yes Open Space Identify existing open space for protection management and potential enhancement to maintain and if possible, increase its value as wildlife habitat. Define existing open space boundaries to incorporate a 70' wide natural drainage easement and an average 50' wide habitat buffer. Yes Public Safety Review new development proposals to consider emergency access, fire hydrant locations, and fire flow requirements. Project has two points of ingress and egress, buildings are required to be sprinklered, and the necessary hydrant locations are provided. Yes *The General Plan Map identifies an approximate 200' wide open space area surrounding a drainage channel located along the westem property boundary as shown on Exhibit "A". The La Costa Master Plan Open Space Map designates an approximate 50' - 100' wide open space surrounding the drainage channel. The relevant subdivision maps for the area identify an approximately 100' wide drainage easement that was originally recorded in 1980 over a parcel that was later subdivided into 4 parcels by MS 650. MS 650 identifies the property to the west of the LDS Church site and the LDS Church site as Parcels 3 and 4. Parcel 3 was later subdivided by CT 84-7 and a condominium project was constracted. CT 84-7 resulted in the vacation of all but 11.39' of the portion ofthe total 100' wide drainage easement existing on Parcel 3. A 70' wide drainage easement was recorded on Parcel 4. The proposed open space on the LDS Church site (Parcel 4) reflects the 70' wide drainage channel easement and an average 50' wide habitat buffer that is consistent with the boundaries of the actual drainage channel/wetland habitat resource existing on the property. B. La Costa Master Plan The project site is known as Planning Area SE 10 of the La Costa Master Plan. Planning Area SE 10 is designated by the Master Plan for a minimum of 40 multiple family units to be designed in accordance with the RD-M zoning standards and processed in accordance with Chapter 21.06 - Qualified Overlay Zone. The Master Plan requires that development "shall insure compatibility with adjacent neighborhoods particularly regarding the placement of open spaces, selection and location of landscaping material, continuity of pedestrian and bike paths, siting of stractures for view opportunities and architectural harmony." Conditional uses, such as the proposed church, are regulated by Chapter 21.42 - Conditional Uses, ofthe Zoning Ordinance unless otherwise specified by the applicable Master Plan. Since church uses are not addressed by the La Costa Master Plan, a conditional use permit for the proposed LDS Church development is GPA 01-13/CUP 01-04/1© 01-10 - CHURCH OF JESUS CHRlQ-LDS May 15,2002 Page 5 being processed in accordance with Chapter 21.42. The conditional use permit will ensure the project's compliance with the RD-M zone development standards and the applicable compatibiUty provisions of the La Costa Master Plan. The project is consistent with compatibility provisions of the Master Plan as indicated by the following table: LA COSTA MASTER PLAN C( 3MPATIBILITY PROVISIONS Compatibility Provision Compliance Open Spaces Preservation of open space around three sides ofthe development will separate the church fi-om the adjacent residential and Stage Coach Park land uses. Landscaping Native and omamental landscaping is provided around perimeter of development area to buffer and screen development fi-om adjacent land uses. Siting of stractures for view opportunities The proposed stracture, which is centrally located on the lot, occupies only 5.67% ofthe site; therefore, existing views will not be significantly reduced due to the proposed development. Architectural harmony The proposed colonial/heritage architectural style is compatible with respect to height, design, and building materials with surrounding residential development. The proposed church steeple is a single architectural protrasion associated with church uses that is approximately the same height as the light standards on the adjacent ball field and approximately the height of adjacent single family residences located along Sitio Baya to the east of Camino de los Coches. Cl. RD-M Zone/Parking Ordinance The La Costa Master Plan requires consistency with the RD-M zone standards as indicated by the following table: RD-M ZONE STANDARDS Standard Requirement Provided Comply Uses Single Family/ Multiple Family Units Conditional Uses (Churches) as permitted by Chapter 21.42 ofthe Zoning Ordinance LDS Church Yes GPA 01-13/CUP 01-04/HW01-10 - CHURCH OF JESUS CHRIS^-LDS May 15, 2002 Page 6 RD-M ZONE STANDARDS, continued Standard Requirement Provided Comply Setbacks: Front: 20' 65' Minimum Yes Side: 5' 375'/285' Rear: 