HomeMy WebLinkAboutReso 1995-18060
~ çOMrLETE TIllS INFORMATION. DOC" 1996-0539220
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CKICAGO TITlE CO, SAM DIEGO COUNTY RECOROfR'S OFFICE
1640 GREGORY SMITH, COUHTY RECORDER
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(Additional recording fee applies)
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1641
RESOLUTION NO. 18060
A RESOLUTION OF THE CITY COUNCIL OF THE CITY OF CHULA
VISTA GRANTING A CONDITIONAL USE PERMIT, PCC-95-47,
TO KOBEY'S CHULA VISTA MARKETPLACE, LLC., TO OPERATE
AN OPEN AIR MARKET AT THE SOUTHWEST QUADRANT OF
OTAY VALLEY ROAD AND OTAY RIO ROAD
I. RECITALS
A. Project Site
WHEREAS, the parcel which is the subject matter of this resolution is
diagrammatically represented in Exhibit A attached hereto and incorporated herein by
this reference. and commonly known as the Otay Rio Business Park, and for the
purpose of general description herein consists of 72.5 acres of land located at the
southwest quadrant of Otay Valley Road and Otay Rio Road and in the western-most
parking lot of the proposed MCA Amphitheater ("Project Site"l. the principal land use;
and
B. Project Applicant
WHEREAS. on May 23, 1995 a duly verified application for a conditional use
permit (PCC-95-47) was filed with the City of Chula Vista Planning Department by
Bitterlin-Brice Development Partners for Kobey's Chula Vista Marketplace. LLC.,
("Applicant"l; and
C. Project Description; Application for Conditional Use Permit
WHEREAS. Applicant requests permission to operate an open air market
("Project") on the Project Site as a secondary use to the principal land use as the MCA
Amphitheater; and
WHEREAS. an Environmental Impact Report was determined necessary and
prepared for the Project a Draft of which was made available for public review and
public comments were received and responded to in accordance with CECA; and
D. Public Forum Record on Application
WHEREAS. a public forum was held on June 22, 1995 for area residents to
introduce to them the proposed land use and its impacts; and
E. Resource Conservation Commission Record on Application
WHEREAS. the Resource Conservetion Commission considered EIR-95-03 on
July 10, 1995 and voted 4.1 to accept its adequacy; and
Resolution No. 18060 1642
Page 2
F, Planning Commission Record on Application
WHEREAS, the Planning Commission held an advertised public hearing on the
Project on September 6, 1995 and voted 6-0-1 to recommend that the City Council
approve the Project in accordance with Planning Commission Resolution PCC-95-47B;
and
G. City Council Record of Application
WHEREAS, duly called and noticed public hearings on the Project were held
before the City Council of the City of Chula Vista September 26, 1995, October 3,
1995, October 17. 1995 and November 7,1995 to receive the recommendation of the
Planning Commission, and to hear public testimony with regard to same.
WHEREAS, at such public hearing the City Council evaluated the Conditional
Use Permit application and public testimony for the project and certified EIR 95-03.
NOW, THEREFORE BE IT RESOLVED that the City Council does hereby find, determine and
resolve as follows:
II. PLANNING COMMISSION RECORD
The proceedings and all evidence on the Project introduced before the Planning
Commission at their public hearing on this project held on September 6, 1995, and the
minutes and resolution resulting therefrom, are hereby incorporated into the record of this
proceeding.
III. CERTIFICATION OF COMPLIANCE WITH CEQA
The City Council hereby aljopts and incorporat'ls herein all findings, determinations and
resolutions set forth in Resolution No. 18057 of the City Council certifying EIR-95-03.
IV. CECA FINDINGS
A, Adoption of Environmental Impact Report Findings - After its independent
review, the Council does hereby approve, accept as its own, and incorporate as if set
forth full herein. and make each and everyone of the CECA Findings 8S found in
Environmental Impact Report, EIR-95-03.
