1998 Notices of Exemption
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City of Cupertino
10300 Torre Avenue
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Notice of Exemption
To: County Clerk
County of Santa Clara
191 North First Street
San Jose, CA 95113
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Project Title: II-U-90 (M)
Project Location - (be specific): 4 Infinite Locp
Project Location - (City):Cupertino
Project Location - (County): Santa Clara
Description of Project: Modification to convert 11.261 square feet of amenitv space to office
space in exchange for 11.261 square feet ofundesignated amenitv space in existing buildings.
Name of Public Agency approving project: Citv ofCuoertino
Name of Person or Agency carrying out project: Apple Computer
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));
'i:. Categorical Exemption. State type and section number Class 3. 1530 I
_ Statutory Exemption. State code number:
Reasons why project is exempt: Reclassification of interior use of existing buildings.
Lead Agency
Contact Person: Ciddv Wordell
Area code/telephone number: (408) 777-3236
Signature:
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Date: Januarv 30. 1998
Title: Citv Planner
FfB 2 7 1998
POSTED ON THROUGH
IN THE OFFICE OF THE COUNTY CLERK
STEPHEN LOV U Y CLERK
B DEPUTY
Inf' :' <1 1998
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City of Cupertino
10300 Torre Avenue
Cupertino, CA 95014
Notice of Exemption
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To: County Clerk
County of Santa Clara
191 North First Street
San Jose, CA 95113
Project Title: l-ASA-98
Project Location - (be specific): 19479 Rosemarie Place
Project Location - (City):Cupertino
Project Location - (County): Santa Clara
Description of Project: To add 90 square feet. remodel the facade and renovate the
landscaping at an existing apartment.
Name of Public Agency approving project: City of Cupertino
Name of Person or Agency carrying out project: Allwest Property Service
Exempt Status: (check one)
_ Ministerial (Sec. 21080(b)(I); 15268);
_ Declared Emergency (Sec. 21080(b)(3); 15269(a));
Emergency Project (Sec. 21080(b)(4); 15269(b)(c));
~ Categorical Exemption. State type and section number: Class 1. 15301.e.l
_ Statutory Exemption. State code number:
Reasons why project is exempt: Proiect will not add 2.500 square feet to existing structure and
is new minor landscaping which will not æsult in the removal of any scenic mature trees. or re-
grade existing features of the land.
Lead Agency
Contact Person: RhyS Rowland Area code/telephone number: (408) 777-3332
Signature: ~ ~~ate:Februarv 2. 1998 Title: Planning Intern
F£B 2 7 1998 ViAR 2 8 1998
POSTEO ON THROUGH
IN THE OFFICE OF THE COUNTY CLERK
STEPHEN lOV UNTY CLERK
BY D puTY
ECiJ07183
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City of Cupertino
10300 Torre Avenue
Cupertino, CA 95014
FEB 2/ 3 >;; ,;:.J ~SJ
Notice of Exemption
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To: County Clerk
County of Santa Clara
191 North First Street
San Jose, CA 95113
Project Title: l-EXC-98
Project Location - (be specific): 10320-10430 S. DeAnza Blyd.
Project Location - (City):Cuoertino
Project Location - (County): Santa Clara
Description of Project: Sign exception to allow 3 ground signs when 2 are allowed in
accordance with Chapter 17.24.100 of the Cupertino Municipal Code.
Name of Public Agency approving project: City of Cupertino
Name of Person or Agency carrying out project: Town Center Associates
Exempt Status: (check one)
_ Ministerial (Sec. 21080(b)(1); 15268);
_ Declared Emergency (Sec. 21080(b)(3); 15269(a));
_ Emergency Project (Sec. 2I080(b)(4); 15269(b)(c));
':J. Categorical Exemption. State type and section number Class 3. 15301
_ Statutory Exemption. State code numbcr:
Reasons why project is exempt: New sign on existing. deyeloped office center.
