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HomeMy WebLinkAbout1199 ~.... . ,. . ,\ . RESOLUTION NO. ll99 A RESOLUTION OF THE PLANNING COMMISSION OF THE CITY OF ARCADIA GRANTING A CONDITIONAL USE PERMIT TO ALLOW A CHANGE IN USE OF AN EXISTING TAKE-OUT FOOD ESTABLISHMENT TO AN EATING ESTABLISHMENT AT l50 EAST DUARTE ROAD (DBA TEREYAKI HOUSE) WHEREAS, on May 18, 1982, Jong B. Lee (dba Tereyaki House) filed an application for an eating establishment, Planning Department Case No. C.D.P. 82-l0, on property commonly known as 150 East Duarte Road, more particularly described as follows: Lots l, 2 and 3 of Parcel Map No. 2ll4, in the City of Arcadia, County of Los Angeles, State of California, as per map recorded in Book 32, Page 8l of Parcel Maps, in the office of said County Recorder. WHEREAS, a public hearing was held on June 8, 1982 at which time all interested persons were given full opportunity to be heard and to present evidence; NOW, THEREFORE, THE PLANNING COMMISSION OF THE CITY OF ARCADIA HEREBY RESOLVES AS FOLLOWS: Sect~on 1. That the factual data submitted by the Planning Department in the attached report is true and correct. Section 2 . This Commission finds that: 1. The grant ing of Conditional Use Permit as hereinafter pro- vided wi~l not be detrimental to the public health or welfare or indurious to the property or improvements in such zone or vicinity. 2. The use applied for at the location indicated is properly one for which a conditional use permit is authorized. 3. The site for the proposed use is adequate in size and shape to accommodate said use including all yards, parking, loading, land- -." scaping and other features required to adjust said use with the land 4It and uses in the neighborhood. '4. The site abuts, streets and highways adequate in width and pavement type to carry the kind of traffic generated by the proposed . ~ use. 5. The granting of such conditional use permit will not adversely affect the General Plan. 6. The use applied for will not have a substantial adverse impact on the environment. Section 3. That for the foregoing reasons, subject to the approval of the City Council, this Commission grants a conditional use permit for the operation of an eating establishment upon the following conditions: 1. That the eating area (square footage) shall not be enlarged beyond the area shown on the floor plan on file in the Planning Department. Any change in design shall be subject to the review and approval of the Planning Department. 2. That there shall be a maximum of three tables. Location and size of tables shall be subject to the review and approval of the Planning Department. 