B. Adoption of the Mitigation Monitoring Program - The City Council hereby adopts
and incorporates herein the Mitigation Monitoring and Reporting Program ("Program")
set forth in EIR-95-03 and finds that the Program is designed to ensure that during the
project implementation and operation, the Applicent and other responsible parties
implement the project components and comply with the feasible mitigation measures
identified in the CECA Findings and in the Program.
C. Statement of Overriding Considerations - Even after the adoption of all feasible
mitigation measures and any feasible alternatives, certain significent or potentially
significant environmental effects caused by the Project, or cumulatively, will remain.
..------ ~ ----------
Resolution No. 18060
Page 3
1643
Therefore, the City Council of the City of Chula Vista hereby issues, pursuant to CECA
Guidelines Section 15093, the Statement of Overriding considerations in identifying
the specific economic, social and other considerations that render the unavoidable
significant adverse environmental effects acceptable. The City Council further finds
that the Statement of Overriding Considerations has been prepared in accordance with
the requirements of the California Environmental Quality Act, the State EIR Guidelines,
and the Environmentel Review Procedures of the City of Chula Vista.
V. INCORPORATION OF ALL FEASIBLE MITIGATION MEASURES
The City Council does hereby adopt and incorporate herein as conditions for all
approvals herein granted by this Conditional Use Permit all mitigation measures identified by
EIR-95-03 for the open air market which it has determined therein to be feasible.
VI. CONDITIONAL USE PERMIT FINDINGS
The City Council of the City of Chula Vista does hereby make the findings required by
the City's rules and regulations for the issuance of conditional use permits, as hereinbelow
set forth, and sets forth, thereunder, the evidentiary basis that permits the stated findings to
be made,
A. That the proposed use at the location is necessary or desirable to provide a
service or facility which will contribute to the general well being of the neighborhood
or the community.
The proposed open air market is desirable in that it will provide a needed service not
otherwise easily accessible to residents of southern Chula Vista by making available
a place where they can purchase a wide array of new and used needed personal,
household and business items at economical prices.
B. That such use will not under the circumstances of the particular case, be
detrimental to the health, safety or general welfare of persons residing or working in
the vicinity or injurious to property or improvements in the vicinity.
The operational plan of the proposed open air market indicates that traffic going to or
coming from the market at the Project Site will not have negative impacts to the
health, sefety or general welfare of persons residing or working in the vicinity or be
injurious to property or improvements in the vicinity in that the arrival and departure
of vendors and shoppers will be spread throughout the day, thus not causing
congested roadways. At present, lands within the City of Chula Vista surrounding the
Project Site are undeveloped.
C. That the proposed use will comply with the regulations and conditions specified
in the code for such use.
Conditional Use Permit PCC-95-47 is conditioned to require the permittee and property
owner to fulfill conditions and to comply with all the applicable regulations and
standards specified in the Municipal Code for such use,
--.------ .-------
l644
Resolution No.1 8060
Page 4
The conditioning of PCC-95-47 is approximately proportional both in nature and extent
to the impact created by the proposed development in that the conditions imposed are
directly related to and are of a nature and scope related to the size and impact of the
project.
D. That the granting of this conditional use permit will not adversely affect the
general plan of the City or the adopted plan of any government agency.
The granting of PCC-95-47 will not adversely affect the Chuta Vista General Plan in
that seid Project is proposed to be operated on a site already partially developed.
containing public facilities (water, sewer, etc,), and which is proposed to be developed
as an amphitheater, said proposed open air market conforming with the General Plan
in that this conditional use permit has been properly executed and duly adopted,
VII. TERMS OF GRANT OF PERMIT
The City Council hereby grants Conditional Use Permit PCC-95-47 subject to the
following conditions whereby the Applicant, open eir market operator and/or property owner
shall:
Plannino DeDartment/Environmental
A. Comply with all applicable Mitigation Measures identified in EIR-95-03 and in
the Mitigation Monitoring and Reporting Program, as determined by the Environmental
Review Coordinator.
