Loading...
HomeMy WebLinkAbout1300 ..' t' ._ . PLANNING COMMISSION RESOLUTION 1300 A RESOLUTION GRANTING CONDITIONAL USE PERMIT 85-17 EXPANDING AN EXISTING RESTAURANT AT 311 EAST LIVE OAK A VENUE WHEREAS, on August 19, 1985, an application was filed by Ralph Sabatella to expand an existing restaurant, Planning Department Case No. C.U.P. 8 )-17, on property located at 311 East Live Oak Avenue, more particularly described as follows: . Portion of Lots 53 and 54, Tract No. 13217, in the City of Arcadia, County of Los Angeles, State of California as per Map recorded in Book 264, Pages 26 and 27 of Maps in the Office of said County Recorder. WHEREAS, a public hearing was held on September 10, 1985, at which time all interested pesons were given full opportunity to be heard and to present evidence; NOW, THEREFORE, THE PLANNING COMMISSION OF THE CITY OF ARCADIA HEREBY RESOL VES AS FOLLOWS: Section 1. That the factual data submitted by the Planning Department in the attached report is true and correct. Section 2. This Commission finds: 1. That the granting of such Conditional Use Permit will not be detrimental to the publiC health or welfare, or injurious to the property or improvements in such zone or vicinity. 2. That the use applied for at the location indicated is properly one for which a Conditional Use Permit is authorized. 3. That the site for the proposed use is adequate in size and shape to accommodate said use, and all yards, spaces, walls, fences, parking, loading, landscaping and other features required to adjust said use with the land and uses . uses in the neighborhood. ,. . 4. That the site abuts streets and highways adequate in width and pavement type to carry the kind of traffic generated by the proposed use. S. That the granting of such Conditional Use Permit will not adversely affect the comprehensive General Plan. 6. That the use applied for will not have a substantial adverse impact on the environment. Section 3. That for the foregoing reasons this Commission grants a Conditional Use Permit to allow the addition to an existing restaurant upon the following conditions: 1. That the applicant shall comply with the conditions as set forth in Resolution 1287. 2. That a modification shall be granted for 24 parking spaces in lieu of 25 . required. 3. That C.U.P. 85-17 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. 4. Noncompliance with the provisions and conditions of this Conditional Use Permit shall constitute grounds for the immediate suspension or revocation of said Permit. Section 4. The decision, findings and conditions contained in this Resolution reflect the Commission's action of September 10, 1985 and the following vote: AYES: Commissioners Galinski, Kovacic, Szany, Dixon NOES: None ABSENT: Commissioners Fee, Harbicht, Hedlund Section 'i. 