Lead Agency
Contact Person: Ciddy Wordell
Area code/telephone number: (408) 777-3236
Signature:
(£ ~ ~'''/ (:( )c:1ZA:I// Date:
/
January 30. 1998
Title: City Planner
FiB 2 7 1998 MAR 2 8 1998
POSTEO ON THROUGH
IN THE OFFICE OF THE COUNTY CLERK
S'Lf'HEN V. LOV CO Y CLERK
DEPUTY
EOQ7184
~:: ~ : City of Cupertino
10300 Torre Avenue
FEa L I 3 n ,,: 'SJ Cupertino, CA 95014
Notice of Exemption
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To: County Clerk
County of Santa Clara
191 North First Street
San Jose, CA 95113
Project Title: 2-EXC-98
Project Location - (be specific): 10023 S. De.Anza Blvd.
Project Location - (City):Cupertino
Project Location - (County): Santa Clara
Description of Project: Sign exception to exceed the allowed number of ground and wall signs
in accordance with Title 17 of the Cuoertino Municipal Code.
Name of Public Agency approving project: Citv of Cupertino
Name of Person or Agency carrying out project: Chevron Service Station
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»;
)Q Categorical Exemption. State type and section number Class II 15311
_ Statutory Exemption. State code number:
Reasons why project is exempt: Construction or placement of minor sign on an existing
building.
Lead Agency
Contact Person: Vera Gil
Signature:~fA W '0
FiB 2 7 199, MAR 2 8 1998
POSTEO ON B THROUGH
IN THE OFFICE OF THE COUNTY CLERK
STEPHEN . LO COUNTY CLERK
BY DEPUTY
Area code/telephone number: (408) 777-3251
Date: F ebruarv 4. 1998 Title: Planner IIIHousing
E@07185
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City of Cupertino
10300 Torre Avenue
Cupertino, CA 95014
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Notice of Exemption
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To: County Clerk
County of Santa Clara
191 North First Street
San Jose, CA 95113
Project Title: 3-EXC-98
Project Location - (be specific): 1341 Aster Lane
Project Location - (City):Cuoertino
Project Location - (County): Santa Clara
Description of Project: Fence exception to locate a 6 ft. high fence and 8 y., foot high trellis
within the 20 ft. fiont setback.
Name of Public Agency approving project: City of Cupertino
Name of Person or Agency carrying out project: Wayne Kikuchi - Kikuchi Landscaping
Exempt Status: (check one)
_ Ministerial (Sec. 21 080(b)(1); 15268);
_ Declared Emergency (Sec. 21080(b)(3); 15269(a»;
_ Emergency Project (Sec. 21080(b)(4); 15269(b)(c);
'/... Categorical Exemption. State type and section number Class 3. 15303
_ Statutory Exemption. State code number:
Reasons why project is exempt: Accessory (appurtenant) structures including garages. carports.
patios. swimming pools. and fences.
Lead Agency
Contact Person: Dana Allen
Area code/telephone number: (408) 777-3313
Signature: ~ aeil.£'/Io1/
Date: Januarv 30. 1998 Title: Planning Intern
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City of Cupertino
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Cupertino, CA 95014
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Notice of Exemption
To: n County Clerk
County of Santa Clara
191 North First Street
San Jose, CA 95113
Project Title:
DE ANZA BOULEVARD & STEVENS CREEK BOULEVARD ARTERIAL MANAGEMENT
Project Location - Specific:
WOLFE ROAD
DE ANZA BOULEVARD, STEVENS CREEK BOULEVARD,
Project Location - City: Cupertino
Project Location - County
Santa Clara
Description of Project: UPGRADE OF TRAFFIC CONTROL SYSTEM HARDWARE AND
SOFTWARE. RETIMING OF TRAFFIC SIGNALS.
Name of Public Agency Approving Project: City of Cupertino
Name of Person or Agency Carrying Out Project:
CITY OF CUPERTINO
Exempt Status: (Check One)
o Ministerial (Sec. 21 080(b)( I); 15268);
o Declared Emergency (Sec. 21080(b)(3); 15269(a));
o Emergency Project(Sec. 21080(b)(4); 15269(b)(c»;
g Categorical Exemption. State type and section number: CLASS 1. SECTION 15301 (c) (f)
o Statutory Exemption. State code number:
Reasons wby project is exempt: UPGRADE OF EXISTING FACILITIES ON STREETS
Lead Agency
Contact Person:
RAYMOND CHONG Area CoderrelephoneÆxtension: (408) 777-3240
Signarure:
~ ~ ØDate: r"ß = /ý.Pbfitle: CITY TRAFFIC ENGINEER
ŒSigned by Lead Agency
excmpt/7/95
PES 2 3 199B'
~?~!~D ~¡4 THROUGH MAR 2 4 1998
!~, ,¡k Ol'm;r OF ¡HE ¡:OmHY CLERK
SìEP1if.1j V. lim:, COUNn' Cì.rRK
l1Y.__~\.~ _ DEPUTY
£007118 ¡
NOTICE OF DETERMINATION
Application 29-EA-97 and ll-EXC-97
Ron Dick
At their meeting of January 26, 1998, the Cupertino City Planning Commission
considered a request for a Hillside Exception submitted by Ron Dick.
