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RESOLUTION 1407
A RESOLUTION OF THE PLANNING COMMISSION OF THE
CITY OF ARCADIA, CALIFORNIA, GRANTING CONDmONAL
USE PERMIT 89-003 TO OPERATE AN EATING ESTABLISHMENT
WITH SEATING FOR 6 PERSONS AT 529 E. LIVE OAK AVENUE,
UNIT B.
WHEREAS, on March 29,1989 an application was filed by Robert and
Christina Jenkins, to operate an eating establishment with seating for 6 persons,
Planning Department Case No. CU.P. 89-003, on property commonly know as 529 E.
Live Oak Avenue, Unit B, more particularly described as follows:
SEE EXHIBIT "A"
.
WHEREAS, a public hearing was held on April 25, 1989, 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 RESOL YES 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 a proper use 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. All yards, spaces, walls, fences, parking, loading, landscaping
and other features are adequate to adjust said use with the land and 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.
5. 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 0 operate an eating establishment with seating for 6
persons, upon the following conditions:
1. Seating shall be limited to a maximum of six (6) persons.
2. A modification shall be granted for 27 parking spaces in lieu of 35
parking spaces. This approval shall not constitute an approval for a reduction in
parking for the entire retail center/automobile service station. Rather, this parking
modifiction shall only be for the eating establishment approved by CUP 89-003.
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1407
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3. Fire protection and building occupancy shall be maintained to the
satisfaction of the Arcadia Fire Department.
4. Any changes in water service shall be installed by the Arcadia Water
Division at the applicant's expense. Also, backflow protection may be required,
subject to field inspection by the Water Division.
5. The subject site shall be maintained as per the plans on file in the
Planning Department.
6. That Cu.P. 89-003 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.
7. 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 April 25, 1989 and the following vote:
AYES: Commissioners Amato, Hedlund, Szany, Papay
NOES: None
ABSTAIN: Commissioner Clark
Section 5. 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 9th day of May, 1989 by the
following vote:
AYES:
NOES:
ABSENT:
Commissioners Amato, Clark, Hedlund, Szany, Papay
None
None
.
ATTEST:
tf#/JJtf1'U~ -
Secretary, Planning Commission
City of Arcadia
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1407
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PARCEL 1: Lot 6 of Tract No. 11382, in the City of
Arcadia, as per map recorded in BOOK 240, Page 45
of maps, in the office of the Los Angeles County
Recorder.
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PARCEL 2: That portion of Lot 109 of Arcadia
Acreage Tract, in the City of Arcadia, as per map
recorded in Book 10. Page 18 of Maps, in the office
of the County Recorder, bounded on the Northwest by
the Southeast line (and its Southwesterly prolon-
gation) of Lot 6, Tract No. 11382, as per map
recorded in BOOK 240, Page 45 of Maps, Records of
said'County: on the East by the Westerly line of
6th Avenue, (60 feet wide), on the South by the
North line of Live Oak' Avenue, (formerly Dalton
Road) 60 feet wide, as shown on said map recorded
in Book 10, Page 18 of Maps, of said County.
EXCEPT THER~FROM THAT PORTION THEREOF, DESCRIBED AS
FOLLOWS:
Beginning at the intersection of the West line of :;ixth
Avenue, 60 feet wide and the Northerly line of Live Oak
Avenue, 100 feet wide, as per map of Tract No. 11382
recorded in Book 240, Page 45 of Maps, in the offic:e of
said Recorder; thence Northerly along the Westerly line
of said Sixth Avenue 12.83 feet to'a point of cusp with
a tangent curve concave to the Northwest, having a
radius of 15 feet; thence Southwesterly along said
curve 21.21 feet more or less to a point of cusp with
the tangent Northerly line of said Live Oak Avenue:
thence Northeasterly 12.83 feet along said Northerly
line to the point of beginning.
.
EXHIBIT "A"
. April 25, 1989
TO:
ARCADIA CITY PLANNING COMMISSION
FROM:
PLANNING DEPARTMENT
WILFRED E. WONG, ASSOCIATE PLANNER
CASE NO.:
c.u.P. 89-003
SUMMARY
This Conditional Use Permit application was filed by Robert and Christina Jenkins for
an eating establishment with seating for six people at 529 East Live Oak Avenue, #B.