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. . 2 1300 ./ . 1 HEREBY CERTIFY that the foregoing Resolution was adopted at a regular meeting of the Planning Commission held on the 24th day of September, 1985 by the following vote: AYES: NOES: ABSENT: Commissioners Galinski, Harbicht, Hedlund, Kovacic, Szany, Dixon None Commissioner Fee CJ1a(2~ :/ ~? Planning Commission. City of Arcadia ATTEST: IiJJA/JJI/;~j I . Secretary, Planning Commission City of Arcadia . 3 1300 . . . 0' , -, September 10, 1985 TO: ARCADIA CITY PLANNING COMMISSION FROM: PLANNING DEPARTMENT OONNA L. BUTLER, ASSOCIATE PLANNER CASE NO.: C.U.P.85-17 GENERAL lNFORMATION APPLICANT: Ralph Sabatella LOCATION: 311 East Live Oak Avenue REQUEST: Conditional use permit to add a 160 sq. ft. storage room to a restaurant and modification for 24 parking spaces in lieu of 25 required. LOT AREA: Approximately 11,200 square feet (.25 acre) FRONT AGE: 88 feet on Live Oak Avenue EXISTING LAND USE & ZONING: Restaurant; zoned C-2 & D and PR-3 SURROUNDING LAND USE & ZONING: North: Single-family dwellings; zoned R-2 and R-1 South: Light manufacturing; zoned C-M & 0 East: Restaurant; zoned C-2 & 0 and PR-3 West: Office building; zoned C-2 & D and PR-3 GENERAL PLAN DESIGNATION: Commercial . ....~ .....,..., " ~ " . - HISTORY , , . The Planning Commission at its May l4. 1985 meeting adopted Resolution 1287 granting cOnditional use permit 85-6 to remodel an existing building and operate a restaurant at 311 East Live Oak A venue. The Planning Commission granted modifications for a 5'-0" high wall in lieu of 6'-0" required and deletion of the requirement for a 5'-0" wide landscaped buffer adjacent to the northerly property line. PROPOSAL Building size: The existing building contains 2,300 sq. ft. The applicant is proposing to add a 160 sq. ft. dry storage room. Parking: 24 on-site parking spaces are proposed; 25 are required. Ingress only to the parking area will be provided from Live Oak Avenue. There will be ingress and egress from the alley north of the subject site. ANALYSTS A restuarant is a permitted use in the C-2 zone with an approved conditional use permit. . The proposed parking for C.U.P. 85-6 exceeded code requirements (24 in lieu of 23 requried). The addition of the 160 square foot storage area creates the need for two additional parking spaces (total of 25 spaces). It is staff's opinion that the requested parking modification is minor. 