10' Minimum 25' fi-om open space boundary Height 35' Maximum Height protrasions per Chapter 21.46 of the Zoning Ordinance 28' - Single Story 32' High Steeple is an allowed architectural height protrasion Yes Building Coverage 60% Maximum 5.67% Yes The parking requirement for churches is based on total square footage or number of seats, whichever resuhs in a greater parking requirement. The parking requirement for the LDS church is shown on the following table. PARKIN* G STANDARDS Proposed Use Parking Standard Parking Spaces Required Chapel 2,498 square feet/254 seats One space per five seats 51 spaces Public Assembly/Meeting Rooms 4,036 square feet/356 seats One space per five seats 116 spaces Offices - 3,765 square feet One space/250 square feet =19 spaces 19 spaces TOTAL PARKING REQUIREMENT: TOTAL PARKING PROVIDED: 186 Spaces 189 Spaces C2. Conditional Uses Churches are encouraged in all residential zones by the General Plan, and they are permitted in any zone by Chapter 21.42 of the Zoning Ordinance with approval of a conditional use permit (CUP). The CUP requires findings that the use is necessary or desirable for the development of the community, is essentially in harmony with the various elements and objectives of the General Plan, and is not detrimental to existing uses specifically permitted in the zone in which the proposed use is located. The site is located within an established single and multi-family residential area where no other churches currently exist. The site is not detrimental to surrounding residential uses due to its proposed location. The proposed church parking lot, which is located adjacent to a Stage Coach GPA 01-13/CUP 01-04/HlPf 01-10 - CHURCH OF JESUS CHRlSif- LDS May 15,2002 Page 7 Park ball field, avoids conflicts typically associated with noise and lighting resulting from both uses. There is a significant horizontal and vertical separation from single family residences to the east due to the 84' wide Camino de los Coches right-of-way and adjacent 25+' high slope that separates single family residences fi-om the roadway. An average 120' wide drainage channel and buffer that extends along the entire westem property line separates the site fi-om multi-family development to the west. The proposed small scale, colonial/heritage architectural style is compatible with development in the surrounding area. The proposed steeple is an allowed architectural protrasion that is typically associated with religious stractures and its height is consistent with adjacent ballfield light standards and residential stractures located along Sitio Baya. The site for the intended use is adequate in size and shape to accommodate the use. The proposed building and the required parking and landscaping fit within the boundaries of the developable portion of the property with no need to encroach into required setbacks. The project has a building coverage of 5.67% when 60% is allowed and all setbacks are well above the minimum required. All yards, setbacks, walls, fences, landscaping, and other features necessary to adjust the requested use to existing or permitted future uses in the neighborhood will be provided and maintained. The proposed development will preserve a significant landscape buffer aroimd the development by providing 32% of the site as omamental landscape coverage in addition to wetland revegetation adjacent to the drainage channel within the north and southeastem areas of the site. On-site lighting will be designed to avoid light spillage onto adjacent properties. The street system serving the proposed use consists of circulation arterial roadways that are adequate to properly handle the projected 750 trips on days of assembly and 250 trips on non-assembly days. C3. Hillside Development Regulations A Hillside Development Permit is required for the project because the site contains slopes of 15 percent and greater with elevation differentials greater than 15 feet. The project consists of a grading design to create a landform that is consistent with the City's Hillside Development Regulations. As shown on the following table, the proposed project is consistent with the applicable Hillside Development regulations for development of steep slopes, slope height, grading volumes, and slope screening. STANDARD COMPLIANCE Development prohibited on 40%+ Slopes Exceeding 10,000 Square Feet No on-site slopes meet this criterion Grading Volumes: Acceptable - 7,999 cubic yd/acre 6,161 cubic yards/acre Slope Height: 40 Feet Maximum Slope Height: 15 Feet Slope Screening: Landscaping of manufactured slopes consistent with the City's Landscape Manual Landscaping consists of a combination of trees, shrabs, and groundcover on all perimeter slopes. GPA 01-13/CUP 