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Home My WebLink About030-101-086V a R C yy � � � � • • .. 't � � 'W A � y ` • � o � . •,fit` i`.i � / , ��•y L;i n ' � � •q � � a `}� a • • , ' • ,,�j� , � • 1 n .i . .. 4 • N • m �: h � i � P , 'J . r V„y a-� P . • � _ ,: y ., •� ,. R • ' ,...,,� �v��ai�ON S APPLICANT ADDMS 1696.18th S re p fwNi2 �Samei PROJECT DESCRIPTION LOCATION 85-08-1d_04 Intersection with G---.—j�:_ and Aven ASSE5SOjp.� M' CEL NUMI3EI��;N f rural, „ - ZONING A -R_ GEN. FLAN Lout .Densit Res:xdentia1 PROJECT C�7N43TS � ? DA'1'k: APPLICATION . ,W��{1;�yy'`T�'{j�}"� Apt us •`Y'1'�fi. ��I.CI'1. V.G^Ll �+ f Ron Graves p, 0.__16 1985 ' 13ox 986 lie CA 95965 DATE 1'UkLICAT,ON NOTICE"- ''' UBLISHED o. NE4J�PAt i✓R PuBLISHEL� 1✓LACsL NOTICEC DATE MAILING LIST PREPARED P. G. B, :DATE RAIL -OUT N(YrICE S WRIT, TER DATE F'ANiVIT1C DRCT'OR'S , MAILED _ EPORT PREPARED XNVIRONMENTAL DETEiNAfiI01J --�--� "ATEGOPICAL EXEMPTION DA's 1'T1,1ll AND DATE NEGATIVE DECLARATIot; .- DATE ADOPTED A1IJ G'ATT NE GAT'IV,E � -� Li"MATtATIoN - DATE ADOPTLgD PJ-- IMPAOT REPORT- DATE, CERTIVIE, StJ S`. COMMIT'T " 1�IEE1'I11( DATE ADViso Ry AGENCY 1tEARING DAT'E___.� ADVI8C�Y AGENCY ACfijON BOARD ACTION COMMENTS r a l oInCE !'Jit" DETERMINATIO Omnix H T02 Office of 'Planning and ResearchC 'I L E 1�QRq 1400 Tenth Street, Room 121 Plan ng Department Sacramento, CA 95814 7 CountC r ri r or Oroville, CA -93965 `x County'Clerk ELEANOR M. BECKER , county Clerk; County of Butte A. J�CINI . By DC,i y 1 SECT Filing of Notice of Determination in compliance with Section 21108 or 211.52 of the Public resources Code. Project Mile AP It 30-101-86 Name - Tentative Parcel Map Ron Cooley State- Clearl"81MUSe Number ontact erso-`n """' (If submitted to Clearinghouse) Tele _ one Number— Public um rPublic Works John Mendo.nsa 534-4266 L?w � On the. east side of 18th Street., ,a.ppr•oximately 950 feet north of its intersection with Grand Avenue, Thermalitoa area. PiFO ect Description Tentative Pt rceel Map ividing 1.kiz acres into two parcels, one of 0.51 acre and one of 0.85 acre. This 13 to advise that the Butte County has approved the above described %L,eaa Agency or R-cspons le Ag M=Y Project and has made the following determinations regarding time above described. project.:. L Thepr o1`ect wlllo.,X will not, have a significant effect on the environment. An Environmental Impact Report was to prepared for thls project pursuant the provisions of CEQA. M ,.X,. A Negative Declaration was Prepared for th.roect s Provisions of CEQA Project rsuant to the 3 The 9IR or Negative Declaration and record of Project approval may be examined at., Mitigation measures� were, were not, made of the project, a condition of the approval • A statement of Overriding Considerations this project. ,_._. ,, was not, adopted for P1100Bate Received for Filing =-5_ �-1:M ` g 11 SIM,.&ure S tOP'lleh A. Streeter Senint Plannor V.� Revised janua -y 1,985 V 9 El Ron Cooley, TPM, AP#30-101-860 Mitigation Measures; 1• Pay a pro -rata ;share towards installation of traffic lights as determined by the Butte County Departnent Of Public Works. 2 Grant an avigation easement to the Cty of Orovlle if necessary, i -- LAND OF NATURAL WEALTH ANIS BEAUTY DEPARTMENT OF PUBLIC WORKS WILLIAM (Bill) CHEFF, Director 1 COUNTY CENTER DRIVE . OROVILLE, CALIFORNIA 95965 Telephone: (016) 534:4681 (�,ihfn fid 01,4110144rr�t��r RONALD D, M,ELROY ti, Deputy'Dijeclo, It tJ V iJ W5 November 5, 1985 Uravtll�� i.,�tpr Tion Cooley 1696118th St RD: AP 30-101-86 O'roville CA 95965 Tentative Parcel Map Dear Mr. Cooley: At the regular meeting of the Butte County Advisory Agency held on November 4, 1985, the agency granted a. mitigated negative declaration regarding environmental impa tentative ct and approved your parcel map on AP 30-101-86, subject to the conditions Of approval li:8ted on the attached Sheet, If no appeals are timely filed--within ten (10) days of the date of the Advisory Agency's