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. RECOMMENDA nON The Planning Department recommends approval of C.U.P. 85-17 subject to the following conditions: . C.U.P. 85-17 September 10, 1985 Page 2 .,; " . . . "~ .' '.. ., J 1. The applicant shall comply with the conditions as set forth in Resolution 1287. 2. That a modification shall be granted for 24 parking spaces in lieu of 25 required. 3. That C.U.P. 85-17 shall not take effect until the owner an applicant have elecuted a form available at the Planning Department indicating awareness and acceptance of the conditions of approval. 4. Noncompliance with the provisions and conditions of this Conditional Use permit shall constitute grounds for the immediate suspension or revocation of said Permit. FINDINGS AND MOTIONS AODroval If the Planning Commission intends to take action to approve this project, the Commission should move to approve and file the Negative Declaration and find that the project will not have a significant effect on the environment and direct staff to prepare the appropriate resolution incorporating the specific findings and conditions of approval set forth in the staff report (or as modified by the Commission). Denial If the Planning Commission intends to take action to deny this project, the Commission should move to deny and direct staff to prepare an appropriate resolution incorporating the Commission's decision and findings in support of that decision. C.U.P.85-17 September 10, 1985 Page 3 )( -,c. : ;u~ :Q'Z ~.( 0 " N I . " l'o", 'J~ O~ 0 r- ~r- 0 " <O~ <<l d)~ ~-l O~ " w ;:;0 0 ~<() " ~ Jl ~'" :-- '" 0 t" 110' ~ r2.-7.. 0 "" g~ CO ~-l ~Q'1 ~\ '0' O~O " ~-I 0 0- I U1 " .. ~ WI "",-i t- ... 1!--\ ~ ... ~.....\t 0- r-: a: <l 0"- ~-'Z. "0; ..., <0 IQ',! ~~ '" ::> ~-? O~Q lO:tor i'l 11' 0 CoO' ~ . ~CI) AL\..V ii. l1.. Ql fVL '" - 12' I"" .11. ., ... ... 0 t:; - . - a: ,e.<-. e - '::' V\-~ 12--'? ~ c - J2E:OThI fAJJr , q,O N I 911.1 t" ~~ ..... l- I ~- ~-2. 4(~5J <J 11' .,. '\. "'-~ 'it ..)$ "'... ~~ 'iJ1> 011) .",) ,bBL.' ~ 1'1' ..0 ..i'~- ~' 1\01" 51 _ /:>W-- 11 O/:>.'f- . \...IVt:- 138.00' ~;, I (,0 5S.00 (3)0) '2""O~ ,\0 (314) (114)) ~ ("300) '("3ll) C; 1" .. 0 - \ - 89.1" '" '" 'n11 ~~ \]'bE.'? ::: ~ \ - Ub.\\"'t I . 1 .... ~ ~ \, 0 \ o. '-' .. 0' :0 '" ., :0 Z. '" \ ..,,., ~ '" ~ ... '", '" 1\1. co I'" I \Gl ., f \ ., " p^RT ., '" "..... , l'.!!'!!'_E 'I.j '" '" - . - --i) ::: ~ I . ^" -'~.J - - ~ CUP e0-17 LAND USE 8 ZONING I" = lOa' SCALE . . . . ., ") File No. r.t!f"/"'r-55-/7 CALIFORNIA ENVIRONMENTAL QUALITY ACT NEGATIVE DECLARATION CITY OF ARCADIA, CALIFORNIA A. Description of project: t'"'r"C.lU:///7CV47_ /-u.?-o /_.6r->.L/~ 7?' -,1r.:rJ ,1 / . i/0-!//,c ,,-77:'/./ /A" / 77 --I ;<%.:5/Z;;W/4L./r B. Location of proj ect: ~?