HomeMy WebLinkAboutCDP 2016-0004; 148 TAMARACK AVENUE; Coastal Development Permit (CDP)('city of
Carlsbad
LAND USE REVIEW
APPLICATION
P-1
Development Services
Planning Division
1635 Faraday Avenue
(760) 602-4610
www.carlsbadca.gov
APPLICATIONS APPLIED FOR: (CHECK BOXES) c_ fl
Development Permits (FO Rf;!iRI~ (J{l{6//,ative Permits (FOR DEPT. USE ONLY)
,lX1 Coastal Development Permit @Minor
□ Conditional Use Permit
D Minor D Extension
□ Day Care (Large)
□ Environmental Impact Assessment
□ Habitat Management Permit D Minor
□ Hillside Development Permit D Minor
□ Nonconforming Construction Permit
□ Planned Development Permit D Minor
D Residential D Non-Residential
□ Planning Commission Determination
□ Reasonable Accommodation
□ Site Development Plan D Minor
□ Special Use Permit
□ Tentative Parcel Map (Minor Subdivision)
□ Tentative Tract Map (Major Subdivision)
□ Variance D Minor
,,~~t, D General Plan Amendment
D Local Coastal Program Amendment
D Master Plan
D Specific Plan
D Zone Change
□Amendment
□Amendment
D Zone Code Amendment
South Carlsbad Coastal Review Area Permits
D Review Permit
D Administrative D Minor D Major
Village Review Area Permits
D Review Permit
D Administrative D Minor D Major B
NOTE: A PROPOSED PROJECT REQUIRING MULTIPLE APPLICATIONS MUST BE SUBMITTED PRIOR TO 3:30 P.M. A PROPOSED PROJECT REQUIRING ONLY ONE
APPLICATION MUST BE SUBMITTED PRIOR TO 4:00 P .M.
ASSESSOR PARCEL NO(S).:
PROJECT NAME:
BRIEF DESCRIPTION OF PROJECT: ,1!.~1.:.t:)J!'t, -f #lfJI 7?o,v 7b £~~fr.
-/73/1-1~ -f /J;,t? f,t:C-4/""lf) J?"1'£t,t,, 1'#6-VI" 1r
BRIEF LEGAL DESCRIPTION:
LOCATION OF PROJECT:
ON THE:
BElWEEN
P-1
(NORTH, SOUTH, EAST, WEST)
eo4-rr Hw!J./~1 ~
(NAME OF STREET) /.f!>ttlP.
STREET ADDRESS
SIDE OF ~~)'-.
(NAME OF STREET)
AND
(NAME OF STREET)
Page 1 of6 Revised 03/16
.. /
OWNER NAME
(Print): /'1J1.J",'/r,l /'N1'0K.1,111, j ,.,, P, CQ/1"'1
MAILING ADDRESS: __ 7.;...l;...c/ ... .3 _ ___..J..,,l...,7;..:.'l..;;.o___,@"--'-19-'ll,.:..;.j...._ __
CITY, STATE, ZIP: {!_ffl.f!M,::, 9? "13()"9
TB..EPHONE:
EMAIL ADDRESS:
I CERTIFY THAT I AM THE LEGAL OWNER AND THAT ALL THE ABOVE
INFORMATION IS TRUE AND CORRECT TO THE BEST OF MY
KNOWLEDGE. I CERTIFY AS LEGAL OWNER THAT THE APPLICANT AS
SET FORTH HEREIN IS MY AUTHORIZED REPRESENTATIVE FOR
PU SE OF THIS APPLICATION.
MAILING ADDRESS:
CITY, STATE, ZIP:
TELEPHONE:
EMAIL ADDRESS:
I CERTIFY THAT I AM THE REPRESENTATIVE OF THE APPLICANT FOR
PURPOSES OF THIS APPLICATION AND THAT ALL THE ABOVE
INFOR IS TR AND C~RECT TO THE BEST OF MY
KN LEDG .
