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bounty of Santa Clara
i Gifice of the County Clerk -Recorder
Business Division
County Government Center
70 West Hedding Street, E. Wing, V Floor
San Jose, California 95110 (408) 299-5665
ENVIRONMENTAL DECLARATION
For CLERK -RECORDER'S USE ONLY
POSTED ON JC(VTHROUGH 7 I �_ ZC
IN THE OFFICE OF THE COUNTY CLERK -RECORDER
REGINA ALCO DRAS, COUNTY CLERK--
BY f�'� DEPUTY
NAME OF LEAD AGENCY: l;t d 1 'c,OLi1 f
1
NAME OF APPLICANT:
CLASSIFICATION OF ENVIRONMENTAL DOCUMENT:
1. ( ) NOTICE OF PREPARATION
2. ( NOTICE OF EXEMPTION
50.00 COUNTY CLERK FEE REQUIRED
3. NOTICE OF DETERMINATION:
JUN 1 6 2008
REGINA ALCOMEND ow -Recon
Santa Clara CO MI,
By Der"
CLERK -RECORDER FILE N0,
E-14860
CA Dept. of Fish and Game Receipt #
36w7(
NEGATIVE DECLARATION PURSUANT TO PUBLIC RESOURCES CODE § 21080(C)
( ) 1926.75 REQUIRED ($1876.75 STATE FILING FEE AND $50.00 COUNTY CLERK FEE)
( ) A COMPLETED "CEQA FILING FEE NO EFFECT DETERMINATION FORM" FROM THE DEPARTMENT OF FISH &
GAME, DOCUMENTING THE DFG'S DETERMINATION THAT THE PROJECT WILL HAVE NO EFFECT ON FISH,
WILDLIFE AND HABITAT, OR AN OFFICIAL, DATED RECEIPT / PROOF OF PAYMENT SHOWING PREVIOUS
PAYMENT OF THE DFG FILING FEE FOR THE SAME PROJECT IS ATTACHED:
50.00 COUNTY CLERK FEE REQUIRED
ENVIRONMENTAL IMPACT REPORT PURSUANT TO PUBLIC RESOURCES CODE 6 21152
( ) 2656.75 REQUIRED ($2606.75 STATE FILING FEE AND $50.00 COUNTY CLERK FEE)
( ) A COMPLETED "CEQA FILING FEE NO EFFECT DETERMINATION FORM" FROM THE DEPARTMENT OF FISH &
GAME, DOCUMENTING THE DFG'S DETERMINATION THAT THE PROJECT WILL HAVE NO EFFECT ON FISH,
WILDLIFE AND HABITAT, OR AN OFFICIAL, DATED RECEIPT / PROOF OF PAYMENT SHOWING PREVIOUS
PAYMENT OF THE DFG FILING FEE FOR THE SAME PROJECT IS ATTACHED:
50.00 COUNTY CLERK FEE REQUIRED
NOTE: "SAME PROJECT MEANS NO CHANGES. IF THE DOCUMENT SUBMITTED IS NOT THE SAME (OTHER THAN DATES), A "NO EFFECT
DETERMINATION" LETTER FROM THE FISH AND GAME FOR THE SUBSEQUENT FILING OR THE APPROPRIATE FEES ARE REQUIRED,
4. Other:
. . NO PROJECT SHALL BE OPERATJVE, VESTED, OR FINAL, NOR SHALL LOCAL GOVERNMENT PERMITS FOR THE PROJECT BE VALID, UNTIL THE FILING
FEES REQUIRED PURSUANT TO THIS SEC77ON ARE PAID.' FISH & GAME CODE SECTION 711.4(C)(3)
NOTICE TO BE POSTED FOR DAYS.
THIS FORM MUST BE COMPLETED AND ATTACHED TO THE FRONT OF ALL ENVIRONMENTAL DOCUMENTS LISTED ABOVE
(INCLUDING COPIES) SUBMITTED FOR FILING.
CHECKS SHOULD BE MADE PAYABLE TO: SANTA CLARA COUNTY CLERK -RECORDER.
Board of Supervisors: Donald F. Gage, Blanca Alvarado, Pete McHugh, Ken Yeager, Liz Kniss
County Executive: Peter Kutras, Jr.
01-01-2008
E-14860
City of Cupertino
10300 Torre Avenue
Cupertino, CA 95014
Notice of Exemption
To: County Clerk -Recorder
70 W. Hedding Street, Vt Floor
East Wing—Business Division
San Jose, CA 95110
Project Title: DIR-2008-09
Project Location - (be specific): 21131 Canyon Oak Way
Project Location - (City): Cupertino Project Location - (County): Santa Clara
Description of Project: Director's Minor Modification to add a front entry porch to an existing
two story single family residence in an Planned Residential Development area (Oak Valley)
Name of Public Agency approving project: City of Cupertino
Name of Person or Agency carrying out project: Elaine Lee
Exempt Status: (check one)
— Ministerial (Sec. 21080(b)(1); 15268);
— Declared Emergency (Sec. 21080(b)(3); 15269(a));
— Emergency Project (Sec. 21080(b)(4); 15269(b)(c));
x Categorical Exemption. State type and section number: 15301
_Statutory Exemption. State code number:
Reasons why project is exempt: project is a minor front addition to an existing single family
dwelling in an urbanized setting
Lead Agency
Contact Person: Colin Jung
Signature: `
Area code/telephone number (408) 777-3257
Date: May 29, 2008 Title: Senior Planner
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PLEASE NOTE:
A pre -application conference is required prior to submittal on all
applications. The purpose of the pre -application conference is to
determine if the application is ready for submittal.
Please call your project manager to schedule a time for the review of
your application materials. We suggest you allow enough time prior
to the application deadline to prepare additional information or make
changes in case any are needed.
Please bring this form to the pre -application meeting for a signature.
Include this,form in your application submittal.
licl o Request:
o - v no i r�
Comments:
Signed (planner)
As a part of the application review process, City of Cupertino employees may visit your site in order to take
photographs, slides and/or videotape. These materials may be shown at a city meeting.
Sheet 1 of 10
PRE -APPLICATION FORM
Community Development Department
10300 Torre Avenue (408) 777-3308 / Fax (408) 777-3333
GUPERTINO
I
Cupertino, CA 95014 planning@cupertino.org
http://www.cupertino.org/planning
PLEASE NOTE:
A pre -application conference is required prior to submittal on all
applications. The purpose of the pre -application conference is to
determine if the application is ready for submittal.
Please call your project manager to schedule a time for the review of
your application materials. We suggest you allow enough time prior
to the application deadline to prepare additional information or make
changes in case any are needed.
Please bring this form to the pre -application meeting for a signature.
Include this,form in your application submittal.
licl o Request:
o - v no i r�
Comments:
Signed (planner)
As a part of the application review process, City of Cupertino employees may visit your site in order to take
photographs, slides and/or videotape. These materials may be shown at a city meeting.
Sheet 1 of 10