approval--with the Clerk of the Board of Supervisors; this action will be final., When the conditions of approval are complied with, it will be in order for you to rile your "final: map" with the Butte County Department of Public Works for recordation within. twenty-four (24) months of the date of approval by the Advisory Agency, If you have any questions regarding this matter) please contact this Very truly yours, William Chef' Director. of Public Works Jt . n te�i nd' " onsa JAI%ds sistant Director attachment cc planning Health Ron Oraveiil Ron Cooley, TENTATIVE" PARCEL MAP, 2 parcels ori the approx. 950 ft, north of its intersection with the east sie of 18th St,; AP 30-101-86Thermalil; area, Engineer: Ron Graves Avenue. Public Works conditions are: 1. Provide two-way traversable access RS -9 -LD -II county maintained or state highway, to each parcel fror,i r7 2• Access to be reserved in deeds as Per count or for dedication on the final map, y dlnance and offered 3. Show 50 ft; building setback line measured from m centerline of access 4o Provide road maintenance agreement. 5• Frontage on 18th St. to be constructed to RS -9 i.e., curb sidewalk and LD IX standard with g required street section for the Dept. reage of one acre or less, parcels p . Public Works for approval anduibnstallarequired to facilities. 6. Indicate a 55 ft building setback from the centerline of 18th St, 7. Show all easements of record on the final ma . 8. Provide street name signs per re - p' Warks prior to recordation of theufinalnmap°f the Dept, of Public 9: Provide permanent solution for drainage; 10. Pay off any assessments. 11,, Provide cul-de-sac at the end of the street. 12. Pay any delinquent taxes or current taxes as re tiii,, 13. e q ed. Meet the requirements nts of the Butte County Fire Dept, 14. Pay Thermalito Drainage District fee of $450.0 Health 'apt. ccndit>;iona 0 per : CF^e, 15,-rcvad;.. a letter or other documentation From District ,stating that, they are w'all�� and able to x �:i water to parcels l and 2, le to tato Y dc,,; sbjc pP� d�.�testi;e 16 1?rovarle a letter or other documentation prom ,I+ District stating that they are willing aril abl.eetoasitxo Tr 1 service to parcels x and 2, rigatx Jii apply sewirx J t„ place a .note on the map that will. requistate, "development re cnntieetat�h to a public of parcclr i and 2 oani. tary s ewer, It .8, Place a note on the map that stated Will require connection to e publ"development zjic supply,° pascals and 2 lY.. r r EON COOLEY, TpNk The following mitigation measures are also required; 19. Pay a pro-rata share towards ,installation of traffic; light, as determined by the Butte County Department of Public Works. 20. Grant an avi.gation easement to the City of Orovill:e if necessary. Inter-Depart,m,ntal memorandum TOs Butte County Advisory Agency FROM' Planning Director cel tap of Ron Cooley on AP 30-101-86 SUBJECT; Report on Tentative Par 0ATEl. October 249 1985 to divide .1.22± acres into 2 parcels 1 at 0.37 and This is a proposal s A -R (Agricultural Residential). 1 at 0.85 The present zoning i Land Use plan Map of the Butte ^,ounty General Plan designates area as Low Density Residential, Thole are no sp plans for the area. ted or ro oaal does not conflict with County zoning not any adopted Thep P General Plan not any Coutityi specific proposed element of the Butte County or community plan.; bject to elle follo�i3.ng mitigation mease'res: Recommend approval su 1. pal a pro -Lata share toward s installation of Pu,bliccWorks. lights a� determined by the Butte County Dep 2, Grant an avigation easement to the City of Orovlle.