DATE
APPLICANT NAME (Print):
MAILING ADDRESS: --------------
CITY, STATE, ZIP:
TELEPHONE:
EMAIL ADDRESS:
THE PROCESS O REVIEWING THIS APPLICATION IT MAY BE NECESSARY FOR MEMBERS OF CITY STAFF, PLANNING
COMMISSIONERS OR CITY COUNCIL MEMBERS TO INSPECT AND ENTER THE PROPERTY THAT IS THE SUBJECT OF THIS
APPLICATION. I/WE CONSENT TO ENTRY FOR THIS PURPOSE.
NOTICE OF RESTRICTION: PROPERTY OWNER ACKNOWLEDGES AND CONSENTS TO A NOTICE OF RESTRICTION BEING
RECORDED THE TITLE TO HIS PROPERTY IF CONDITIONED FOR THE APPLICANT. NOTICE OF RESTRICTIONS RUN WITH
THE A_ )11ND ANY SUCCESSORS IN INTEREST.
illl<=---;
PROPERTY OWNER SIGNATURE
FOR CITY USE ONLY
P-1 Page 2 of6
AUG 31 2016
CITY Of: CARL_SE/\0
DATE~~~~~JC~t>~°'iCEIVED
RECEIVED BY:
Revised 03/16
. ;
('cicyof
Carlsbad
DISCLOSURE STATEMENT
P-1(A)
Development Services
Planning Division
1635 Faraday Avenue
(760) 602-4610
www.carlsbadca.gov
Applicant's statement or disclosure of certain ownership interests on all applications which will
require discretionary action on the part of the 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 print.
Note:
Pel'.$on is defined as IIAny individual, firm, co~partnership, Joint venture, association, social clu:b, .fraternal
organiz!ition, corporation, estate, trust, receiver, syndicate, in this and any other>county, city and county,
city municipality, district or other political subdivision or any other group or combination acting as a unit.»
Agents may sign this document; however, the legai name and entity of the applicant and property owner
must be provided below.·
1.
2.
P-1(A)
APPLICANT (Not the applicant's agent)
Provide the COMPLETE, LEGAL names and addresses of ALL persons having a
financial interest in the application. If the applicant includes a corporation or partnership,
include the names, titles, addresses of all individuals owning more than 10% of the
shares. IF NO INDIVIDUALS OWN MORE THAN 10% OF THE SHARES, PLEASE
INDICATE NON-APPLICABLE (N/A) IN THE SPACE BELOW. If a publicly-owned
corporation, include the names, titles, and addresses of the corporate officers. (A
separate page may be attached if necessary.)
Person 1'111-tJ'-,,J h/lJ eo & IN$
Title &/vtC.,,V r A~,,.; M •
Address 7 t'/~ s 1r10 /J;f#//J
o,-,e,e..s MP I C-'J f,tJl'f
OWNER (Not the owner's agent)
Ce• 1 -fFlilft /1111&,o CJ/tlSm
Title ~1~r /4t°AJAI&<;
Address 7lfk .5r7J() #M.f
ClfJt~~blp c,, 1,~1
Provide the COMPLETE, LEGAL names and addresses of ALL persons having any
ownership interest in the property involved. Also, provide the nature 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, titles, 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 publicly-owned corporation, include the names, titles, and
addresses of the corporate officers. (A separate page may be attached if necessary.)
Person P;Jzs/ir' l?f# e._o{ff_N'7JZ-I ®Brp}Pa;t H!tJ:o Cl/tP"'t
Title Du~# Title O~Al/!ll-
Address 71'{1, $/f1D /;tla~ Address 7t'{.3 ..rm() M1:/1.tt:.
OMlJN#' C"1 1},t)~t_ ~t.f,6./fp ~ .,, ]. ~()t..
Page 1 of 2 Revised 07 /1 O
-, #
3. NON-PROFIT ORGANIZATION OR TRUST N-fr.
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 trustee or beneficiary of the.
Non Profit/Trust,________ Non Profit/Trust _________ _
Title Title --------------------------Address _________ _ Address ___________ _
4. Have you had more than $500 worth of business transacted with any member of City
staff, Boards, Commissions, Committees and/or Council within the past twelve (12)
months?