// r . //?,,€ c?!k-' C. Name of applicant or sponsor: , .+l{./_W , - i...: ..J ?7'? / A.- 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 Ini tial Study. E. Mitigation measures, if any, included in the project to avoid potentially significant effects: .- ) ... Date: /(/.:./<,:i!5 ( ~~. '~"-"'-.0"''' .)-->-- //~. l P7-/;??'/' Sigr"lature Date Posted: Title . . . "1 ") File No. Cc././' Z3Aj-/7 ENVIRONMENTAL CHECKLIST FORM A, BACKGROUND 1. ;;0;/ /"h" (fA...BA-7h',/ A Name of Proponent 2. Address and Phone Number of Proponent c/54 t::;. U/78t4A-.// AvE A~/A rA 9/~ / &9/,8) 447-4446 B. ENVIRONMENTAL IMPACTS (Explanations of all "yes" and "maybe" answers are required on attached sheets.) ~. 1I1l1UI.pr_.I.n".lIi" !!! "",ur "'- ./ ./ ./ ,/ ,/ ./ ./ ./ .K ./ ./ ./ ./ ". " ,.,. ) lli~.!!?. t. ~.tu>h ,...rt~ COr>d.n....... ~l I' ~_q.. ., -"':'iOG;~ '\ol>.~,.."r'ur'"' ~. ~"l>tt'"l..1 r'~\"'UO" III till __"..~ ,,~ ..u U OH.~",U' ....11.blt 10. pl:l>ll. ...ur ...ppll~'~ '" t."",...r. d :11001. ~r pr<>pertj to ..un allud 1I...rob IOJ"~. u 'IO<l<l'~" ' ~ Di.rln'tIOf\I 41'I"hCI_..tl, ,,_. /MelJw or ,...."coc...n.... c,' !,'>.. 1/>1:." -- c Cl\&fl""'" t.._up"~ :I, ~ro,,"<l "Ir!'~ ...;ur h.~..ru' .. 'l.,,~ :.11' "\1. tM pr"S>oul ,....It ,,, . C......". I" tM d.".ruty 01 .peell'. 'l' ~\Ulb.r ot I"Y .pee.... of pl."tI Illlcl:.llh.." tt_.. ,,,"IUII, '1,U.. ",oP'. "'Icorollo.. ...4 _quIUI': ;>hnul' -- 4. -n..~..t."IIC\lO" ~rl"""r ~lll".tlOf';>1 ."~ .....,<lu. "...IOllLe or p"Y,le., f.u1o.z.I' 1>. ~.dllet.,o" ot UlI "ll&Dln ot .I\l ~"I:rU~ .u.:r. I"dl""...d IP4'cl.' o! I':I"U' .. ...., ,"c..... ,t.'"o!O'.lur .r....Oll c! 10, I' II ~~.. o. Or oU thO' "'~.. ,; OI.....~. "",;~.l,,,. "._.no, ." .rOl.<"" ....,,,~. u, ",'.::I!' ~n~ ".10."...: :)~ . nn! .. .,r... " ;.~trO<lll"tlo.. of "'" tp."~,, rot ~:.n<. .,.to &1\ HI' -, 'oluH ,n 1 'or,,'., "',.-. .',....,.1 rlpJI,,:.oI1-"t .or d"U,'-C 'PI"..I' ~ !cltpOl'... ~f ~"Pl. Or Pr'l...rt~ a S_IOC1:- ......rel. .u.~,.. .Ut,,"u..... ..r>dt:1J~. ~.:.d.~. 9rou~ !.ll.t.. o. "all", ""lIrd.' Mu..: 1.1t.. If,ll t". propO..1 r..."lt ". ~. .,:,th.p~..I....,u1.'..\, ~"."<l. ." tl1. dL...ralty of Ip<oCl... ...,,"""""'u c,f "ny "p.elll..t .."...11 lllu.dt. land In,"';'1 .""Iudlnq rltltLl... !..~. .r>d ....llh.,... b.nt/ne or".r.u... "..."u or ..crot.un"l? - . l_t..al>tlll ur..ltll..".... Mt"rlor.:.......f "",,,,,t .Ir ,,,.l.tl" " -".. ".r..ftIOft ot ...,..c-t.o"..bh !'Ido..' . b UeluCtl 01\ ~C tll. IIIm6.n oC .nl 'J"l~".. rlra or .nd."".r.d ,,,,c1.1 of IIH....II~ ,; ~l~'rn.o~ o~ ." ~~t "'U..rl o~ t_rn"u ~r .", ,,!t...... '1'. d._~. Ut!t'r l<>t_;ly ~r ....'o....::y: !!l!!. WI I: tn, prOpO..1 r.lu:t ." :ntrO<:lIl",OOll of It'" 'poel.. of '...._11 '''~D.1t "z... or r..ult H' . "oru.r to tn. .tqr.t.onor_.... ...,r.t "':',-",_111 - d. ,,"t.nouUd/l. ~o ...UU.l'I'f wildliC. ..Itutot' - . O"......n nr..llu ... ,,.... couru ,! 