� DH:1r cc; Ron Graves P.O. Box 986 Oroville► Ca. 95965 Rgnf (9161534-9587 LANs �. �o'ca�e p.Q.BOX986 - Of9O l»LB,GA95966 �'S;c�vo31�� Iw(�II�Cdrrcq September 24, 1985 sob #85-075 Butto County Planning Dept. 7 Cou1ty Center Drive Oroville, CA 95965 re; Ron Cooley A,P. #30-101-86 Attn: Dave Hironimus We agree with mitigation number 1 regarding traffic lights if pLibl.ic Works deems it necessary.. We agree to mitigation measure number 2, as set, forth in your letter of 9/20/85, Res ectfull.y, Ronald L. Graves Ron Graves and Associates RLG !x5l s APPENDIX F COUNTY OF BUTTE ENVIRONMENTAL CHECKLIST FORM (tofire complete . bye 15a_0 _"WARenCY) Log iI 85-08-16-04 I, BACKGROUND AP 9 30-101-86 1. 'Name of proponent RON COOLEY Address of proponent and representative (if applicublu) Ron Cooley Ron Graves _0696—Tu Street P.O, Box 986 3, project description Tentative Parcel MANDATORY FINDINGS � :IIGNIFICANCI: Y1:t�; MAY MR Nn, a, Hoes the project have the potential to degrade, the quality of the environment, substantially reduce the habitat of a fish or wildlife species, cause a fish or wildlife population to drop below self- sustaining levels, threaten to eliminate a plant or :n animal community, reduce the umber ar restri:ct the range of a rare or endangered plant or animal or eliminate important examples of the major periods of California history or prehistory? �az... b, Does the project have the potential to achicvr short-term benefits to the detriment of long-term, environmental goals? (A short-term impact on the environment is one which occurs in a relatively brief period of time while long-term impacts will endure into the future,) - c, hoes the project ' ve impacts which .tet: individu- ally limited, bu cumulatively considerable? (A project may iimpa t on two or more separate resources where the impact on each resource is relatively small, but whcrc the 000t Of the total, of thuse impacts on the onvironment is significant,) �- d. )toes the pru joct have environmental e Cfccts which will cause substantial adverse effects on human beings, either directly or indirectly? I 1, DEII-ERMINA'1'Ic}N (TO by completed by the bread Agency) on tho basis of this initial evaluation: I/WE find the proposed ptok t COULD NOT have a significant effect on the environments and a iBOATIVF DECLAltATION will be prepared, I/Wls find that although the proposed project could have a sig&W cant effect on tho environment, there will, not he a significant effect in this rase because the MITIOAm'ION MEASURES described on the attached sheet have been added to the Project, A NVATTV11 DECLARATION will btu prepared. i/1V)l (')ttd the propased project 'MA)' have a significant effect on the cyn irc)nmrrtt, and an I,NVIRONMEN'I'AT, Ib))�ACT REPORT is roc)uired, itA'i'l t S pt mber.20,.19.$5_. LOUNTY OF il'l)TTV ' , PLANNING IMPARTMENT ifj� M ty avid It, Hitonimtts, Associate Planner Reviewed by IRONMENT • ENV AL IMP�C"CTS Explanations oF a '''yes" and "maybe" answers are required on attached sheet(s)) YES 1. EARTH. Will the proposal result in significant. a.Unstable earth conditiozis or in changes in geologic substructures? b. Disruptions, displacements, compaction or overcovering of the soil? c Change in topography or ground surface relief features? d. Destruction, covering or modification of any unique geologic or physical features? e. Increase in wind or water erosion of soils, ''- either on or off-site? f. Changes in deposition or erosion of beach sands, or changes in siltation, deposition or erosion which may modify the channel of a, river or stream or the bead of the ocean or any bay, inlet or lake? g. Toss of prime agriculturally productive soils outside designated urban areas? MAYBE NO _X_ Ile Exposure of people or property to geologic hazards such as earthquakes, landslides, mud blides, ground failure or similar hazards? C- 2, AIR: Will the proposal. result in substantial.