The project is described as a Hillside Exception to construct a residence on slopes greater
than 30% and an exception to the second story, downhill setback requirement in
accordance with Chapter 19.40.050 of the Cupertino Municipal Code. The project is
located at 11835 Upland WaylLot 2.
The decision of the Planning Commission was to approye said project. The Planning
Commission, by filing a Negative Declaration on January 26, 1998, has determined that
the project will not haye a significant impact upon the environment, and therefore, no
Environmental Impact Report has been prepared.
The Negatiye Declaration has been prepared pursuant to the provisions of State and City
guidelines. A copy of said Negatiye Declaration is ayailable in the Office of the City
Clerk, 10300 Torre Ayenue, Cupertino, California.
~~
Kim Smith
City Clerk
City of Cupertino
FEB'4 1
POSTED ON 998 THROUGH MAR 0 5 1998
IN THE OFFICE OF THE COUNTY CLERK
STEPHEN V..,~NTY CLERK
BY S , DEPUTY
S."ERA
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£007118
California Department ofFish and Game
CERTIFICATE OF FEE EXEMPTION
De Minimis Impact Finding
Project TitlelLocation Name and Address of Project Proponent (include county):
Application No.(s):
Applicant:
Property Owner:
Location:
29-EA-97 and ll-EXC-97
Ron Dick
Ron Dick
11835 Upland Way/Lot 2
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City of Cupertino, County of Santa Clara
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Project Description:
-,
Hillside Exception to construct a residence on slopes greater than 30% and-an:excepti~
to the second story, downhill setback requirement in accordance with Chapfer 19.40.050
of the Cupertino Municipal Code.
Findings of Exemption (attached required findings):
The Planning Commission granted a Negatiye Declaration since the project is consistent
with the General Plan and there are no significant environmental impacts.
Certification:
I hereby certify that the lead agency has made the aboye findings of fact and that based
upon the initial study and hearing record the project will not indiyidually or cumulatively
haye an adyerse effect on wildlife resources, as defined in Section 711.2 of the Fish and
Game Code.
fEB 4 1998 ..~í\ U ~ \99&
POSTED ON THAOltGH
IN THE OFFICE OF THE COUNTY CLERK
STEPHEN)I. ~O'E. COUNTY CLERK
BY :¿ ~ J-ß\ DEPUTY S. VERA
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(Chief Planning 'Official)
Title: Director of Communitv Development
Lead Agency:Citv of Cupertino
Date: Januarv 26. 1998
g:/planningÆRC/CertFeeEx
To: 0
CONfOBM.I;D COPY: This document has
not beGn compared with the original. 11 870 OD 3 .
SANTA CL~A C;OUI~T, RECORut:ti
Office of Planning and Research ~/" From: (Public Agency) Ci ty of Cupert ino
1400 Tenth Slreet, Room 121 ~~' V 10300 Torre Avenue
Sacramento, CA 95814 0 ' (Mtfrm)
\\" Cupertino, Calitornia 95014
.
.Notice of Exemption
Cì:
County Clerk
County of Santa Clara
Project Title:
Stevens Crepk Rlvrl
'!f";@construct.inn
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Project Location· Specific:
Stevens c'rpPk Rlvrl
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NO FEE IN ACC.Or<öAI4C1!:
WITH SOV COD&: 6103
t.o St:prn Avpnl1P
Project Location· City: c'lIpprtino Project Locatlon·County: C:;"nt" r.l"r"
Descrlptlol1ofProject: Roadway reconstruction including: asphault overlay,
construction of eleven bus turnouts, striping of new bike lanes, and
detectors, park and ride lot. new sidewalks. install new traffic
.. ....