3. That this approval shall not constitute an approval for a general reduction in parking for the total site. That any modification granted for parking shall only be for the use approved by C.U.P. 82-l0. That a modification is granted allowing 109 parking spaces in lieu of 112 spaces ~esolution No. 3726) or 174 'spaces (9269.5) required. l199 -2- ,if ". . ... . ~ 4. That C.U.P. 82-l0 shall not take effect until the owner and applicant have executed a form available at the Planning Department indicating awareness and acceptance of the conditions of approval. Section 4. The Secretary shall certify to the adoption of this Resolution and shall cause a copy to be forwarded to the City Council of the City of Arcadia. I HEREBY CERTIFY that the foregoing Resolution was adopted at a regular meeting of the Planning Commission held on the 22nd day of June, 1982, by the following vote: AYES: Commissioners Fee, Hedlund, Kuyper, Soldate NOES: None ABSENT: Commissioners Hegg, Jahnke, Sargis ABSTAIN: i!1r::::t }n. JddJz ATTEST: {{.rt~~ ecretary , 1199 -3- .. " . June 8. 1982 TO: FROM: CASE NO.: PR~PARED BY: c CITY OF ARCADIA PLANNING COMMISSION PLANNING DEPARTMENT CONDITIONAL USE PERMIT 82-l0 WILFRED E. WONG 'and ASSISTANT PLANNER SHERYL SA~DERSON PLANNING INTERN GENERAL INFORMATION APPLICANT: LOCATION: REQUEST: ... LOT AREA: FRONTAGE: EXISTING LAND USE AND ZONING: SURROUNDING LAND USE AND ZONING: GENERAL PLAN DESIGNATION: . Jong B. Lee (dba Tereyaki House) l50 East Duarte Road Conditional Use Permit to allow a change in use of an existing take-out food establishment (no tables) to an eating establishment (three tables). Approximately 88,800 square feet (2.04 acres) 399.2l feet on Duarte Road 80.00 feet on Second Avenue The subject site is developed with Alpha Beta Market, Liquor Mart, Boulevard Cleaners, Speedwash, Footwear Connection, Tereyaki House, OJ's Deli, Hair Lines, and Aileen's Gifts and Gallery; zoned C-l &. D. North: Developed with office and retail uses; zoned C-2 South: Developed with single-family dwellings; zoned R-l East: Vacant; zoned C-2 and D West: Developed with Taco Lita; zoned C-l. The subject property is designated as Commercial. . . ... ( ( , ' CUP 82-l0 2 PRIOR APPLICATION On November 28, 1972 Planning Commission Resolution No. 794 was adopted which approved Conditional Use Permit 72-l5, to permit an existing delicatessen to expand to include a restaurant operation (John Mione, Italian style pizza) at 150 East Duarte Road. The delicatessen would have occupied 523 square feet and the restaurant 640.5 square feet (total of l,l63.5 square feet). The approved floor plan showed the restaurant with eight tables. Due to the applicant moving his business elsewhere, the proposed expansion did not occur. PROPOSAL/ANALYSIS Due to the request for three tables, the business can no longer be considered take-out, but will become an eating establishment which requires a conditional use permit. The Tereyaki House contains 660 square feet and is located within a retail shopping center which was constructed in 1966. The total floor area of the center is 32,760 square feet. The site pro- vides for l09 parking spaces, loading facilities and adequate landscaping. Under current zoning regulations, the shopping center would need l64 parking spaces (5 parking spaces per l,OOl sq. ft. of floor area) and with the proposed change in use l74 parking spaces would be required (32,100 sq. ft. @ 5 spaces per l,OOl sq. ft. ' plus 660 sq. ft. @ 20 spaces per l,OOl sq. ft.). Prior to the construction of the shopping center, a design overlay (Resolution No. 3726) was adopted for the site which requires that there shall be not less than 112 parking spaces provided. 