- Air ubstantial;Air emissions or deterioration of ambient, air quality? X b. The creation of objectionable odors; smoke or fumes? c. Alteration of air movement, moisture, or I . It temperature, or any ciange n climate, locally or regionally? X a. WATER. Will the proposal result in substantial: Changes in currents, or the course or direction of water movements in either marine or fresh waters? b. Changes in absorption rates, drainage patterns, or the rate and amount of surface ruiLoff? c� Need For off -lite surface dr-Ainage improve- ments, mprove-ments, including -, , getatioa 4 : ;af�•ra w , channel- ization or culvert installation d. Alterations to the course or flow of flool waters? e. Change in the amount of surface water in any water body? f. Discharge into surface waters, or in any alteration of surface water quality, including but not limited to temperature, dissolved oxygen or turbidity? g. Alteration of the direction or rate of flow of ground waters? h; Change in the quantity of ground waters, either through direct additions or with- drawals, or through interception of an aquifer by cuts 'or, excavations? i. Reduction in the amount of water otherwise available for public water supplies? j, Exposure of people or property to water related hazards such as flooding? 4 PLANT LIFE. YES MAYBt NO Will the proposal result in substantial: --_ a M aFian`g� in the diversity oF.species, or numant If any species Of plants shrubs, grass) crops, (including trees, b• Reduction of the numbersdI�r arj �Ic Plants)? or endangered species of plants? unique) rare c Introduction of new spe area, or icies of plants irto an n a barrier to the normal replenish ment of existing species? d. Reduction in acyleage of any agricultural, crop? ANIMAL LIFE. Will the -- a. Cane proposal result in substantial; 4 g in the diversity of specie of any species of animals (birds Si or numbers including reptiles ) land animals ben IC organisms reptiles, rfinsects) hell fish, b• Reduction in the numbers of an or endan er Y unique, rare c• Introducgi17 ondafpnew especies s Of �oflanimals into an area, or result in a barrier to the migration or movement of animals? . , Deterioration to existing fish, or wildlife --- habitat? 6. NOISE. Will the proposal result in substantia a• .Increases in existin l: b. Exposure of people to severelnoise?leyels? 7• LIGHT AND GLARE. ti�`1l the _5 3. �,can� i.x"ht and proposal produce g glare? 84 LAND USE. Will the proposal 1`eSult in a su stantial alteration of the present or planned land: use of an areal 9. NATURAL RESOURCES: Will. -the proposal result in n a. Increase in the rate of use of any natural resources? b• Depletion of any non-renewable natural. resources? 10. RISK OF UPSET. Will the a. A rxs" o explosion Orropthesrelease1of: hszar - ous substances (including, but not limited to Oil, Pesticides event of an accidentmocheica ls Or radia I b= upse)?in tho Possible i rt condition K X ,' nterferenco with an emergency X response — plan or emergency evacuation plan? 11 POPULATION, Will the proposal alter the location, r u ions density, or growth ter of the human Pcpu�ation? an 12 HOUSING. Will the proposal affect existingho or create a d4emand for additiona, housing?using, a 13. TRANSPORTATION/CIRCULATION. YES MAYBE NO Will the result in: proposal a. Generation of ;substantial additional vehicle movement? b• Effects on existing parking facilities, or demand for —- new parking? c. Substantial impact on existing transportation systems? —'- d. Significant alterations to present patterns Of circulation or movement of people and/or goods? e. Alterations to waterborne, rail or air traffic? " " -- f. Increase in traffic hazards to motor vehicles, bicyclists or pedestrians? --' 1.4. PUBLIC SERVICES. Will the proposal have effeCt an upon, or result in a need for new or altered governmental services; a. Fire protection? b. Police protection? Xe c. Schools? plc d. Parks or other recreational facilities? e. 'Iaintenance of public facilities, including roads? xG f. Other governmental services? xG 1S'. ENERGY. Will the proposal resultinr a. Use of substantialamounts of fuel -or energy? b.. Substantial increase in demand upon existing sources of energy, or require thedevelopment of new sources of energy? to UTILITIES. Will the propsal result in a need for new systems, or substantial alterations to the followings a. Power or natural gas? b. Communications systems? c• Water availability; d, Sewer or septic tank? X e• Storm water drainage? X f. Solid waste and disposal? 