The Planning Department is recommending approval.
GENERAL INFORMATION
APPLICANT:
Robert and Christina Jenkins
.
LOCATION:
529 East Live Oak Avenue, #B
REQUEST:
Conditional Use Permit for an eating establishment with seating
for 6 people. Parking modification required.
LOT AREA:
Approximately 24,000 square feet (.55 acre)
FRONTAGE:
137.44 feet on Live Oak Avenue
139.27 feet on Sixth Avenue
EXISTING LAND USE & ZONING:
Automobile service station and a 3,600 square foot retail building; zoned
C-2
SURROUNDING LAND USE & ZONING:
North:
South:
East:
West:
Multiple-family dwellings; zoned R-3
Mixed commercial; zoned C-2
Church; zoned C-2
Multiple-family dwellings; zoned R-3
.
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GENERAL PLAN DESIGNATION:
Commercial/Multiple-family residential
BACKGROUND
The City Council at its May 6,1986 meeting approved CUP 86-2 (on appeal from the
Planning Commission denial), a request to reconstruct the garage portion of an
existing automobile service station and construct a 3,600 square foot retail building at
529 East Live Oak Avenue
PROPOSAL AND ANALYSIS
The applicants are requesting a conditional use permit so that seating for 6 people
could be added to an existing take-out only food business (ice cream and yogurt).
Seating for 6 people presently exists within the building. It appears that one of the two
previous owners had been using 3 tables and 6 chairs without applying for a
conditional use permit. The applicants recently purchased the business and were
informed about the seating restrictions.
The business occupies 500 square feet (14%) of the 3,600 square foot retail building. A
take-out food business is permitted without a conditional use permit. By adding tables
with chairs the business changes from a retail activity to an eating establishment
which requires a conditional use permit.
When the site was developed 18 parking spaces were required for the retail building, 9
spaces were added for the garage and 1 loading space was provided (total 27 spaces and
1 loading). A retail business requires 5 parking spaces per 1,000 square feet of gross
floor area, but an eating establishment needs 20 spaces per 1,000 square feet. Due to the
difference in required parking, the proposed eating establishment increases the
required parking for the entire center to 35 spaces.
Following is a parking survey conducted by the Planning Department which shows the
number of parking spaces used, if the loading space is occupied and other vehicles
parked on the site but not in designated spaces. Vehicles were not counted if they were
parked in front of the service bays. Note that in every case some cars were found to be
not parked in designated spaces. These cars were being offered for sale which is not
permitted under CUP 86-2. The owner of the property has been informed about this
situation.
c.u.P. 89-003
4/'25/89
Page 2
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April 1 L 1989 (Tuesday)
Occupied spaces Loading Other
10:45 am 16 1 2
12:00 pm 16 1 2
1:00 pm 21 1 2
3:30 pm 10 1 2
April 13. 1989 (Thursday)
Occupied spaces Loading Other
1:30 pm 8 0 2
3:30 pm 11 0 2
April 18. 1989 (Tuesday)
Occupied spaces Loading Other
9:30 am 12 0 3
1 :00 pm 11 0 2
4:00 pm 10 0 2
.
It is staff's opinion that by limiting the seating, which is not done for the typical eating
establishment (Burger King, McDonalds, etc.), this eating establishment would not be
detrimental to the site or the surrounding properties. The parking impacts from this
one eating establishment with 6 seats within this shopping center is by itself not
significant.
Since 1982 there have been numerous conditional use permits approved for ,eating
establishment with limited seating. In most cases the Planning Department has
reconunended that the maximum seating be limited to 12 persons. By restricting the
seating within these eating establishments the Planning Department feels the parking
requirement for a retail business of 5 spaces per 1,000 square feet is adequate.
'.