'Said design overlay allows the Cpmmission to make minor modifications of any conditions if such modification will achieve substantially the same results and will in no way be detrimental to adjacent properties or improvements than will strict compliance with said conditions. One reason for the discrepancy between the existing 109 parking spaces and the l12 spaces required by the design overlay would be the restriping to accommodate parking for the handicapped. The addition of three tables will not increase the business currently generated by the existing operation, but will serve as a convenience for patrons. It is staff's opinion that in this particular case, the parking deficiency would not be detrimental 'to the site or surrounding properties. ... . ... ('" " ( CUP 82-l0 3 Staff believes that the site is appropriate for the proposed use and the circulation and parking are adequate to accommodate the proposal. Attached for your information are the site and floor plans. Pursuant to the provisions of the California Environmental Quality Act, the Planning Department has prepared an initial study for the proposed project. Said initial study did not disclose any substantial or potentially substantial adverse change in any of the physical conditions within the area affected by the project including land, air, water, minerals, flora, fauna, ambient noise and objects of historical or aesthetic significance. Therefore, a Negative Declaration has been prepared for this project. Before the Planning Commission or City Council takes action on this project, they should "move to approve and file the Negative Declaration and find that the project will not have a significant effect on the environment". RECOMMENDATION The Planning Department recommends approval of C.U.P. 82-10 subject to the following conditions: l. That the eating area (square footage) shall not be enlarged beyond the area shown on the floor plan on file in the Planning Department. Any change in design' shall be subject to the review and approval of the Planning Department. 2, That there shall be a maximum of three tables. Location and size of tables shall be subject to the review and approval of the Planning Department. 3. That this approval shall not constitute an approval for a general reduction in parking for the total site. That any modification granted for parking shall only be for the use approved by C.U,P. 82-10. That a modification is granted allowing 109 parking spaces in lieu of 112 spaces (Resolution No. 3726) or l74 spaces (9269.5) required. 