B, Only after construction and occupancy of the MCA Amphitheater, implement
the Project as submitted to and approved by the City, except as modified herein and/or
as required by the Municipal Code.
C. Not allow the storage of any temporary structures on-site during non-business
hours or the construction of any permanent structure or enclosure for the open air
market, except as otherwise outlined in the following paragraph, or unless a
modification to this conditional use permit and the design review apprDval is submitted
to and approved by the Zoning Administrator. (Note: It is anticipated that a permanent
storage enclosure or structure will be established on-site provided all issues regarding
location, aesthetics and the maintenance of adequate parking and circulation can be
resolved to the satisfaction of the Zoning Administrator,)
D. Consistent with CVMC. Section 19.58.3708. request that the Zoning
Administrator grant, in conjunction with the open air market, up to six (6) permits per
year not to exceed twenty-four (24) days in any calendar year, but not exceeding
seven (7) consecutive devs, for events which would allow the open air market to
maintain temporary displays end facilities on the site for the duration of the event. The
permit shall be submitt~d for review at least thirty (301 days prior to the
commencement of the event, and shall include all plans, exhibits. and operational
information deemed necessary by the Zoning Administrator in order to properly
evaluate the request, render a decision, and apply any necessary conditions. All costs
..-.."------ -------------~..._-"
Resolution No. 18060
Page 5
1645
associated with any requests made pursuant to CVMC, Section 19,58.370B shall be
paid by the Applicant and/or open air market operator,
E. Limit the public hours of operation of the open air market to the hours between
7:00 a,m. and 4:00 p.m. Saturdays and Sundays; but in every instance all structures,
equipment and activities associated with the open air market other than approved
permanent storage facilities or fencing shall be cleared from the site by 7:00 p.m.
F. After one year of operation after the opening date for sales and if Applicant so
desires, request from the City Council a modification of the Conditional Use Permit to
allow extension of the days to include Thursdays and Fridays, and expansion from 1 50
to 300 vendors to 750 to 1,000 vendors, The City Council may approve, deny or
modify the extension and expansion request, All costs associated with any
modification to this Conditional Use Permit shall be paid by the Applicant and/or
operator of the open air market. Any modifications may also require additional
environmental review, which costs shall also be borne by the Applicant and/or operator
of the open air market,
G, For the life of the open air market, review the consistency of actual operations
with the operational parameters considered in the Environmental Impact Report and
Conditional Use Permit with the Zoning Administrator, Police Department. Fire
Department and Public Works Department on the anniversary date after the opening
of operations. Said review shall be initiated by a report prepared by the open air
market operator to the Zoning Administrator which shall address such issues as traffic
impacts, adequacy of parking, ingress/egress, hours of operation, coordination with
amphitheater operations, etc. The Zoning Administrator shall. at his/her sole
discretion, determine whether or not the operations are materially consistent with the
nature and intensity of the operational parameters used to evaluate the project in the
Environmental Impact Report and Conditional Use Permit, If the operational profile is
deemed inconsistent and more impactive than originally expected, the Zoning
Administrator may require review and/or modification of conditions via additional
environmental review and/or a formal modification to the Conditional Use Permit. All
costs associated with the drafting and review of this report shall be paid by the
Applicant and/or open air market operator.
Police DeDartment
H. Prior to opening for operations, schedule a security survey with the Chula Vista
Police Department, Crime Prevention Unit, and implement the suggestions of said
survey in order to enhance security. Notwithstanding the implementation of the
security survey. in the event crime and/or security becomes a problem, as indicated
by increased crime reports filed with the Chula Vista Police Department related to the
open air market, Applicant shall retain, at Applicant's expense, a company who shall
prepare a crime reduction/security prevention report for the operation of the open air
market, to the satisfaction of the Chief of Police. Said report shall address issues
specified by the Chief of Police. and shall include recommendations to enhance
security and reduce crime. Said recommendations shall be implemented to the
satisfaction of the Zoning Administrator and the Chief of Police.