61r...._Io' or ...t.. ""'_." !f"~ .n.,..' ~CIO. .,1: tI,. ;>r,."..."l ru..1t 'n' I. Iner...., In ...Utl'" "01" 1...1.1 '-" . .:=l'>.........:r H,"orlnlo, n'.I. dr.lI"",. J.'~~.r'" ~,'.~' fat' ....c ....... t .1 . u. ! .c. ... t.. ,ur".! ~ - ~. E.poIIutl ot ~",,1. to ......r. ndU~ :..,.1I~ ~ u~.rn:_. ~r ~n. COllru or ~:ow of !l_ .n.u) .. ~~~~".:":~l~~:nt :~l:I:~,P""'-'l -- ::-r......... t"........td I"d.e. ...'u l' ~.H"~y' .. :..".;:u.... Il'llltll.prCl9""l.l.-..l,llt l.A . 'IUIt~lLIl.ti.1 'H.rAuon rot Ut. ;>.....r.torpllll""'d1...d......ot....r..? ~ . "''''''.r",. ,~tc" Ollrf.c. ....u. .' 1ft. .:t..4t,,,,. "~ I~C"!.C' "'l'r ....:", ;..e:U~I.~ ~u' :,,,nK .._r.~'" ~,..,.:,,~~ ""Yq'r o. . ~rt>l~t ,. . .. ~.t'-'r.1 ...our..... .111 Ut. propooa.l u.~., ,,,. '. ;n".r.... U' \h. fott. 01 tI" of 0"'" "o."rol r""",,rO::,'1 ..:..rot'....'! '.'..1....".,.,....". .... :>! .:... ~~ u.....,,<! """u' v t 3\>b.t.r.tl.a1d."I.t1oPl"'t....y .~oll,'n_.bl. ...ttlr.l r"_re.f v' ....... ,,, ~~.H~~, ~! ~r"""~ ~.~'" ". .-.., '," '''''''~. oj ...... .dd" ,"'.. :, '" thdr...... ~r: ~.""..' ,...t..rc.r ~l'" .r 'r, ..,.,f., ~,. ~'_," l' ~.~.".t,..~.' -1- . . . ;c. "'"'t ~ la. ~f ~P'~' :;>ooo~ t~~ r~<'l>OHd ,n~o""~ & fl.l 01 Ir r~"l.."",' '" HI' u..... (11 ;,.u.~C'u. '~lI.t....... "",,1ud.."'I. bill nOt !'.H'~ ~". 0.1. pe.l1~I"U. 01\_'0.&10 'H adUUOtlI ".tll.....MO! ....ce..,..t "f .._t COI"UUOft.: n. :~i:~~~.. .1l~; ~..~~:u~:~:;n:: ~~~ o. "r~.. rat~ Qf UI.. ;,_." pop..h- tl"" of .n or.. ~ n. IkNU"';. 11ll! ""' p..-opoe.: dhC'~ ..U.,..... _Ill'll. Of ~n,ot~ . (I"""" I'" .lSelin_,1 1I0ta...", D. 't,an'l>Ort&tlOfl/C,re"lu,or.. loI,11 tt"P'''pooI.l ",,,.: Ir, .. ~".rltlOl\ of IQblt.M,.: .ddl- UOfl.l.....,<:'<4......"'_..t. ~. !!Ileu on "Ul""; p.:u..q hClhu.. Or .-.....e 10: ".... (I"b''''': r. S1.&b.t.lU.ul la.t>..:-t upor ....tll'><; tr....pO.rtu.IOIl .y.t...~ d. llt1r.t1Qf1llopr..."tp..o.tfl...." o~ Cl'C\lI.U.... 0'__1'11 01 ~..,:>;. IlI'4JOt 'JOOda ~ . Ilt.nt."".... .......rbOrr... nil or Ur .nUI'; Inc..... '" :,.f1" ~...r". to _.:It ",",el", I>lcyc:1ll'" "If ~'lrl'n.' U. .untle S.rv~e... .,.: t~. pr_": ~ .~ ur.C"l 'Jpcr.. ~r r.."~t .~ I n...... for ~_ or Ilt.r..~ ~""..,...,,_Olt.: .......ico.-. I" ....,. o! ,n. I',j.....,,,q u.... '1" pro....e,......,' ~011"" pro\ .~< Ion ~ Schoch: ~. "..... or 00... "'''''.H,c.~.: 1..ahu.I' .. IU.ln...on.ne. of p~... t.c:d.- n.., Inc:\1lI41"" .....d.' l. c:ru... 909'On_llullIM'IC:'" u. ~. .t:lt"'"prDiPO".....~hll.. I. ~'.of '@H.nUI: ~"".. 