The Planning Department is concerned with the potential increase in traffic which
may result from certain retail uses which may locate on this site. Uses such as eating
establishments and restaurants require conditional use permits and traffic issues can be
addressed as part of the consideration of such applications. Other uses such as
convenience stores do not require conditional use permits and would be pennitted
even though they generally are associated with increased vehicular traffic. At this
C.U.P.89-o03
4/'25/89
Page 3
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time we do not know all of the intended uses for this shopping center. Three stores
are presently occupied (glass & mirrors, cleaners and ice cream/yogurt), a deli/market
is going through tenant improvements and two storefronts are empty.
While the Planning Department is recommending approval of this particular
conditional use permit, we believe that before any other applications for eating
establishments, restaurants or other uses which require a conditional use pem\it are
considered for this center, a traffic study prepared by a licensed engineer should be
submitted along with the conditional use permit application. Such traffic study would
examine the cumulative impacts from all planned or anticipated uses.
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.
RECOMMENDATION
The Planning Department recommends approval of Conditional Use Permit 89-003
subject to the following conditions:
1.
Seating shall be limited to a maximum of six (6) persons.
2.
A modification shall be granted for 27 parking spaces in lieu of 35 parking
spaces. This approval shall not constitute an approval for a reduction in
parking for the entire retail center/automobile service station. Rather,
this parking modification shall only be for the eating establishment
approved by CUP 89-003.
3.
Fire protection and building occupancy shall be maintained to the
satisfaction of the Arcadia Fire Department.
4.
Any change in water service shall be installed by the Arcadia Water
Division at the applicant's expense. Also, backflow protection may be
required, subject to field inspection by the Water Division.
5.
The subject site shall be maintained as per the plans on file in the
Planning Department.
6.
That c.u.P. 89-003 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.
C.u.P. 89-003
4/'25/89
Page 4
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7.
Noncompliance with the provisions and conditions of this Conditional
Use Permit shall constitute grounds for its immediate suspension or
revocation.
FINDINGS AND MOTIONS
Approval
If the Planning Commission intends to take action to approve Conditional Use Permit
89-003, 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 Conditional Use Permit
89-003, the Commission should move to deny and direct staff to prepare an appropriate
resolution incorporating the Commission's decision and supporting findings.
c.u.P. 89-003
4/'lS/89
Page 5
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File No. CUP fl9-001
CALFIRONIA ENVIRONMENTAL QUALITY ACT
NEGA TIVE DECLARATION
CITY OF ARCADIA, CALIFORNIA
A.
Description of project:
A conditional use permit for an eating establishment
(ice cream/yogurt shop) with seating for six,
B. Location of project: 529 E. Live Oak, liB
C Name of applicant or sponsor: Robert & Christina Jenkins
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.
F. Mitigation measures, if any, included in the project to avoid potentially
significant effects:
Date: 3/29/89
Date Posted:
Associate Planner
Title
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.
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File No.
CUP 89-003
ENVIRONMENTAL CHECKLIST FORM
A, BACKGROUND
1.
Name of Proponent
Robert & Christina Jenkins
2.
Address and Phone Number of Proponent
2681 Daisy Ave.
Long Beach. CA
90806
(213) 427-5641
B. ENVIRONMENTAL IMPACTS
(Explanations of all "yes" and "maybe" answers are required on attached sheets.)
1.~. WUl theprOp08&l result in:
", Unstable ."rth ':011<11.1:1011" or 1n
c:hal\9U in 9801091c l~truc:turu1
b. D1SrUptlons, diapac"...n"., "DIO.-
p..;:t101\ or ove:r:cI;>Ver1n'l' ot the soU1
c. Chan'l'a 1n tQpl)9taphy or \IrOllnd
SUrfACll relief featUros?
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h. Substantial n1d.uction 1n tho
UlOllnt o~ v.te.. othuwha allaUable
tOt pUl>11e ......te" ..",ppli..?
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or numbor ot any specie.. of pbnta
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ot plants7
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lit. MY 1n<:(0... In..lndar.....l:.fIr
oroslon ot solI.. olthor on or oft
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or oroaiQn ...1'11<:1'1 mar 1llOdlfy the
<:h/lnnel ol II river ~r .tr.".III.
e. Introduction of new op'''li.. ot
panta into an 4rea, Or res"lt. In II
buriar to the nonul repll!nhhlllent
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odora?