D Yes ~ No If yes, please indicate person(s): __________ _
NOTE: Attach additional sheets if necessary.
best of my knowledge.
ff-ff~ l'(/V f:'tf"i;,(#'l'fl: % /IIIJC-6 Cl/,~
Print or type name of owner
I tms-,,,v ft,,v' f'u.1A1J1!. 1!l n,11t:o c/ft-/:¥?
Print or type name of applicant
ure of owner/applicant's agent if applicable/date
Print or type name of owner/applicant's agent
P-1(A) Page 2 of 2 Revised 07/10
,--·..., -----------------------.,,.
{city of
Carlsbad
PROJECT DESCRIPTION
P-1(8)
Development Services
Planning Division
1635 Faraday Avenue
{760) 602-4610
www.carlsbadca.gov
PROJECT NAME: _..;../ __ f,_8> __ /A._'-#1._"1_~ __ ,.t::._~_V/;_. __________ _
APPLICANT NAME: ______________________ _
Please describe fully the proposed project by application type. Include any details necessary to
adequately explain the scope and/or operation of the proposed project. You may also include
any background information and supporting statements regarding the reasons for, or
appropriateness of, the application. Use an addendum sheet if necessary.
Description/Explanation:
~p/rte> Pp~ -I /H),(J I r/or/ r,> p..,c tf r. .f' I IV Gt,,/$-,Hf P'ftt-p
,/l~.r 1.ac/VCe -/-.#.,:,~ f,:rC<>,.n:;, /.?wE?t /A/G pA//r, ;:'.Q 0 ./tscr
l?1~/N1J!'f/f/.f G~ .11-r.e /l.. 7l/,4/fl G", 1/. Or P"l<t'.f'T /Nd!-.6¥7&.Ato/Z.
W~u>, ,P""oJevr /£ H?/o//NG _r6/t-,/?t/;V0/4 4,1-.1"'%~ ,a!;v.
pj;'/2,~IT-
P-1(8) Page 1 of 1 Revised 07/10
. "" ,.
(city of
Carlsbad
HAZARDOUS WASTE
AND SUBSTANCES
STATEMENT
P-1(C)
Development Services
Planning Division
1635 Faraday Avenue
(760) 602-4610
www.carlsbadca.gov
Consultation of Lists of Sites Related to Hazardous Wastes
(Certification of Compliance with Government Code Section 65962.5)
Pursuant to State of California Government Code Section 65962.5, I have consulted the
Hazardous Waste and Substances Sites List compiled by the California Environmental
Protection Agency and hereby certify that (check one):
~ The development project and any alternatives proposed in this application are not contained on the
lists compiled pursuant to Section 65962.5 of the State Government Code.
D The development project and any alternatives proposed in this application !!! contained on the lists
compiled pursuant to Section 65962.5 of the State Government Code.
APPLICANT PROPERTY OWNER
I
Name: ,P.lftfl/W /'IIV(O/C./N77Z-~ "11/C<; C/1,e,,,,
,
Name: /7#1.J~ ///NFbfC-/Al71Z-~ l'}IIJCc C' lj,,e,,,
Address: 7 /'f~ fi0A ,1.4 tf'tlltj &,Aft,1
~~ 9{-9 ~ C)t)tj
Phone Number: ____________ _
Address of Site: /ft> 1'Jt(n 4-~~,£, ~~ ·
Address: 7/'($ r'/ '1'J O &"'1:f·ful-
C'~c-s 8>/h? qf '/ Rd ttf
Phone Number: __________ _
Local Agency (City and County): (1 t/Jt.:t..5 /?# I 5 ~ O' e 60 CtJv ,1J TJ
Assessor's book, page, and parcel number: ~ t/-2~3 -() Z .. O o
Specify list(s): t.'o,e.17;! Sc (;I >r
Regulatory Identification Number: ______________________ _
Date of List: __ c_u ~ __ &,,,,J_r_....:.l-_~_....:.¥ _ ___::;~c...:../,_1_~_/.:..../ ~'------------------
The Hazardous Waste and Substances Sites List (Cortese List) is used by the State, local
agencies and developers to comply with the California Environmental Quality Act requirements
in providing information about the location of hazardous materials release sites.