siina1 int:erconnpct. Rampl ing rlptpr..tnr~ Ant1 ~l1rv¡:li 11 Anl"P l"_::ImørA('
Name of Public Agency Approving Project: Ci ty of Cupertino
Name of Person or Agency Carrying Out Project: Ci ty of Cupertino
Exempt Status: (check one)
o Ministerial (Sec. 21080(bX1); 15268);
o Declared Emergency (Sec. 2108O(b)(3); 15269(a»;
o Emergency Project (Sec. 21080(b)(4); 15269(b)(c»; ,,' ,
Q Categorical Exemption. State type and section number: 15301 ( c), 15306, 15304 (h), 15302
o Statutory Exemptions. State code number:
Reaso~swhyprojectlsexempt: Improvements will not result in an expansion 'of II"P,
no standes) of trees will be removed. FOllr innivirhl"l
t-r¡:lpQ ~t- ,,~r;nllC!
.
locations will be removed, subject to obtaining a tree removal permit.
Lead Agency
COntact Person:
Carmen Lynaugh
Area CodelfelephonelExtension:( 408) 252-4505 x2l5
If liIed by applicant:
1. Attach certified docwnent of exempûon finding.
2. Has a Noûce of Exempûon been filed by the public agency approving the project? 0 Yes
Signature: W ~
~gned by Lead Agency
o Signed by Applicant
,oNo
Date: (~ '''¡fI1'1!> Tille: ~ ~ ~
Date received for fùing at OPR:
R evi..d October J 989
FOR FAST ENDORSEMENT
. 243
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.Notice of Exemption
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To: D
Office of Planning and Research
1400 Tenth Street. Room 121
Sacramento, CA 95814
( r: 1.,.i . I' '.), ~~\ \~-_ () )
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From: (Public Agency) ." Ci ty of
10300 Torre AV~~J
Cuper~n~ daIffi-e-?rl'la
Cupertino
95014
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County Clerk
County of Santa Clara
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NO FEE IN ACCORDANCE
W1TH 60V COD&: 6t08
,Project Title: Stevens Creek R1vn ;r.econstruction
ProJect Location-Specific: Stevenf< Crppk R1vn p"rpnn;ng from c;rol'í;n¡l,i.,;Ro~d
to Stern AvpnllP
Project location· City: Cupprt; no Project Location· County: c;"nr" r."'r"
Description of Project: Roadway reconstruction including: asphault overlay,
construction of eleven bus turnouts; striping.of new bike lanes, and
detectors, park and ride lot. new sidewalks. install new traffic
. ¡ ~ '.
signal interconnect f<amp1 ing dpl'p~torf< "nn f<lIrvp; 11 "n,"p ,""mpr""
Name of Public Agency Approving Project: Ci ty of Cupertino
Name of Person or Agency Carrying Out Project: Ci ty of Cupertino
Exempt Status: (check one)
D Ministerial (Sec. 21080(b)(1); 15268);
D Declared Emergency (Sec. 2108O(b)(3); 15269(a»;
D Emergency Project (Sec. 21080(b)(4); 15269(b)(c»;
QCategoricalExempúon. Slate typcand sccúon number: l530l(c), 15306, l5304(h). 15302
D Slatutory Exempúons. Slate code number:
Reasof!swhyproJectlsexempt: Improvements will not result in an exp"nf<ion 'of IIf<P,
no stand(s) of trees will be removed
Four innivinl1"l
trpp!:: .:=It" \T::1rin119
.
locations will be removed, subject to obtaining a tree removal permit.
Lead Agency
Contact Person:
Carmen Lynaugh
Area Codeffelephone/Extension:( 4 08) 252 - 4 505, x 215
If filed by applicant:
1. Attach cerúfied document of exempúon finding.
2. Has a Noúcc of Exempúon been filed by the public agency approving the project? DYes
Signature: W ~
~gned by Lead Agency
D Signed by Applicant
DNo
Date: ~ '~{l'1q!> Title: ~ ~ ~
Date received for riling at OPR:, ..., OF _
III:CISTEREO TIll TME O""I...~ . n..
é1.ERI\PfuTHE ~OUti,\Y?F SANTA
CL~'91 I IY'1~ DAY OF .JUN t
'8
~.a... ....