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unlque. rare 0>; I!nd.ngel'ed IIpac1..
of animala?
e. Alter..tlon of 4~r _v_enr.
,MUaU,lrO or tomperat\lre. 0" ..ny
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at dll:"@"t1on of wat,l!r lllOYlllIIl!nt. In
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.nbu.l. into en ....... = r.ault 1..
II b.rder t.o the migration or lllCIVO-
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i""i'iiSi'E&ntiallllter.tlanotthe
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dr'I"'"" p.tt.mll, ~r tlle rllt. ""d
"1:\O\lnt of .urhco ..,Itar runotf?
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e. Alteuti_on. to th" ooure. O.f
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WlItlll' in any w.ter lXldy?
... 01...h.llr<1. into !lurtac. ....to>;.. O.f
In .ny .It.r.tion ot all>;f,,," ...t.r
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t"rbld1ty?
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n..t""iIll r..ouee.7
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nuat flow of 'l'raL1ft.d:...te....?
q. Chllnq' ~n tho qllAftt1t.y of ground
....t...... .,ither thfOtl'Il> dlrect 1l<!<!1tion.
or ..ithdu...al.. O.f t:hrollgh Lntero.ption
of eny &quif..r by c,lU Or ..""..vet1oM?
b. Sub.Untlal depletion of .ny
",enr.n_able n.tural ro.ource7
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10. ~iu. of Ullfto!!t. DO... the prQpO"a1
l.nlfolv<:, .. 1'1,,11. of an (!JlpIo.ion or
tho rolOllso or ha~"rdo\l. substanCO'_
llrl<:11ld11l9. bill not amIUd to. oU.
......U<:idn, c.,'''lmi!;:..L" or ndi..tlonl
11'1 th" o:v,,"t of an aeeldlllnt or
IIp...tcondltion.7
1.l.. Pop"huolI. Will the prOPM"l altor
the 10<:'Dt~on, <l1"trLbur.lon. dens it)".
or '.Irowth U,tO of ell. 1\_." POPllh~
uallof.na..."?
l~. :~t:~~~q h:~fn~~.o~~:::: :ffeet.
dtllun<J!or..ddftlon..lhoWllngl
p.
Tr..nspOrt...tlon/Cln:lllatlon. 101111
tn"propollAlr..."ltlnl
d, GOl'loutlon of "l.lhlH..nU"l ..d4i~
tlan,)l ~llhlclll..r ~o~.nt1
b. EUa<:t.S Q:J e.U;Un9 p..rklng
r..dl1tt....Or dtllr.1llnd for n....p.ul<l."g?
c. Sub"UnUoIIl 1lllpu:t UPC!n l!>(iat1llq
trotllsport..Uon.y"tollllll
d. "ltoutton.. to p...."llnt. pattun.
of clce\ll.tlotl or lllOvemant of p..opll!
.."d/or'tood,,?
... A1tllution. to ....t.rborn.... ral1
Or dr trafHc1
(. Ino::r...." ~n tu.tflo:: hila.rd.. to
IIIOt01' ....hit'h... bicyt'lhu Or
pedc.t.ri..n.1
".
I'lIbl.1.c Sot'lie".. Ifill the propo.a!
r,..v. an en.o::t. llpOt\. 0.. .."..uLt In..
need (or fl",," IIr ..ltered o;ov"rlllllent.l
....vlce. 11'1 .ny of the (011_1nq
..rell.,
II. fl1'flprOtoo::tlon1
b. polle.t prot"l:'t10n1
1:. SehllOltI?
d. ,..rkaorothflrrecl'...Uon..l
r.<:l1J.u...?
.. ""'1nt.neneo ot pubUo:: hdll-
U...1nellld1nqroad.1
t. Oth.1' qO'O'enllllltnt.l ...rv1e...1
lO.