4. That C.U.P. 82-l0 shall not take effect until the owner and applicant have executed a form available at the Planning Department indicating awareness and acceptance of the conditions of approval. . . . (' '."' . (',.,' , , ._ ,w ,"!" CUP 82-10 4 After taking action on this application, the Planning Commission should direct staff to prepare a resolution for adoption at its next meeting. The Planning Commission's action shall not be final until adoption of the resolution. The appeal period for this action commences at the time the Commission adopts said resolution. ... ( '2/' 0\ Q , ., ~ <> ~ . (133) '" (12!J; OJ,r.: ..., ;0.1 84' I'D. ~ l.l!l6J (~ ( '" ... '<II V/ftWr .. ... '" \W ;: - l., - - ttl, 01' 'CD 'rd 0 <j (U' ""I., ~ ~ lei ';~o. 4'; 7 GREENFIELD PL 2 O~ - - -R::I- ---- Part of Lot 15 O~o ~o- '", o t'- ,*0 ~ ~~r5~ <. o l.~B "". t'" ;;f&V. ~~ -L 0 V'+ . IO~'~ \:'0 I/O <I) ~ O~ 3' _ "v" :z '':~ Q ~I _~ c i "",. '" - , " - -<"l- .. ex. '" 0"'< -~ L N , en . Oio< 110 ~r- , ? 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" -....-- -~, --," .,,'-t'----'.r-'- '~~ ~.-bh--'-~-~-- t I i ~ II ldi\~ II ------_.-_..~-~_. --. .--..- . .".- .,'.. ---~----_.---_...._--..,--- .-- -.-- '\ , fLAM ,.,F'" OR HsH Z:. CH lp TAKI::- OCLT II T I C;o 'r' DUM T~ RD. APC/1DIA ' 'I :. \ -- -- '-ll I, i \ t: , , \.0, 1_;=1-'1 CV ..... -~ -. ~.- i ! i i , , I , , , ; i , : i , ' , j :J ~;<l"T'tj' '. So F Clc~I,"f-l Do', i', r~ ':,-1 I, ., _JJ 1,/ ~' ~ ! '.!j I T IS'" I J ':r .-' \ ! ,~ ~ : l.:J ~. I l ! J ~ ' ,.......'" __ ....__, _____.' '".., , ,,' ,- .,--- lU' ' '.____..___..._._____"_.... ou_ . -..---.--..... r~~ I . '" li D\l' fr~ (3: \"C: ;)N ~'~'I' )0' L, . 0~ F' '~~: I'" rf' ~ '.'.--L . ! , , :; I-' L- \'-1 ;~) ~ C,' f' ~, :~', '._ G. f '~ ~ \ ... . . c ( C.D.P. 82-10 File No. CALIFORNIA ENVIRONMENTAL QUALITY ACT NEGATIVE DECLARATION CITY OF ARCADIA, CALIFORNIA A. Description of project: Conditional Use Permit to allow a change in use of an existing take-out food establishment to an eating establishment. B. Location of project: 150 East Duarte Road Arcadia, CA 91006 C. Name of applicant or sponsor: Jong B, Lee D. Finding: This project will have no significant effect upon the environment within the meaning of the California Environmental Quality Act of 1970 for the reasons set forth in the attached Initial Study. E. Mitigation meaSures, if any, included in the project to avoid potentially significant effects: Date: May 19, 1982 Date Posted: Assistant Planner Title . ... . ( File No. C.V.P. 82-10 ENVIRONMENTAL CHECKLIST FORM A. BACKGROUND 1. Name of Proponent Jong B. Lee 2. Address and Phone Number of Proponent 876 Jugo Reid Drive Arcadia, CA 91006 (213) 446-5879 B. ENVIRONMENTAL IMPACTS (Explanations of all "yes" and "maybe" answers are required on attached sheets.) l.~..ll1th.pr~&lr....ltln: .. Ualtalll_ ..rll'l o:ondlUon. or In c:b.u\II.. In ,...100l11':: 1,.oltnll:t,u'..1 !!! ~ / -; "/' I - j I ~ Y ~ I - / -,/ - ,,/ / /' ,,/ !ll !!:ill! h. Suba..."t..l..<luctlonlntll. ..-ount o~ ,Ute. Otll~",U" .....H.bll. ror pllbllC "'.ur I...,pl',",? I. ~'po,"r.. of ".01'1.. or pr"geny to ..ate. reht..oI he,..,d. .uc~. as llooo"",,? D, DllrupUonl, .U.phC:_IlU, ~ paC:UOf\ or o...e~c"".rl"'l ot .hlt .o.l~ C. 011"" hi tQpo;>quphy or '1roul\<l .1lrf....'.U.rl,..t......l 4.~.lillltt\.prOl'o..lu...ltln; .. Chanql In tM dl""Ul1y of .peei,,_, or nwalle, ot Iny ....el.. ot plll'lu (inclll<l.nqt,ee" .hrubl,'1c'''' crop.. ..lcrorlou 'lid aquat'c: pL.nt.)