01-04/HW01-I0 - CHURCH OF JESUS CHRIS-/ LDS May 15, 2002 Page 8 D. Growth Management GROWTH MANAGEMENT COMPLIANCE STANDARD IMPACTS COMPLIANCE City Administration N/A Yes Library N/A Yes Waste Water Treatment 2.3 EDU Yes Parks N/A Yes Drainage Basin D Yes Circulation 750 ADT Yes Fire Station No. 6 Yes Open Space 1.04 Acre Yes Schools N/A Yes Sewer Collection System Basin Yes Water 505 GPD Yes V. ENVIRONMENTAL REVIEW Staff has conducted an environmental impact assessment to detennine if the project could have a potentially significant effect on the environment pursuant to CEQA Guidelines and the Environmental Protection Ordinance (Title 19) of the Carlsbad Municipal Code. The project falls within the scope ofthe City's MEIR for the City of Carlsbad General Plan update (EIR 93- 01) certified in September, 1994, in which a Statement of Overriding Considerations was adopted for cumulative impacts to air quality and traffic circulation. MEIRs may not be used to review projects if certified more than five years prior to the filing of an application for a later project except under certain circumstances. The City is currently reviewing the 1994 MEIR to determine whether it is still adequate to review subsequent projects. Although the MEIR was certified more than five years ago, the City's preliminary review of its adequacy finds that no substantial changes have occurred with respect to the circumstances under which the MEIR was certified. Additionally, there is no new available information which was not known and could not have been knovm at the time the MEIR was certified. Therefore, the MEIR remains adequate to review later projects. All feasible mitigation measures identified by the MEIR which are appropriate to this project have been incorporated into the project. Potentially significant environmental impacts were identified for water quality, biological resources, and geological resources. The developer has agreed to mitigation measures to reduce identified impacts to below a level of significance in accordance with CEQA. In consideration of the foregoing, the Planning Director issued a Mitigated Negative Declaration for the project on January 23, 2002. No comments were received during the 30 day public review. ATTACHMENTS: 1. Planning Commission Resolution No. 5197 (Neg Dec) 2. Planning Commission Resolution No. 5198 (GPA) 3. Planning Commission Resolution No. 5199 (CUP) 4. Planning Commission Resolution No. 5200 (HDP) 01-10 - CHURCH OF JESUS CHRW - LDS May 15, 2002 Page 9 5. Location Map 6. Background Data Sheet 7. Local Facilities Impacts Assessment Form 8. Disclosure Statement 9. Reduced Exhibits 10. Exhibits "A" - "L" dated May 15,2002 AH:cs:nih s/r£ CHURCH OF JESUS CHRIST LDS GPA 01-13/CUP 01-04/HDP 01-10 CJ CASE NO: BACKGROUND DATA SHEETW GPA 00-13/CUP 01-04/HDP 01-10 CASE NAME: Church of Jesus Christ - LDS APPLICANT: BSW Intemational REQUEST AND LOCATION: General Plan Amendment to define designated open space boundaries to coincide with the boundaries of the north-south drainage channel and wetland and riparian habitat existing on the propertv. and a conditional use permit and hillside development permit to allow a 16.842 square foot church and parking lot on a 6.8 acre parcel located on the west side of Camino de los Coches between Rancho Santa Fe Road and La Costa Avenue in the southeast quadrant in Local Facilities Management Zone 11. LEGAL DESCRIPTION: That portion of Parcel 4 of Parcel Map 13524 in the Citv of Carlsbad. Countv of San Diego. State of Califomia. filed in the Office ofthe County Recorder of San Diego Countv. October 28. 1984. as File No. 84-403293 of Official Records, including a portion of Mission Estancia dedicated on said Parcel Map. APN: 223-060-50 Acres: M Proposed No. of Lots/Units: N/A GENERAL PLAN AND ZONING Land Use Designation: RM/OS Density Allowed: 4-8 DU/AC Existing Zone: P-C Density Proposed: N/A Proposed Zone: P-C Surrounding Zoning, General Plan and Land Use: Zoning General Plan Current Land Use Site P-C RM/OS VACANT North P-C RM MULTI-FAMILY South P-C OS STAGE COACH PARK East P-C RLM SINGLE FAMILY West P-C RM MULTI-FAMILY PUBLIC FACILITIES School District: Encinitas Union Elem and San Dieguito Union High School Water District: Olivenhain Municipal Water District Sewer District: Leucadia Countv Water District Equivalent Dwelling Units (Sewer Capacity): 23 ENVIRONMENTAL IMPACT ASSESSMENT Mitigated Negative Declaration, issued Januarv 23.2002 I I Certified Environmental Impact Report, dated. CITY OF CARLSBAD GROWTH MANAGEMENT PROGRAM LOCAL FACILITIES IMPACTS ASSESSMENT FORM (To be Submitted with Development Application) PROJECT IDENTITY AND IMPACT ASSESSMENT: FILE NAME AND NO: GPA 00-13/CUP 01-04/HDP 01-10 - CHURCH OF JESUS CHRIST - LDS LOCAL FACILITY MANAGEMENT ZONE: U GENERAL PLAN: RM ZONING: P-C DEVELOPER'S NAME: CHURCH OF JESUS CHRIST OF LATTER DAY SAINTS ADDRESS: % BSW INTERNATIONAL. 