P-1(C) Page 1 of 2 Revised 02/13
.. -,,
Per the California Environmental Protection Agency's website, 'While Government Code
Section 65962.5 [referred to as the Cortese List] makes reference to the preparation of a "list,"
many changes have occurred related to web-based information access since [the amended
statute's effective date in] 1992 and this information is now largely available on the Internet sites
of the responsible organizations. Those requesting a copy of the Cortese "list" are now referred
directly to the appropriate information resources contained on the Internet web sites of the
boards or departments that are referenced in the statute."
Below is a list of agencies that maintain information regarding hazardous waste and substances
sites.
Department of Toxic Substances Control
www.calepa.ca.gov/sitecleanup/CorteseList/default.htm
www.calepa.ca.gov/database/calsites
www.envirostor.dtsc.ca.gov/public
EnviroStor Help Desk (916) 323-3400
State Water Resources Control Board
http://geotracker.waterboards.ca.gov/
County of San Diego
Department of Environmental Health Services
www.co.san-diego.ca.us/deh
Hazardous Materials Division
www.sdcounty.ca.gov/deh/hazmat/hazmat permits.html
Mailing Address:
County of San Diego Department of Environmental Health
P.O. Box 129261
San Diego, CA 92112-9261
Call Duty Specialist for technical questions at (858) 505-6880, fax (858) 505-6868 (fax)
Environmental Protection Agency
National Priorities Sites ("Superfund" or "CERCLIS")
www.epa.gov/superfund/sites/cursites
(800) 424-9346 or (702) 284-8214
National Priorities List Sites in the United States
www.epa.gov/superfund/sites/npl/npl. htm
P-1(C) Page 2 of 2 Revised 02/13
1 •
ENVIRONMENTAL INFORMATION FORM
(To be Completed by Applicant)
Date Filed: ____________ (To be completed by City)
Application Number(s): _________________________ _
General Information
1. Name of project:
2. Name of developer or project sponsor: _________________ _
3.
4.
Address: ___________________________ _
City, State, Zip Code: _______________________ _
Phone Number: --------------------------
Name of person to be contacted concerning this project: J~
Address: ft'· ./?61<
City, State, Zip Code: lflt'/CI NI ~ C,; I/~ P ~
Phone Number: -""'"'7 ...... t ..... 'l_•___._~=-'ef....;;.~_-___._~--'-f.,._f ______________ _
Address of Project: _.1...L..1.f ..... ~~-z;J'p,.LL<~.....::~..:..:....:;~c:-..!..'-,L:=---..:..~:.....:..:=--------------
Assessor's Parcel Number: '1,-d /-'t,~~-() 7,. O()
5. 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:
6.
7.
Existing General Plan Land Use Designation: _---L..;(_11 _____________ _
Existing zoning district: _ ..... ,t..---=3:.__ ___________________ _
8. Existing land use{s): S //<a,te,. 1f1t1Y!tv':/ ;2e SI OPf\.JCc
9. Proposed use of site (Project for which this form is filed): ,St lU Gu Mp, It..¥
)?.Es I Rli!-l'Y a t: J.e e,oN p R{,1,1§" / IV ~ oAJ Ir
Project Description
10.
11.
Site size: --=~--'';,..,;/'-'1,,:;.__.b-=---------------------
Proposed Building square footage: __ 4;....L., -''1-'-l.,_/___;S;;....;.·,e._. ___________ _
12: Number of floors of construction:
13. Amount of off-street parking provided: --=:5::;._ ________________ _
14. Associated projects: _...;..N,_o_AJ....;.1! ____________________ _
P-1 (D) Page 2 of4 Revised 07/10
ll .
15. If residential, include the number of units and schedule of unit sizes: { 1,,) I/ JI 1rs
Ct/VGt,,£ ;:,,,,,,,,1-y ~ la£ ~c~
16. If commercial, indicate the type, whether neighborhood, city or regionally oriented, square footage
of sales area, and loading facilities:
N-J/.
17. If industrial, indicate type, estimated employment per shift, and loading facilities:
N.lf-.
18. If institutional, indicate the major function, estimated employment per shift, estimated occupancy,
loading facilities, and community benefits to be derived from the project:
,-../.,4.