-
~y~~tober 1989
'. 243
(it't of ("reMinD
10300 Torre AvenJJe
Cupertino, CA 95014-3255
Telephone: (408) 252·4505
fAX: (408) 252-0753
DEPARTMENT Of THE CITY CLERK
May 13, 1993
County Clerk's Office
Attn.: Business Diyision
191 North First Street
San Jose, CA 95113
NOTICE OF EXEMPTION
Enclosed are the Enyironmental Declaration and the original and two (2) copies of the
Notice of Exemption for Steyens Creek Bouleyard reconstruction. After affixing your
stamp to a copy of the aforesaid Notice, please return same in the enclosed stamped, self-
addressed envelope.
Sincerely
~ {;/-v;"-LLu_,,~
'~
DOROTHY CORNELIUS, CMC
CITY CLERK
encls.
19 1 Nonh Flrsl Street
San Jose. california 951 13
(400) 299-2968
ft\mt±n (fL!arU (fLaunt\!
~ttinr (fLnurt
Office of the County Clerk
*KNVrRONMENTAI. DKCIJ\HAT10N
: FOR COURT USE ONLY
NAME OF LEAD AGENCY:
City of Cupertino
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¡FILING NO.
NAME OF APPLICANT:
City of Cupertino
(Stevens Creek Blvd. reconstruction)
CLASSIFICATION OF ENVIRONMENTAL DOCUMENT:
1. [ ) NOTICE OF PREPARATION
- NO FEE -
2. [xx) NOTICE OF EXEMPTION/STATEMENT OF EXEMPTION
- NO FEE -
3. NOTICE OF DETERMINATION
[ ) A - NEGATIVE DECLARATION PURSUANT TO SECTION 21080(C)
OF THE PUBLIC RESOURCES CODE
$1,250.00 (Twelve Hundred Fifty Dollars) - STATE
FILING FEE
$25.00 (Twenty-five Dollars) - CLERK FEE
[ ] B - CERTIFICATE OF EXEMPTION DE MINIMIS IMPACT FINDING
- NO FEE -
4. NOTICE OF DETERMINATION
[ ) A - ENVIRONMENTAL IMPACT REPORT PURSUANT TO SECTION
21152 OF THE PUBLIC RESOURCES CODE
$850.00 (Eight Hundred Fifty Dollars) - STATE
FILING FEE
[ ] B - CERTIFICATE OF EXEMPTION DE MINIMIS IMPACT FINDING
- NO FEE -
_""._",,, ""-,'" *THIS FORM MUST BE COMPLETED AND FILED WITH ALL ENVIRONMENTAL
DOCUMENTS FILED WITH THE SANTA CLARA COUNTY CLERK-S OFFICE.
MAKE CHECKS PAYABLE TO: COUNTY CLERK 5)
1EVISED 6/91
·Notice of Exemption
To: 0
Office of Planning and Research
1400 Tenlh SlIcet. Room 121
Sacramento. CA 95814
From: (Public Agency) Ci ty of
10300 Torre Avenue
(MdrUl)
Cupertino, Calítornia
Cupertino
Dc
County Clerk
County of Santa Clara
95014
NO FEE IN ACCORDANCE
wtTH 60V CODIt 5108
,Project Title: Stevens Cri'!i'!k Rlvil ;r.econstruction
Project Location-SpecIfic: Sti'!ven" Crpi'!k Rlvil pyt-pniling frnm C:;t-ørl;n~.,Ro~d
to Stern AvpntlP
Project Location· City: CtlpprHnn Project Location· County: C:;"nt-" r.l "r"
Description of Project: Roadway reconstruction including: asphault overlay,
construction of eleven bus turnouts, striping_of new bike lanes, and
detectors. park and ride lot. new sidewalks. install new traffic
sienal interconnect ~ampl in~ cipt·pC:tnr~ :1nrT ~lIrvpi 11 ::1"("':::' ("::Im,:::.r~q
Name of Public Agency Approving Project: City of CUpert ino
Name of Person or Agency Carrying '':>ut Project: Ci ty of Cupertino
Exempt Status: (check one)
o Ministeria! (Sec. 21080(bX1); 15268);
o Declared Emergency (Sec. 2108O(b)(3); 15269(a»;
o Emergency Project (Sec. 21080(b)(4); 15269(b)(c»;
QCategoricaJExemption. State type and section number: l530l(c), 15306, l5304(h). 15302
o Statutory Exemptions. State code number:
Reas0ris whyprolect Is exempt: Improvements will not result in an i'!xpan"ion 'of tI"p,
no standCs) of trees will hi'! removi'!iI. Four iniliviiltl"l
trpf'#:I. At U::Irin1lQ
.
locations will be removed, subject to obtaining a tree removal permit.