17. HUMAN HEALTH. Will the proposal res t of n a. reaof any health hazard healthOr health hazard (excluding mental health? b. Exposure of people to potential health hazards? -�- 18, AESTHETICS. Will t�9 proposal result in the o structi6n of any scenic vista or view open to the public, or will the proposal result an the creation of an aesthetically offensive site open to public mew? 19; RECREATION'YES . ---- Will the ""- MAYBE Q N pro Upon the quality or posal result in an impact ryuant opportunities? ty of existing recreational ._ _. 20, CULTURAI, RESOURCES, `— wi.I1� a . I x•oposal result .in the... alterat;• Of or the destruction xon 'X ' of a hi -,;toric archaeological site?ehistoric or b• Will the proposal result in advers or aesthetic effects to a e PhYsJ cal = historic .. building, prehistoric or C. Does the g, structure or object? Proposal have �. the potential to cause a physical change which. Would affect unique ethnic cultural values? d• ---- q Will the proposal restrict existing „r• or sacred rises within the Potential1`eli�zous area? Impact V. DISCUSSION OF ENVIRONMENTAL EV.�i.UA!�TON AF 30;101-86 See attached. 4 �' .1"I . J A AP 30-101-(),$ lboei3a,b,c,d�enf.J06e: The vtl,��jec existing drainagellaY, and t Property is located runoff into that drainagev on't Of the Property w,,,aIc))l9sJd0 an I -v, CLIMLI I at I n0rease, development In the Thermaitt. lye effects Of rWdentlal Problem, and any development have produced a krlopqn drainage VhIn the basin will Problem. A drainage plan I,W�' 1 een add to that and Conforming to the req f Or4mL4I aced for the Thel-171a I Ito area, U) rel'i,ents of the dra)�� adequate sOlWtlon for any '-:1' 'a P 'an P41 1 1 be an 1h: All �ja Problems, by this project. of Butte County is within & Moderate Earthqiiake Intensity Zone VIII- The -c-ul-)jec.�t ProPek,ty Miles southwest of the F Is located approximately a 00t"01', Shear Zone iAsh I ch s4,lp OrOvIllo earth of mt1b, POI�'ted the 1575 Construction nitudrj aPproximatelY 6.0, Of structures A-0 OnIrr-'reTl RJilding Code stundards .seismically active areas -houw, for residents in case of sels'-- adequate protection �� m I c act 1 '0 6bt The subject Property it Oroville Airport. As suc�j, V41 h i n the 513 LDN contour of aircraft noise, 1�3siAC�ttSq C;.4n 01Xpect the esPec I a I I Y dut- to be subjected to t"OcOmMended that structures""t a'rcraft operations. be or.ed It Is t`t� 11111`11MIze the transmission Of exterior noise to the thc. ;,,,.411dinq� avigat ion easement be grantind t,) the C i i.,, and that an Of Oroville. The creation of an adj, sita will Incrementally a(jd to traffic 9C It,i n9 _no J" Cumulative effect of additional Therm0lito area. Tf io I mprovemehts and traffic MQ creat ad will require intersections. Traffic light fund 1 1 at I on 'It major payment into those funds woul hzive boon sob up for the at�e ofpectsk d eate the cumin at I a, ar I ve 14! Thowq"i riot s 1 gn Incremental incl-.eaself I cant; this reprosent an UMlMcOrPO1l`-atad area. Tri demand ro,, sere ;Ces in an �6- SUGGESTED MITICATIQN MEASURES pay a P►''o rata s determined b hare towar,cis installation Y the Butte County Department o o f tra" l a H ahts a 2 Grant an f public Works, aviga•tion easement to the City of Orovljle, Reference: Environmental Impact Report for t Use Plan. he Grov j 1 1 0 Airport Land i is Applicant: Ron Cooley QATA SHEET A. Pt-o-Jer-t - Descr I lotion Assessor's Parcel # 30-101-86 Log it 85-08-16-04 1. Type of Project: Tentative Parcel Map. 2. Brief Description: Dividing 1i42 acres into two parcels, one of 0i57 acre and one of 0.85 acre. S. Location: On the east side of 18th Street, zipproxi.mately 950 feet north of Grand Avenue, in the Thermallto area west of Oroville. 