! '."..d..tructlOft.~rln'or ..:l41t1C:U.lon.ot LIlY ""Iq",,,_loqlc 01' Pl'I1lJcal futuu.l .. Ally IIICI"'" III "tn4 Or ".tu .rotllOll 01 'oth, .Itl>.r all Dr olt UI. ut.? ' b. Red..cUon of tll' IIWlb.n o~ .ny unique. r..eor.lld.,.,.,ered.pecl.. of plant.! r. 0"'""," III ult.t,on, d'po'IlUon or.<<ouonVf\lcl\...y-.o:tttyth. cllanll.lof. Ti....ror Itr.... C. Introduct,oll of n_ IP'C"" 01 pt.nto IntOan.rea, or <elultinl bl<Tl~r to the IIn.,.,.1 rephnll~nt of en. tI na lpeC'''" ~ 9. t"l'otl..... of people a< property to "...IO'l'IC h.urd. .llCh u .a.tl'lqu.k.,, l.nd.l1<1.e., ....aUd... 9",,,,,01 Inlun, 0< 11-.1lu h...rd.l 5. MI..,1 LIre. WIll the p<<opoul .....It In: 2. lli. Will U.. pn>pOIal r..",tt III' I. Ch.nqllnth.o1iv.nltyof.pecl... or n\lJObln of Iny Ip.cl.. ot .nla.h (bird.. l.nd ."i..l. .ncludinq r.pt\\... fl.h.nd,halltLlh. b..llth1eorq.nu.... in.eeto or "'-Ierah.lln.l? ,. Sub.t.aJl.U.l .It _h.lanl Dr ~t.l'lorltlOnot ....l...t alr QlltUtyl b. Th. cre.tl_of ob1"ctiO..tblt adon? b. Redlleu<motth.nuatl'l'.ottny ....iqu.. tlU or ...da..g.r.d ,p.cua of...,..,l,? e.,ut.rIUallot.lt_"t, _ht"'l'.ort~l'.tul".ara..y dlt"",. 111 eU..... "Ul"l' loc.lly 01' "''il10n..lly1 J. ~. lUll tM P"'PO.t! ..tIllt I", a. Cb.""..lnC'll.l'rtn.. Ottl'ltCOUtl. 01 o1ir.nlonot.....rtlOy_nto Ln truh ".t.nJ C.lntroductionotlW"lpeeiuof .nl....1I ,nt<l.n ",", Or ulUIt ,n .b,.rlert6t"'.iq.aU""ar"'v,- ...ntof.nl...101 d. DeuriouuOfI to ':Olltln'il ..lldl1h htblUt1 ,. Mol.... wi 11 t.h. propoto.l ...ul t ~n, D.Ol......ll1tb.orptlonut... -ull"..... patt'",I. or t.h. rat. and ~totllll't.c."atur\.no't1 .. Incr....1 In ..UtIOlq 1101.. It..hJ b. t.po,"...otptop1lto..v.r. nola.1Iveh? 1;. "h.utloft..O the CO"'". 0< flow of flOOd ...uro? " ~~~~c:n~.~l~~;;'t :~l;1:~:,prOPO'.l d.Ol.....I.th._t.oflurhc. ..tt.rll1"'Y...te.J>ody' J. undUae. )l1l1t)>.p'~.lr"aultlll ~"t1llaIUratlanott.h1 p.e,,,"torpl.nne<1ltno1UI.ot 1..1....' ,. ""tu...l ..lourc.l. "loll the p'opo'"I r'"lIlt ~~; ..Ol'c".r'1tlntaallrr.e.""t..., Ln...y alta,,"tLon ot lurhc. ...t... q>allty. 11l<:1..d1n'l b"t not Ilaltl'<1tc ._rltll.I.<!l..ol....do"Y'l.nor lW"Dldtty1 t. ",It.utl"" of tht dLr,cHon or ut. of n.... ot ,.0W'1d ".uul l.lllcre.tlIJlth..rIt.,t>tlla.of.aJl)' n.tu'lt,,,.oll.c.a1 9- 0.......11 the q...nUt.y at 9.cund ..a,.u.Ilt.h.rtl'lrouql>dir.ct.ddit.IOIlI Or "ltJld.._.h. Or tJlrol>'ilh Interc.pUa'" ot AllY -.q"lh. toy C\:IU or ."...v.tla"., b. $uh...nUald.pl.t1<:>nofany nOl\.fln_ltllft ",atural rel_re.l -1- "'/ v / y- / / y ~ .L / ~ V ./ / -./ . . tt 10. lU~ ClIIlPtlot. DOeI t!'ll pr~..l Invol..... n,k 1Ilanelplodon or UIe ...1.... of h"."dov, .\l.tI.t.,"~., llnclu41fMj1.....t lICIt 11.1\ld to, oU. p..Ue1cs.1, d,'.'elIh or udl.U_l l"th.I"'IJtofUl.ceidlntor "'.., CDftdhl_11 ( .!! 11, :::"~:~~~n. 1I~~~t~~\l~~~:~I\: ~:;~ Of ,,-,-11 hU ot tM h...../l popul.