...._---.._---_..~--_.._--- ----
Resolution No. 18060 1646
Page 6
Fire Deoartment
I. Comply with and implement all requirements of the Fire Marshal as related to
conforming with the Uniform Fire Code and applicable Municipal Code reQuirements,
J. In consultation with and to the satisfaction of the Fire Marshall, develop and
implement a Pre-fire and Emergency Medical Plan for emergency services during
business hours. Said plan may require the posting of at least one paramedic unit at
the open air market during operating hours and the backfilling of seid unit if it is called
upon to transport patients, or the establishment of a first aid station. Said plan may
also provide for training of market personnel in basic firefighting and first aid, All costs
associated with the development and implementation of a Pre-fire and Emergency
Medical Plan shall be paid by the Applicant and/or open air market operator.
Buildina and Housina Deoartment
K. Comply with and implement all requirements of the Director of the Building and
Housing Department as related to conforming with the Uniform Building Code.
L. Comply with and implement all provisions related to Title 24 (Part II), Disabled
Access, to the satisfaction of the Director of Building and Housing.
Finance Deoartment
M. Prior to obtaining a business license from the City of Chula Vista for operating
an open air market, cooperate with the Business License Officer in order to develop
and implement a tax collection/business license issuance plan, to the satisfaction of
the Director of Finance. All costs associated with the development and
implementation of a tax collectionfbusiness license issuance plan shell be paid by the
Applicant and/or open air market operator.
School Districts
N. Prior to opening for operations, pay all applicable fees to the Chula Vista
Elementary School District and Sweetwater Union High School District, or participate
in alternative financing mechanisms, to the satisfaction of each respective school
district.
Miscellaneous Conditions of AoDroval
O. In consultation with the operators of the MCA Amphitheater, vacate the
proparty early enough before all amphitheater events so as not to cause conflicts in
traffic movements or inadequate parking capacity.
P. Comply with all City ordinances, standards, and policies except as otherwise
provided in this Resolution. Any violation of City ordinances, standards, and policies,
or of any condition of approval of this Conditional Use Permit, or of any provision of
the Municipal Code, as determined by the Director of Planning, shall be grounds for
revocation or modification of this Conditional Use Permit by the City of Chula Vista.
Resolution No. 18060
1ð47 Page 7
Q, Pay all processing and development impact fees applicable to the Project unless
otherwise agreed by the City.
R. This permit shall remain in effect for a period of five (5) years commencing with
the date that Applicant/operator opens for business under this permit. Upon the
expiration of this five-year period, this permit shall become null and void unless
Applicant/operator shall apply in writing for and obtain approval of a renewal of this
permit from the City's Zoning Administrator, subject to appeal to or review by the City
Council, and whatever additional terms and conditions which may be imposed by the
Zoning Administrator and/or the City Council. Applicant/operator acknowledges and
agrees that a five-year term for this permit is sufficient to allow Applicant/operator to
reasonably recover its investment into the business activity permitted hereby. All fees
associated with the renewal request shall be paid by the Applicant, open air market
operator or property owner,
Citv Attorney
5, This permit shall be subject to any and all new, modified or deleted conditions
imposed after approval of this permit to advance a legitimate governmental interest
related to health, safety or welfare which the City shall impose after advance written
notice to the Permittee and after the City has given to the Permittee the right to be
heard with regard thereto, However, the City, in exercising this reserved
right/condition, may not impose a substantial expense or deprive Permittee of a
substantial revenue source which the Permittee can not, in the normal operation of the
use permitted, be expected to economically recover.