4. Proposed Density of Development: .7 acre per dwelling unit. 5. Amount of Impervious Surfacing: Approximately 109, 6. Access and Nearest Public Road(s)6. Property fronts 00 18th Street. 7. Method of Sewage Disposal: CSA 426 (Thermalito Irrigation OiO;rlrt sewers). 8. Source of Water Supply: Thermal to IrrIgation 01stricti 9. Proximity of Power Lines: To property. 10. Potential for further land divisions and development: Further divisions are possible on proposed Parcel 2. L#m- n — -- I . Pb)tg1cPl Env irohmgnt.* 1. Terra I n a. General Topographic Character". Flat valley lands with draimaooNay crossing the proporty* b. Slopes: 0 to 59. c. Elevation: ApproxiMately 200 foot above sea level, d. Limiting Factors: None. 9. Soils G. Types and Characteristics.* Redding Gravelly Clay Loam, generally shallow soils with $10H perineabillty-. b. Lim ting Factors: Shallow soils and slow Permeability. 8. Natural Hazards of the Land a. Earthquake ZOhot Moderate Earthquake Intensity Zone VIII. b. Erosion Potential: Moderate* ew Landslide POtOhtidit None, d, Fire Hazard: Unclassified, e, 8xpaoslve Sol! -Potential',. Hlo-h% 4.. Hydrology a, Surface Water: A natural dralnaoeNay, a tributary to Ruddy Crook$ traverses the property* b. Ground Wator! Unknown. c. Drainage Chbracterlstiest Property drainer to the dralmageway on site thence east to Ruddy Crook thence south to the Feather River, d, Annual Rainfall (normal): 24 to 26 lmthos* d4 Limiting Fbct-br89 Setbacks from the dr6ln400wtay, -8- 5. Visual/Scenic Quality: Moderate. 6. Acoustic Quality: Low. (Property located, within the 55 LON noise contour of the Oroville Airport.) 7. Air Quality: Good. Blolonica- Environment: 8. Vegetation: Valley grasslands. 9. Wildlife Habitat: Small birds and animals common to valley orasslands. Cultural 15-hvironment.- 10. Archaeological and Historical Resources in the area*. Low sensitivity area, 11. Butte County General Plan designatiobt Low -Density Residential . 19. Existing Zoning: A -R. 13. Existing Land Use on-siter one existing homGulte and barn. 14. Surrounding Areat a. Land Use;: Generally single-family dwellings at suburban residential densltlez. b. Zoning: A -R. C. Gen. Plan designations". LoH-Density Residential. d. Parcel Sizes: Range from 1/4 acre to 3+ acres. e. Population: Low density. 16. Character of Site and Area: DeVelop!Mo Urban fringe. 16. Nearest Urban Area: Oroville, jV. Relevant Spheres of Xmfluoncot Thermal lto Irrigation Dlstrlcty CSA 4266 01-oville, 18. Improveinents Standards Urban Area; Yes. 19, r1re Protection Service: 4. Nearest County (State) Tire Station: Nelson Avenue Stan Ican #68. b, Water Availability: Thermalito Irrigation District hydrants, 20. Schools in Area: TherMalito Union School District and oroville Union High School District. BUTTE COUNTY GENERAL PIAIL CO ONI' RMANCE REPORT �u�o Co. FOR PA.RCLL MAD07— SUBDIVISION MAP ung Car►un items 1-4 to be completed by applicant - JUL �J. 1985 I. Applicant Nametend addrea Orovole, CAUtornI4 r�r'�(..E�*/ a 2. Project Description 2 3. Assessor's Parcel Number(s)3 4 Proposed use I 1 The following items are to be completed, by the Planning Department; Current zoning � - � $-----4-� - -- _ _. and Conservation Agreoma tt /A General Plan Desi nation Applicable Conditional Cziteria Not Applicehl,e ,! Agricultural -Residential YES NO 1. Agricultural Compatibility Z. Water & Sewer Capacity 3. Adequate Fire Facilities 4. Road Capacity & Maintenance 5. Access to Commercial & Schools --- Orchard & Field Crops 1. Predominant 5-10 Ac. Parcel Size ~ ?. Vicinity of Urban Boundaries - -3. Agric. viability not impaired Staff Determination, Project does _ 1°C. does not _ substantially conform to the General Planandzoning. Comments., �/'� c ✓ Lam, }-° r � a � .�---=��='r r rte.. ,� /.-..,..�5 r -------------- Staff Signature --� bate 2 r AS THE APPLICANT FOR THE iZE ,. QULSTEb LAND4i DETERMINATION REGARDING THE CONF0i2NiANcE WillSIOTHE GENERAL PN, I AM AWAxtC OF THE ABOVE' STAFF LAN ADTe zONxNG. Dated Signature of Applicant . G7�vl� J C4'd" LD 1060 (revised 6.80)