- UOOIof.II ...e" u. ::r.:~ ~~l\~O~~:~~ :thcc d-..d for 14CUUOfUlI hO\.ld'"l' I), ~"':=:~ll~~;~~~u~:;l.lIn. Will .. C.",I..It.101\ol ....Ul\Ual.ddl- UOftal'Nl'I1nhr_nt1 b. ltlKu CMI l"'Utllt<l PU'U"9 bdht.lu Of ~ tor ,,_ ,...U"'ll? c. IW-U&I\tial u.pact. upotI ."iUI"'I tr_pc>I"UU_ I')'U_' d, AIUntl-. to PU""l pau,rn' 01 Clro;"\1hu... or __1'1\ ot ~h &IOdIoe ~? e. AltlUUoNl to .'tU'tMII'M, uU ~ It.. lrdUc? to her..... h tnUl1; "'Iurde to _tor "h1<::1.., bl~cl1lt. or p.6uui.,.., It. .....11.: ""Ie... IIIUI UIe PT"c".oul /l..O_ 1ft IU'let 1IpOfI. or ....ult III' ,...otor_or.lt.r.dq_~.ul .......1.... Ih UIl'ol tho foUowl.", .,.....' t. Pin PZ>ot..ClUonJ b. 'ol1~p~--=UonJ c. $l;fo,OOlU .. '.rlll IlIrotMr r'~ltiOlUll h.eU1Uu. I. M.1at____ of ,.,l1e hell1- t1... 1,..::1'1d1..., r..'" t. other ~~ul ..rrlee.1 n. !!!!!:!I. .~1l tbl propoul r.nlt I... I. Dl.lof.m-.uIIUal_uot t..l or 'DlIrvr1 b. a.atOflt.1111nen... 111 II....... ..- -.a1u.t... ,_1'<''' or ,urn. or rolpln ~ _1.....t of "'" ~_of....rvr} U. OUUtl... wll1 ~ propoul unit ~~crrll_-r.t_.or .UZloItutl&\.lt.,.IU-..totll.foU_ iAfat1l1th" I. '-rlllr IUtl&ul '....1 b. c-aatOllU.--. .,..._, e. w.t..,.} u, 4. I__r Clr .opUc ualtal .. .~ ".ur ttz"a1Aat., f. ao114 ......,,, &ft4 d1lpo...11 ~=t~:~'h. "111 tM propoall .. Cr..t.l"of "'1 1l..1tll.....rd..r pcKaltlll "rIulth 1uI.," C..clu.d1.., ....UIIl..hJlll b. bpOI'U', of poGIllo t.o pot.nUIl b..lt..ll. ....,,..., Date ~ \~, \'1~~ I ~T<<> / / / / ~ ./ .:L .Y / Z -:i .I ~ ./ ./ ~ ~ .v- i/' I 7 lO, (, .....tll..t>~.. Will th. propo..l ,....It III till ob~truetlOft ot IllY .e"nlc yL.u ..r vI.... opIlI to u... ,,\abBe. or ...ill thl propOlll r.."lt ~n thO' erullonot l"I..tll.UUH, oU....i... Ut" Of'{lll to pubUc vi....' " ~ ~ !!! lO, ...er....tlon. IIU1 tll. pNlpoul .....n Inllll"'P..:=t\lPOlltll.qual1t,..r qu.nti.ty of adlti..., raeUluoll.l opport"nitl...? ./ ,", :~~'":;r~~:~~~i~~O~~C:~~Ir:~~~ ~; . .i~n; I ic.nt Irch-.olOllle.1 ..r Illll0"'<:~' .i tl. .trllCtur.. ob'l'Ct ..r build,"~' / >1, ~nd~~ t~:n:~~l:c~f 1l:~:II~~;c:':~~tlll tod.qr.dO't"..q".I1tyot tn...llvir.....llt. .ub.tlntl.lly r~dve. th. llabitU o! a tlallor...lldlif"'p"elu.eau...tllh or ...i l~] i /" populati.... ta drop Ml_ ...If.....tallllnq hv..h. tllr..at... to rll,..n.u, plant or an1"'1 co_n~t)', r..duc.. :h..IIU111t>..rorr..triettllerlnq. o!. rar....r ..lId.llq.ud pl."t..r .111..1 or .I,aln.u l1Ilport.llt '_''''PI.. o! tll. ....)or pUlod...t CdltorllLa hut..ry or pr..1l1ltory' ,/ b. Doe. tII.. pro).ct hav.. th.. potlllUal to .clu..v.. .Ilort-t...... to tll. duadv'"t.q. of lonq-c'r1Il ~nvJro"_"tal qolh? IA aIlOrt.t"'~lIlpaetontl'l...nvlr_"t 11 011" ..Illeh oeeutl In' r.hUv.ly brl.t, d",hIlItIV.. p.rlad of U_ ..IlU. lOllq-t.r.. ullp.eu 10Hllllndure ...Uillta th.. !utur".1 .L e. Do~' !h.. proj..et Il.v.. I..eu ...hieh at.. Llldiv.dutlly H..t tt'd , bllt ewoul.u~..ly cOII.,4uab!t1 (,\, proj..ct "Y illp&ct an to.o or ..:Ire ...p.Uto r~.our~. vll.ra t"", i"P..,t..1I ..act1 r....ure.. I. ulatlv.ly ....11. but wl'Hlra tll....!!..cto! tJ'>..tot.l.,t tha..ilOp.cta OIl tll...nvira....nt,..l,,"l/,e.nt,1 d.OO.atll..proj.eth.v....nvir_lIt.1 ~ft..C(' ...hlCh ..,II c."" .ub.tlntul .dv.r.....I!..et.OllhU1ll&l'lbeln'l., tit...r dlractly Or ind.uetly1 I I " DISCUSSIOfI' or EHVllta-;JoIElfTAL tV.o..LUA'tION I). DtTtIOI,lJl'\''ttON (t.. b. c..pltt1'4 by d.. Le.d ",.ncyl Of\ tll. b..U of tllla 1..ltial .vll....tloll. f U..d tll. pro,.....d pr..,.et COULD ~ h... . .1'..lHo....t thet on t./'l. .lIvlr....