T. This conditional use permit shall become void and ineffective if not utilized or
extended within one year from the effective date thereof, in accordance with Section
19.14.260 of the Municipal Code,
U. City retains the right to suspend Applicant/operator's use of the site as
permitted hereby (or a portion thereof) upon 45 days prior written notice to
Applicant/operator in the event that City desires to utilize the site for a public and/or
non-profit purpose that reasonably requires cessation of Applicant/ operator's use.
City's rights under this provision shall be exercised in accordance with Section 11.2
of the City's Sublease with MCA Concerts, Inc. City agrees that City shall not
suspend Applicant/operator's use hereunder greater than six (6) times per calendar
year with no two suspensions occurring on consecutive weeks,
VIII. EXECUTION AND RECORDATION OF RESOLUTION OF APPROVAL
The property owner and the applicants shall execute this document by signing the lines
provided below, said execution indicating that the property owner and applicant have each
read, understood and agreed to the conditions contained herein. Upon execution, this
document shall be recorded with the County Clerk of the County of San Diego. at the sole
expense of the property owner and/or applicants. and a signed, stamped copy returned to the
Planning Department. Failure to return a signed and stamped copy of this recorded document
within thirty days of recordation to the Planning Department shall indicate the property
~ --~----~- ~ ---, -----'--'-'-
Resolution No. 18060 164b
Page 8 -,
desire that the project, and the corresponding application for building
siness license. be held in abeyance without approval.
..e. ( ~ 'ZJ+ \ '\ \.,
Signature a( Property Qwner L..... s p¡.....,~~s- c&.""-<i!"""Y 3" Date
r)/ 'k
/' ,/ "7--/ ./1.
l /J-L... .!/,~L"-<--' (('. "/1(.
Signature of Representative of Date
Bitterlin-Brice Dev~tners 't - '?"- f"
~Q~~.
Signature of Representative of Date
Kobey's Chula Vista Marketplace, LLC.
IX. NOTICE OF DETERMINATION
The City Council directs the Environmental Review Coordinator to post a Notice of
Determination and file the same with the County Clerk,
X. INVALIDITY; AUTOMATIC REVOCATION
It is the intention of the City Council that its adoption of this Resolution is dependent
upon the enforceability of each and every term, provision and condition herein stated; and
that in the event that anyone or more terms, provisions or conditions are determined by a
Court of competent jurisdiction to be invalid, illegal or unenforceable, this resolution and the
permit shall be deemed to be automatically revoked and of no further force and effect Jib.
initio,
Presented by Approved as to form by
z¿¡!Í. ~ ----/. ..-- -'-
~~~~;~;~~f ~, ~)~~' ~-
Robert A, Leiter
Director of Planning . City Attorn,y , I,
"'--~---~/ \ . ----,-- ',,------..-,"
Resolution No. 18060
1649 Page 9
EXHIBIT A
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LEGEND:
~TS .", 6£ VACATED
LOT NIIII.CftS
':.:L;~.!__- "HI EXHIBIT "1X.f
DATI 1.'...0
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Resolution No. 18060 16JO
Page10
PASSED, APPROVED, and ADOPTED by the City Council of the City of Chula Vista,
California, this 7th day of November, 1995, by the following vote:
AYES: Councilmembers: Alevy, Moot, Padilla, Rindone, Horton
NAYS: Councilmembers: None
ABSENT: Councilmembers: None
ABSTAIN: Councilmembers: None
~~
Shirl Horton, Mayor
ATTEST:
'&iJ A~'~£~
STATE OF CALIFORNIA )
COUNTY OF SAN DIEGO ) 55.
CITY OF CHULA VISTA )
I, Beverly A. Authelet, City Clerk of the City of Chula Vista, California, do hereby certify that
the foregoing Resolution No. 18060 was duly passed, approved, and adopted by the City
Council at a regular meeting of the Chula Vista City Council held on the 7th day of November,
1995.
Executed this 7th day of November, 1995.
-------. ------ ,----
1651
CALIFORNIA ALL-PURPOSE ACKOWLEDGEMENT
State of California I
County of San Diego )
On ~1-,\~ ~~~.~{i~~Oderauist, Deoutv Citv Clerk.