EnuQY. WUI the propOlal re.,<)l1: in:
.. l)..e ot aub.1:;lIntLal "",ollnu ot
fueL Or .norgy1
b. !Iubn.4nti.i lnCnl"o 1n .a....nd
upon IIdatin\! ,oure.. ot 1Inl!!1"l1. af
l'llquil:e the d6V.,10pment ol nll'W
"oure....,lconer<:ly1
l~. UtilHies. 1f111 t.h. propo...l Allult
In.n..<.ItornllW.yat'''''.. Or
1I11b..t"ntl"1 ..ltorat.lonll to the loU,ow-
inquti1J.u...,
". '_.rorn....ur.1....1
b. COCIllunil:'oltitln.s.sy."_.1
W..t.r1
d. Sqwororseptletll"U1
... St.ora "liter drainage1
(. SOUd WIUICe IInd dls(la"U
11. lIU1:l..n Ill!ll.1th. will tho proposal
r.."ult UH
/I. Cto.t1ono! any !loalthhuerdor
pot.enthl I'.4111tllhulI,," IClxc:illdlng
..ontalho:ralthJ1
b. expo,u:. ot p"cplo tll poe.ent1al
t'''"1thh.rard.?
Date
3/29/89
YeS MAYBE J!Q...
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Ao.thetic<). Will the p>:oposa1 re.ult
1n tnl! ob.t.."etion ol all)' ......n1e
vbt_ 001' viev optll'l to th" p"bUe. Or
..IU the ptOPOlla! ruu1t 11'1 tha
"r....tion Q( !.\\ lI"at\\eU,".ll'l o-!h.nsi~.
!Il.u open to pubU" "1.....1
aOCtoetion. WUi the prtlpo.sd r...ult
11'1 4ft lq>lIet upon th" qll.hty Or
<;IlIlIntity at uhun; rOI:..elll:1on_l
opportunitiel?
ll! ~ .1Q..
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~~~:~~~~~~:~~i~~o~e:i~...~~t~n ~:
lIJHqnlt1eant areh_1oqlealor
hletorle.l .ite. atruCtu",.. objoo::t
Ol: bulldln;?
I
H.
Mandatory Findin"" of Slc;nU'lc.no::a.
a. Does tne prOJect nave Lne pot"ntial
to dO'l..ade tho quality of the onvu'onllunt.
8ub.t..ndally ","duee t.1I0 habitat of II
tl.ho......t1d1J.t...peci".. ""'U.e.. n.h
Or ...l1dlllo popul.tlo" to drol? bel_
se1l-IIulltainln9 lavnls. th"'ellte" t.o
elllll.l.n_te . plant or 4nim.al community.
",edUCe tile n=ber or ",elft::-lo::t thll ranq.t
of II. toile or "ndlll\<:lered plant Ol: anitu.l
0.-01illlinllte1q>ortalltoll4mpletlotth"
_jor pedGda of Co1lHorni. hbtor)'
orprllhht.ory1
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b. DOU the prajact 11<1""" tIIo PO"antl.~
to aeM.Wt _hort-terlll. to the di...dv..nt:llqO
of lonq-tenll onvi",on_nUl qO.lll" (.It.
short-tllnal.lIlp.etontlleenvlronNnt
1.1 onOl whi.:h oo::o::u... in a nlllt!voly
brief. deUnith.. p"rlod of til:l" ...hile
ion9-t""" 1111plletewUl end..... w,,11 int(.
thOltllt",rtl,)
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e. Do.. t:n.. projoct h.ve iOliP*ct.a
....hieh are lndividually limited. but
eWl'l\llat.ively =sJ.d"l:able1 (.It. projoct
...y1nlp.aotontvoorlllOro,op..t.rate
","eure". whOI'll tho ~-..p.set on elleh
r..O\lrOll 1, relat1v.l)' .....U. but "l1er.'
tho elhet ot th. totlll o( thooe i.....eu
on th.envirCl:lllll!nt illdgn.ifieant,)
d. Doe. the project heve .nviren...nt<<l
4lH..."t....llich...t\ie...ue .'IIb"u.nti<<l
.dv..... effoet.. On hUllllln lKting" "ithel
dl",et1yOr indirlllCtly7
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C. DISCUSSION OF EIfV1R<lNK!:II'tAL EVALUATION
D. otl'E;1IlUIlA'tIOtI
(to 1M cOlIlPl"Ud by the LOad .\geneyl
On the b..i. of thi. init1al eYlIlu.tion,
~ Und the propeOled proj"et COttLtl ~OT h.vo . alqnlhc,nt
effeet on tho onv1ronlllllnt. ..lid ill NllG.\TIVZ DKCI.AM1'lOO
11l 'tIo pnparod.