-.ot. .nd . MICA'tI'll DeCt.\Ut.TIOl ....11 to.pco".r.d. a 1, Hnd th.t .1tllo""," tII. "ropoa.d proj.ct could l'l._ . ..'lnUlc.lI( .tt..,t 011 tho .lIvlro....llt, Ift.co will ""t b.. .iqnIUc.lI( .ttlet 111 thh c... bole..... d.. o.1t1,.t1011 _.."r.. d..crib.. 0I'l .n .u..ct1.d .Il_t h,.. _.. ..... to tll, prol.et. ,\, ru:~1'1V'E ptct..UtJl,'tIa. lULl. U 'ItZ,AllStl. OJ find tll. propOull, pro,..,t "",t h'" . .1,"1U..."t otr_ On tll' .lIvlr........t. .lId ... DVl1la11U1r'1'.u. 1l9ACt aSPOIl't 1. r.qulud. -2- ( . File NO.c-cf 5<2---<...0 . ENVIRONMENTAL INFORMATION FORM A. Applicant's Name: (JO jJ. C:r 13 _ l ~ -C- Address: ~ 7 6 rtu,f:(o f2<rIO P/L Property Address (Location): /,S-o E ()C-t/;)-lL 1<2. - A:f2{'/(tO I~ , n;g 9/.0 {) RJ. '5lt'O 6 B. /?'r(LCr::r pin . Gi'O C. General Plan Designation: D. Zone Classification: Proposed Use (State exactly what use is intended for the property, activities, employment): p(ltf,~ -FJrVP ~ ' ,~~d-'-1 ~f, ..,vc4 /'X) V'" c: rJ I i ~( i.e. , type, E. --r 0...-10 }-'2/.) A..~ eh 0k..C I '\.LP {' ( . - . 6/0 F. Square Footage of Site: G. Square Footage of Existing Buildings: ,. 1- To Remain : ALL . 2. To Be Removed: 0 H. Square Footage of New Buildings: - I. Square Footage of Buildings to be Used for: 1- CoD1lllercial Act! vi ties: 2. Industrial Activities: ~ 3. Residential Activities: Number of Units: J. On a separate sheet, describe the following: 1. The environmental setting of the project site as it exists. ~ 2. The proposed alterations to the project site. 3. The use and development of the surrounding properties. -1- _.-~,~~:~~;~~~~f.~~~~~1'flKt:;ri~i~k:s.i~~~L;~'&~~;~\;:~4~~~~~::~~~~'~a~cSi::~{t:~~~ ~~'ti"~Er;5~:'~:=]{',,;!}~;~ \,' Environmental Information Form '. K. Check the appropriate answers to the following questions: 1. Will the proposed project result in a substantial alteration of ground contours and/or alteration of existing drainage pattern? 5. Will the proposed project result in a ,substantial increase in demand for municipal services and/or energy consumption: Yes No V -tJ- -V -LL V' 2. will the proposed project result in a change in groundwater quality and/or quantity? 3. will the proposed project result in ,an increase in noise, vibration, dust, dirt, smoke, fumes, odor or solid waste? 4. will the proposed project result in the use or disposal of potentially hazardous materials? Explain in detail any "YES" answers to the above questions on additional sheets. L. Provide any additional information which would elaborate on the potential environmental consequences resultant from the proposed project. M. 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 JIrj ability, and that the facts, statements and information presented are true and correct to the best of JIrj knowledge and belief. . Date: s 11 / ? / ( ""--, -=----- ~~ Signature of lican - -2- '~i~~7~~~~0~:t3iI~~~::~~~:/~:~:~<::~:.~~~i2~~~;-~.;~~~~)1::~'?::fI~:~:~:':~"'~"~f~ii_'_'J;;::~~;~~::.::::~~~{.~~~~~~~~;;~~:'