19. If the project involves a variance, conditional use or rezoning applications, state this and indicate
clearly why the application is required: ___________________ _
P-1 (D) Page 3 of 4 Revised 07/10
l •
Are the following items applicable to the project or its effects? Discuss all items checked yes (attach
additional sheets as necessary).
Yes ~ 20. Change in existing features of any bays, tidelands, beaches, or hills, or substantial □ alteration of ground contours.
21. Change in scenic views or vistas from existing residential areas or public lands or □ li3"
roads.
22. Change in pattern, scale or character of general area of project. □ g
23. Significant amounts of solid waste or litter. □ @'
24. Change in dust, ash, smoke, fumes or odors in vicinity. □ 0"
25. Change in ocean, bay, lake, stream or ground water quality or quantity, or □ Gd"
alteration of existing drainage patterns.
26. Substantial change in existing noise or vibration levels in the vicinity. □ ~
27. Site on filled land or on slope of 10 percent or more. □ ~
28. Use of disposal of potentially hazardous materials, such as toxic substances, □ ~
flammables or explosives.
29. Substantial change in demand for municipal services (police, fire, water, sewage, □ ~
etc.).
30. Substantially increase fossil fuel consumption (electricity, oil, natural gas, etc.). □ ~
31. Relationship to a larger project or series of projects. □ lid"'
Environmental Setting
Attach sheets that include a response to the following questions:
32. 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.
33. 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, apartment houses, shops, department stores, etc.), and scale of
development (height, frontage, set-back, rear yard, etc.). Attach photographs of the vicinity.
Snapshots or polaroid photos will be accepted.
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 knowled )~?elief.
Date: .f·k·l'i: Signature:'-.::-~,,,,,_'---=-W ___________ _
For:
P-1(D) Page 4 of 4 Revised 07/10
Attachment to Environmental Information Form
148 Tamarack Avenue
32. Existing property is a single story 661 s.f. family dwelling with a detached single car
garage. Property slopes gradually up from street and also from west to east side of site
with both front and rear low retaining walls terracing the site. Site is fully disturbed and
there are no native habitats. Age of existing structure is unknown, but likely does not
predate the 1960's. There is no apparent historical architectural significance.
33. The property is surrounded by on all three sides by two story duplex residences, all of
which, along the common property lines, observe the minimum yard setbacks. The
properties to the east and west are terraced from the subject property, approximately
two feet higher on the east and one foot lower on the west. The property to the north is
approximately level with the rear of the subject property.
(city of
Carlsbad
TIME LIMITS ON
DISCRETIONARY
PROJECTS
P-1(E)
PLEASE NOTE:
Development Services
Planning Division
1635 Faraday Avenue
(760) 602-4610
www.carlsbadca.gov
Time limits on the processing of discretionary projects established by state law do not start until a
project application is deemed complete by the City. The City has 30 calendar days from the date of
application submittal to determine whether an application is complete or incomplete. Within 30 days of
submittal of this application you will receive a letter stating whether this application is complete or
incomplete. If it is incomplete, the letter will state what is needed to make this application complete.
When the application is complete, the processing period will start upon the date of the completion letter.
If you have any questions regarding application submittal requirements (i.e., clarification
regarding a specific requirement or whether all requirements are necessary for your particular
application) please call (7fl~/~-4610. ~
Applicant Signature: ~u~~
Staff Signature: __ ,,.
Date:
To be stapled with receipt to the application
P-1 (E) Page 1 of 1 Revised 07 /10
____________ r
{'city of
Carlsbad
MINOR
COASTAL DEVELOPMENT PERMIT/
SINGLE FAMILY RESIDENCE
APPLICATION
Development Services
Planning Division
1635 Faraday Avenue
{760) 602-4610
www.carlsbadca.gov P-6
A proposed project requiring multiple applications must be submitted prior to 3:30 p.m. A
proposed project requiring only one application must be submitted prior to 4:00 p.m.
All joint application exhibits, i.e. Tentative Map and Planned Development Site Plan should be prepared
at the same scale. (Use a scale no smaller than 1" = 40'.)
I. GENERAL BACKGROUND
A. Estimated Cost of Development:
Development costing $60,000 or more does not qualify as a Minor Coastal Development Permit.
The City Planner shall make the final determination regarding a project's cost of development.