o t find thet lIlr;hou9h the Pt'opo.ed I'rojOlet could have.
dgn1fic4nt eHeet. on the onvirOllllltlnt. there will not
bo _ dgn.iUe..nt .!feet in thh 0.'. bCI<:eu.u. th" ..1tlgetlon
."'''1.''''' d..c.-lbad on <1n "t.t<<ehod .ho"t hev.. boen .dded to
l:hel'r<Jjoet. "N~1'I\reDECLAJ\.lt.TtClN IfrLL DB PREPAR1lD.
o t !lnd tho propo.ed proj'!"t MAY h..... _ st',lnlf1cllnt eth.:!.
on the ellyironfllllnt.. and .n ENVlRONIIEN'l'AL tMPI\CT R,EPOR'l' 1.1
requir..d.
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FILE NO. <:.cf Bi - CO"S
ENVIRONMENTAL INFORMA nON FORM
A.
Applicant's Name: )(!" /JI?Kf' fl. 4 C/ftf?/){,(/'I'/J- 1-" T GifP-INJ
Address: ;;2.6 91 J:>Arr'( ME '.I J-~4e; ~.1 CA 9()RP&
Property Address (Location): JX~ C~14 c:TC.
..5~.,)..J E. L(I/E OAK. MIC..1 ,M?..t/j'f)/..Ar, CA 'l'/tJtJ,h
General Plan Designation: rC'E ~AM,I Yt(~ute~ M/) OAlc
Zone Classification: C - ::<
B.
C
D.
.
E Proposed Use (State exactly what use is intended for the property,
Le., type, activities, employment):
SdL P:L cMa,u..., ~.;;C, ~ ~,L ~
I-ah- ~ ;LA~tA... A/k.c--.1twfL 3 ~ ~
I~;;tt.. ~ ~ v~ ~ '1 vi-;. ~e- Z
,r?,;;[ ~ ~~. ~ ~ I~..(J() It) 9~(fi)flH
v {
T~,-S~. NO ~~.
F. Square Footage of Site: ~tTO ~. fro
0. Square Footage of Existing Buildings:
1. To Remain: .5At'1e
2. To Be Removed: NtJl\IC
H Square Footage of New Buildings: ;vA
I. Square Footage of Buildings to be Used for:
1. Commercial Activities: S()O ~.j.:t
2. Industrial Activities: !IItJN/E
3. Residential Activities: /II~
Number of Units: / UNIT
.
Environmental Information Form
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.
1.
Describe the following:
1. The environmental setting of the project site as it exists.
M/IVI MAt.-L WITH (:, CUt/ITS
Nl;XT TO bjA-S S'rA -rr(57.j
NO Tcx/C t<.JMrGS
Ole.. ,41~ j'/dt.LtJ..7fO"';
2. The proposed alterations to the project site.
N~ f'/e
3. The use and development of the surrounding properties.
BU.JIN~~
J<!.~ / /)Gn A-t-
Environmental Information Form
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K
.
L.
M.
Date:
.
Check the appropriate answers to the following questions:
~ N2
1.
Will the proposed project result in a substantial
alteration of ground contours and/or alteration
of exiting drainage pattern?
v
2.
Will the proposed project result in a change in
groundwater quality and/or quantity?
v
3.
Will the proposed project result in an increase in
noise, vibration, dust, dirt, smoke, fumes, odor or
solid waste?
v
4.
Will the proposed project result in the use or
disposal of potentially hazardous materials?
v
5.
Will the proposed project result in a substantial
increase in demand for municipal services
and/or energy consumption?
v
Explain in detail any "YES" answers to the above questions on
additional sheets.
Provide any additional information which would elaborate on the
potential environmental consequences resultant from the proposed
project.
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 knowledge and belief.
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Signature Applicant
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Environmental Information Form
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