01 r...l or 'n.r~l b. SIabI...ontl.1 Iller..," I" ~_I~ ~~ "'Utu.. .......e.. ':Of .".r'IV. Dr ..q..ur. t1loe dov. lo:-ent or ".... lK)<I7e..ot .......'111 U. Ut.l1:uu. "II: t"'<>~ll.....h ~lor~......,..t....of .Ub.taft".l 11.....n,on. to t/l. tOllow. ""I uUl1u... ~.....t (I< "o...url' ~.. ~ .. ~'C:ltlOf\l...,..t_~ _.to..l S_rO...ptlet.......' Sto,.. .oUr 4r.1ft...., .. k11U...toolWldUpoul; n. ~-., ...1th. .,11 t... p..OOOI.l .._<<it 1,,: I. Cr..tl_o! "". lI..all ....aro:! or pot.IU.1I: h..llll hl..rd l..ellldl..'l .....t..l ',IIIU:' fl. ~'U'I of p.oplot Co pot.."L., """1""1'>.,":-611 Date I c?,1 / C/,I 2/,,;.<.f-!>S- , ~'. ./ ../ ./ ./ ,., ..... v ../ ...--. "7 -- ./ -<" ..... ,.,. -- ...--. ~ L ./ -;;..--. v L -2- ". .~..,,' ..:;tn..p..-..p<'....-..,,;t -:-:.-::"".. _/""e.;o.. 0' 'n.,. 'e.."., ~,~.. 'H v,_ ,,,,,,to to tI.. $>wbH.. )r .. .: ~,,~ p"opCl""1 r....it In .l'I' ca.tlo" 01 .~ 1.lt.I'Il"e.lly ott....I.... .,t. Of>'<''' '0 pfLUc ..:..~ I..ea..,o". 111.11 tl'l. propc...l ,..lIlt ~.ctUp(l"t.I'I.ClWlI1t,o. ..."."tlt. o! ...tu... (.~o"t..o...l epPOrt""IU." .L ill~!....!.:. ..Y .0. ;~~::;~;r~~:~~~' :~o:~e:i i.f:~~~ U;~ . .---0":'.' n.,.....I(><!".\ 0.. -".,., _.'~. ...uc!un, otll.C'\ .., '..';11"" ./ ~rl"~I"<l.oISiCl"ltl..n.... , r~. t".. Q"Ol..t ~.~e :.... ?","nt\.l tft ~....r.d.. .he q","llt~ o~ ~'.. ."~lrl)ll_"t, .uDH...\ullv red""'. t"e n.:..<OI of 1 !,.~ M w"~l.le .poICI.... :..... . !a" ." w,: .:, t~ ooo"l.uon tc a..o~ ,..Iow ...::.,.....1"'''0 l.~l,. throl:... to .I'-",..e.p:."to.........:~""Hy. f.'I.... :~.. nuOl!>... or rut< oct !". r.~a. <>1. or. l>r ."d....".,..! pl..1It <or n,'''': 'or P:,""~It.. '......n."t ..I~lo' of th. ....lor p~..od. o~ e.l.. tor..,. h..tor1 '" p ,.." "tor.,. ~ ,/ I.. 000-. ./'1.. prOl.e~ h._ 'M pot."n.\ to ..",,,~. .lIan.le..". 10 tJ1. 'h..d..."t.,. 01 ;o..".t......n"'r_....l_h~ ;l .~<>...~~rr ;..'''..t 0", III. .....'.._n. ., ....p ..~.~.. o<".,-,to H . .,t.....,h 0".:, ~.f;",c'"" P<'r;..~ '" .._ ..;"1. ;"',.=-,.t,. '.,"OOCU .,:, .nd",. ....1 ,,,.0 '_~~ . .t~r.. v r ,.,.,,,. ,... <".n'."'1 '..ve '.'Ch ...~:., .... ...:,v,O,,"lly II.H.~. but ,~",;." "..Iy ~""',d'rabl.' 'A p'O)....t ...... '..:..,~ on ...t. 0.. ..,n ..~.r... .~.e-~t:u ...11..... In' ,........t <0" ,.." "~'O"f~" " r..l.tl....h '_11. tout ...h.TO t~.. "'~"'l ..! '.10.. t...t~1 o! I~O'" 1.-P.CU 0" 'lIp.."...'.o......,,' ""'9"IJ'C...t.) ..... ~. ;)n.. t....fl..,J.rtl\.v..."..r_"t.: .1 ,..<:-" ." .C~_ ..:: c',,., I...,..."t..: ..-W"",. .f~..~," ~n ......." tl"II".'. ut...r oJ, r",~;. o. ,..d" "Cl',.' .../ r. NSCi.'.FIC" -r !""'Y:~'If:_~",~ lV.u.l.U11~ D. tlET!:ltP\lUnCll 't~ to.. c'-P1.t.d Dr t~.. ~I" .....neyl On trot to..... of till. '..It..l ....1".t1_, ~;''''-:tll.pr<:>pO''dpro,.c:tC'ClUl.ll'101'''.''''d'''lh_ ........!!....to..t"..,,"I~"t..II4.IlItGA,.lftClllCl.