2201 DUPONT DRIVE. SUITE 140. IRVINE. CA 92612 PHONE NO.: ASSESSOR'S PARCEL NO.: 223-060-50 QUANTITY OF LAND USE/DEVELOPMENT (AC, SQ. FT., DU): 16.842 SO. FT. ESTIMATED COMPLETION DATE: UNKNOWN A. City Administrative FaciUties: Demand in Square Footage = N/A B. Library: Demand in Square Footage = N/A C. Wastewater Treatment Capacity (Calculate with J. Sewer) 2.3 EDU D. Park: Demand in Acreage = N/A E. Drainage: Demand in CFS = 26.09 Identify Drainage Basin = D (Identify master plan faciUties on site plan) F. Circulation: Demand in ADT = 750 ADT (Identify Trip Distribution on site plan) G. Fire: Served by Fire Station No. = 6 H. Open Space: Acreage Provided = 1.04 I. Schools: N/A J. Sewer: Demands in EDU 2.3 EDU (Identify trunk line(s) impacted on site plan) K. Water: Demand in GPD = 505 This project is 34 units below the Growth Management dwelling unit allowance. 'fcitv of C^arlsbad Planning Department DISCLOSURE STATEMENT Applicant's statement or disclosure of certain ownership interests on all applications which will require discretionary action on the part ofthe City Council or any appointed Board, Commission or Committee. The following information MUST be disclosed at the time of application submittal. Your project cannot be reviewed until this information is completed. Please pnnt. Note: Person is defined as "Any individual, firm, co-partnership, joint venture, association, social club, fratemal organization, corporation, estate, tmst, receiver, syndicate, in this and any other county, city and county, city municipality, district or other political subdivision or any other group or combination acting as a unit." Agents may sign this document; however, the legal name and entity of the applicant and property owner must be provided below. 1. APPLICANT (Not the applicant's agent) Provide the COMPLETE. LEGAL' names and addresses of ALL persons having a fmancial interest in the application. If the applicant includes a corporation or partnership, include the names, title, addresses of all individuals owning more than 10% of the shares. IF NO INDIVIDUALS OWN MORE THAN 10% OF THE SHARES, PLEASE INDICATE NON- APPLICABLE (N/A) IN THE SPACE BELOW If a publiclv-owned corporation, include the names, titles, and addresses of the corporate officers. (A separate page may be attached if necessary.) Person ^^S^vQ A^gy^ x.:^'^ ^ Corp/Part^fe^a^ "'^SljfVgy?^:^^ \tr^ fwU Title V^TtocVvT^g^ Title Address "Z-T^^V Oo?^sv^'P>^- Address 2. OWNER (Not the owner's agent) Provide the COMPLETE. LEGAL names and addresses of ALL persons having any ownership interest in the property involved. Also, provide the namre of the legal ownership (i.e, partnership, tenants in common, non-profit, corporation, etc.). If the ownership includes a corporation or partnership, include the names, title, addresses of all individuals owning more than 10% ofthe shares. IF NO INDIVIDUALS OWN MORE THAN 10% OF THE SHARES, PLEASE INDICATE NON-APPLICABLE (N/A) IN THE SPACE BELOW. If a publiclv- owned corporation, include the names, tides, and addresses of the corporate officers. (A separate page may be attached if necessary.)--TS^C43^^tt^MC^»Jt5p'lSA^ ^vSv\«:»^ osf"^*^ Person •V<4.oM./W^ Coro/Part^"^^'^^-^'^ 'i>^vrirs .c^O^^^Vx Co<rf. sc,\i£. Title-^f<?4bA«<^^ >(V>»ac=^. Title'^Wscuoejiievq^A'S-so^ o^^-vsr a-^^"*^^"^ Address "^z^- V-Ca. fi^Ci^ferutia Pofxa^^^vc-Address ipD W::i?:VA^~^^c<\^KJS 1635 Faraday Avenue • Carlsbad, CA 92008-7314 • (760) 602-4600 • FAX (760) 602-8559 3 NON-PROFIT C^ANIZATION OR TRUST ^ If any person identified pursuant to (1) or (2) above is a nonprofit organization or a trust, list the names and addresses of ANY person serving as an officer or director of the non-profit _ organization or as trastee or beneficiary of the. <- \,->^v^ ,VO.^T-M«= v_b.'vr<rr jotv^ Non Profit/Trust" S^^vr.'g. -. vjru^ c^^. "£»^v^on Profit/Trust Title 'fe.^^o.V':^ Title Address^^g:Od'"T^isyy^Pos: Address 4. Have you had more than S250 worth of business transacted with any member of Cit>' staff. Boards, Commissions, Committees and/or Council within the past twelve (12) months? I I Yes t^^l^No If yes, please indicate person(s):. NOTE: Attach additional sheets if necessary. I certity that all the above information is true and correct to the best of my knowledge. Signature of owner/oate I ^ r^— r r jignature of owner/qate Signature oi^ppljicant'date Prim or type name of owner Print or type name of applicant Signature of owner/applicant's agent if applicable/date Print or type name of owner/applicant's agent H:ADMIN\COUNTER\DISCLOSURE STATEMENT 5/98 Page 2 of 2