Lead Agency
Contact Person:
Carmen Lynaugh
Area Code{felephone/Extension:(408) 252- 4 50 5 x2l5
If filed by applicant:
1. Attach certified document of exemption finding.
2. Has a Notice of Exemption been filed by tl1e public agency approving the project? 0 Yes 0 No
Signature: \2J..j-~ Date: ~ ,,;¡tj,,~ Title: ~ ~ ~
~gned by Lead Agency Date received for filing at OPR:
o Signed by Applicant
Revised October 1989
. 243
Ctt\t of C"pc.......
City 01 Cupe,tino 10300 Torr. Av.....
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To: kO\::V.JZv
F.-: ~td\fÞ../
~: 'ktLCyv.cDì(y)
Cupertino. California 95014
(408) 252- 4505
Date: If !z,!c 1:J
V\,el1flC yp(fY & ,) (\·c/ (e,yd.,I\L ,cI.h\ ch«A VI 01',,(
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Cine of C14f'et'tif1o
10300 Torre Avenue
Cuperfino, CA 95014-3255
Telephone: (408) 252-4505
FAX: (408) 252-0753
DEPARTMENT OF THE CITY ClERK
April 5, 1993
Laurie Kane
Office of the Recorder
70 West Hedding Street
San Jose, CA 95129
DOCUMENT FOR RECORDATION
Will you please record the enclosed docwnent as follows:
Notice of Exception - Steyens Creek Boulevard Reconstruction
We have enclosed the original and one copy for fast endorsement A stamped addressed
envelope is enclosed for your convenience.
cc: Community Development
.'
~otice of Exemption
To: D
Office of Planning and Research
1400 Tenth SCreet, Room 121
Sacramento, CA 95814
From: (Public Agency) C i t Y 0 f
10300 Torre Avenue
. (ðdfJuss)
CupertIno, Calltornia
Cupertino
[i
County Clerk
County of Santa Clara
95014
ProJect Title: Stevens Creek R]vrl ;reconstruction
ProJect Location-Specific: StevenR Crpek R]vrl pvtpnrling from c;t..JHng Road
to Stp.:rn AvpntlP
Project Location - City: Cllpprt i no Project Location· County: c;"nt" r.1 ",."
Descrlptlono!Project: Roadway reconstruction including: asphault overlay,
construction of eleven bus turnouts, striping of new bike lanes, and
detectors, park and ride lot, new sidewalks. install new traffic
., ".
signal interconnect Ramp 1 i ng rlptpctorR ,!OrI Rllrvpi]] "n...p "'''mp"" "
Name of Public Agency Approving Project: City of Cupertino
Name of Person or Agency Carrying Out Project: Ci ty of Cupertino
Exempt Status: (check one)
D Ministerial (Sec. 21080(b)(1); 15268);
D Declared Emergency (Sec. 2108O(b)(3); 15269(a»;
D Emergency Project (Sec. 2108O(b)(4); 15269(b)(c»;
QCategoricaIExemption. Suue type and section number: 15301(c), 15306. 15304(h), 15302
D Statutory Exemptions. State code number:
Reaso,,~whyprOjectlsexempt: Improvements will not result in an exp"nRlon of ""P,
no standes) of trees will be removpd. FOllr inrlivirl",,]
t-rpPQ tit- "~'r;n11C!
.
locations will be removed, subject to obtaining a tree removal permit.
Lead Agency
Contact Person:
Carmen Lynaugh
Area Codelfelephone/Extension:( 408) 252-4505 x215
Ir filed by applicant:
1. Attach certified document of exemption finding.
2. Has a Notice of Exemption been filed by the public agency approving the project? DYes
Signature: lli ~
,DNo
~gned by Lead Agency
D Signed by Applicant
Date: ~ '''Ifliif~ Title: ~ ~ ~
Date received for fIling at OPR:
Revised October /989
. 243
"