-\Alo,.IOIl ..tll....or.o.red. a: !1"CO III.. .:,ho.,qll ...... pro~",,'" Pf'O]Kt eoodd l'I_ . ..<;r,.t'C."I..tt."..Q"t"...."..~,_"t. t.ll.,..,ll_t :>" . "'''','l'.''! ..II...t I" th.. el.1 MC'..... t."," .1U,.t~_ "",..urn ::...nto..d On "" .ttlC:...d ..II..t ...... ..... .6Il.IOf, to t".. ~ro~...t. A ~[:a1:VI. D[CUU1'ICll .11..L U 'lIZ'Ul:l:tI. ~: I,,,.! tll, $>,opo_d prolKt ""1 h...... . 11...lUe...t. .Uton .", ,,,. "~VH""'_"', .'II! "' torYJ_lU'ftl.L U.AC'T JISJ>O.... U '11";\11 rt~. .--- /::7 -'I. 'b-" ~--~~"'\- /-...--0 ~/ ' .-:/07 ( : / (Signatare . . . J "") File Ilo. CiL).P. fS-J7 ENVIRONMENTAL INFORMATION FORM [>)~A'///J . // ) , ' /' I:' /'i, " // /' ( . ,,_./I- 4 /0", I: /;?/~- A, Applicant's Name: e1~.1 I (:i.. </ ;- /J //1. .-c. Address . B. prope/)y Addreu (l..ocation): I'y/ ~ / , ,: ~ I/~ ~// ."'- ~I)I!/ c. General Plan Designation. D. ZOne Classification: E. Proposed Use (State exactly activities, employment): (J. , ~.~ S f/i.u/ /1",) /- , what use is intended for the property. i.e., type., / -, I I J 7"" ///""-'t.' ) F~ Square Footage of Site: :'..'.'._:-:-~_ / .-; / ../ /',,(.. ," G. Square Footage of Ens ting Buildings: 1, To llemain . ; :'J( ---. --! , '- , To ~ Removed: .. H. Square Footaqe of New Buildin9s : [. Square Footage of Buildin9s to be Used for: 1. Commercial Activities: oJ:-- .... .__. . /1/ ) 2. Industrial Activities: 3. ReSidential Activities. NUIIlI:ler of Units: on a separate sheet, describe the following: 1. The environmental setting of the project site as it exists. 2. The proposed alterations to ::he project site, y -j?A#~,,:- 3. The use and development of ~"e surrounding properties. -1- . . . ., ; Environmental Information Form K. Oleck the appropriate answers to the following questions: Yes No 1. Will the proposed project result in a substantial alteration of ground contours and/or alteration of existing drainage pattern ? ~ 2. Will the proposed project result in a change in groundwater quality and/or quantity? ..-- 3. Will the proposed project result in ~~ 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? L--- - S. Will the proposed project result in a substantial increase in demand for municipal services and/or energy consumption: L 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 ~e data and information required for this initial ev~luation to the best of ~. ability, and that the facts, statements and informati~ p~sented are true and correct to the best of my knowledge and belief, -;:.>- I ., Date: / ..., / , / / -: ~ / / R~~~~' Signature of Applicant -2-