The primary basis for determining cost of development will be the application of dollar costs per
square foot for different types of residential construction. These costs are set by the
International Conference of Building Officials (ICBO) and are applied throughout San Diego
County.
Please complete the following information to assist in the determination of this project's cost of
development (Contractor proposals may also be submitted for consideration by the City
Planner). Please refer to the current fee schedule for the appropriate $/square foot fee rate.
⇒ New Residential Square Footage:
H(I square feet x $ Zoo /sq. ft.=$ 78 z,, ~0
⇒ Residential Addition Square Footage:
square feet x $ /sq. ft.=$
⇒ Any Garage Square Footage:
square feet x $ /sq. ft.=$
⇒ Residential Conversion Square Footage:
square feet x $ /sq. ft.=$
⇒ Please contact the City of Carlsbad Building Division for current fee rate for Non-
Residential uses (i.e. Retail/Store; Restaurants; Office; and Manufacturing/Warehouse
uses.) ______ square feet x $ __ /sq. ft. = $ __________ _
COST OF DEVELOPMENT ESTIMATE: $ _____ /.i_..o_:z. __ ,_-z.-_. •-----
8. Do you wish to apply for:
1. A Minor Coastal Development Permit (Under $60,000 cost estimate) ~
2. A Coastal Development Permit ($60,000 or more cost estimate) D
C. Street address of proposed development l.f8 ;.,,,n,~~ /nl-6' ·
D. Assessor's Parcel Number of proposed development ').o 'I-'),t; 3· o 7 · oo
P-6 Page 1 of6 Revised 01/16
E. Development Description:
Briefly describe project: ~/!!,llfoaJ"G,, -I A-Pt:?1 'Tio# 'ft) ~"II .Sr.
..fitv ~(,,~ ,GM!tt.tf k.rt~~C& f /ll)p Jpe::,.o~p
F. Describe the present land uses (i.e. vacant land, single family homes, apartments, offices,
etc.) that surround the proposed development to the:
North: t)u f l-F)(
South: ---
East: JJv /1,,,~~
West: ()v/~J"
G. Is project located within a 100-year flood plain? 0Yes 0°No
II. PRESENT USE OF PROPERTY
A. Are there existing structures on the property? ~Yes 0No
If yes, please describe.
Stl'I<:&£ .a»tt!J
B. Will any existing structure be removed/demolished? @' Yes D No
If yes to either question, describe the extent of the demolition or removal, including the relocation
site, if applicable (also show on plans). P&,,11> t,1 r10,'I/ 7t> fl,lfi.-,,,.,,.i bo' /. ,,.
IS)( 71µ,,(o It.. w ~.{
Ill. LOT COVERAGE
P-6
A. Existing and Proposed
Building Coverage
Landscaped Area :)t'
Existing
l,vt sq. ft.
1117 sq. ft.
I !;t, ~ sq. ft.
f/2 sq. ft.
Proposed
~sq.ft.
~sq.ft.
(13 78 )sq. ft. Hardscape Area ;
Unimproved Area (Left Natural) 1 I 0" sq. ft.
B. Parking: Number of existing spaces 'Z-
Number of new spaces proposed ____ • __ • __ / __
Existing/Proposed TOT AL: 3
Number of total spaces required ___ J ___ _
Number of covered spaces -Z.
Number of uncovered spaces ____ / ___ _
Number of standard spaces B
Number of compact spaces Pf
Page 2 of 6
Total
Zv~? sq. ft. el
vtJ 81 sq. ft. 11?
%f sq. ft. 1
0 sq. ft. 0 ' .
Revised 01/16
%
%
%
%
Is tandem parking existing? cef'ves #_LG] No
Is tandem parking proposed? □Yes# __ ~
C. Grade Alteration:
Is any grading proposed? 0Yes □No
If yes, please complete the following:
1. Amount of cut BS cu. yds.
2. Amount of fill C, cu. yds.
3. Maximum height of fill slope /. 0 feet
4. Maximum height of cut slope z.~ feet
5. Amount of import or export 2,0 cu. yds.
6. Location of borrow or disposal site 'Z8e
P-6 Page 3 of6 Revised 01/16