I
personally appeared Opersonally known to me - OR ~roved to me on the basis of satisfactory evidence to
be the person(s) whose name(s) is/are subscribed to
the within instrument and acknowledged to me that
he/she/they executed the same in his/her/their
authorized capacity(ies) , and that by his/her/their
signature(s) on the instrument the person(s), or the
entity upon behalf of which the person(s) acted,
executed the instrument,
"
WITNESS my hand and official seal.
\\,,~. \" ~~:..
OPTIONAL
Though the data below is not required by law, it may prove valuable to persons relying on the document and
could prevent fraudulent reattachment of this form.
CAPACITY CLAIMED BY SIGNER DESCRIPTION OF ATTACHED DOCUMENT
~ Individual ~ \"ij)bb
Corporate Officer
Title or Type of Document
TitieCs}
0 Partners(s) 0 Limited
0 General Number of Pages
0 Attorney-In-Fact
0 Trusteels) \\\:,\cr:
0 G uardian/Conservator
0 Other: Date of Document
SIGNER IS REPRESENTING:
Nome of Parson!s) or Entity(iee¡ Signer(sl Other Than Named Above
-----, .. ------- ..-----
1652
State of California RIGHT THUMBPRINT IOptIon.oQ
County of Orange CJ
!
~
On 09/24/96 before me, Manuerite Sandoval ~
IOAT" INAM'/TITlE OF OFFlCER,i..."'N' 00'. NOTARY P\JIUC" ~
personally appeared Neville Pearson
INA",ElSi OF SlGNERISIi
CAPACITY CLAIM'O BY IIGNER.B)
oINOIVIOUALIS,
OCORPORATE
~ personally known to me -QR- 0 proved to me on the OfFICERIS! "".....
basis of satisfactory D'ARm'RIS, DUMITEO
evidence to be the oGENERAL
person(s) whose name(s) oATTORNEY" FACT
Is/are subscribed to the OTRUSTEEtS}
within instrument and DGUARDIAN/CDNSERVATOR
acknowledged to me that DOTHER
he/she/they executed the
same in his/her/their
authorized capacity(ies), B'GNER IS REPRESENTING:
and that by his/her/their IN.... D'PoI'Dnl" DIEnthr.""
signature(s) on the
instrumentthe person(sl.
or the entity upon behalf
of which the person(s)
acted, executed the
instrument. RIGHTTHUMBPRfiT IOptlonolJ
-------------_____Witness my hand and official seal. U!
í,-.-- MARGUERITE SANDOVAL! ¡
N COMM.t1096417! !
~ !f TAI\YPUlllJC.~FOANI~ ~ ~ ~
~' QRANOECOUNTV YlM' '~
:._-~-~~~!,~__r ~ (SIGNATURED NOTARY)
CAPACITV ClAIMEO IVSI""ERIS,
DINOIVIOUALIS,
DCORPORATE
ATTENTION NOTARY
OFFiCERISI ~
The information requested below and in the column tG the riQht is OPTIONAL. "",n¡
Recording of this document is not required by law and is also optional.
It could, however. prevent fraudulent altachment of this certificate to anv oPARTNERISI DlIMITED
unauthorized document. DGEN'RAL
DATTORNEV IN FACT
THISCERTIFtCATE _.,TypeD/Document Resolution 18060 ol"RUSTEElS!
MUST BE ATTACHED DGUARDIAN/CDNSERVATOR
TD THE DOCUMENT NumberDt'.... _0"'. of 0.."""", 11/7/95 oOTHER,
OESCRiBEO AT RIGHT,
s;g~rl,1 Othol Than N.mad Aba"" -~ -' --~
SIGNER IS REPRESENTING,
IN.... of Po""nl-' 01 Ent.ylie"
WOLCOTT' FO'" 13,.0 .... .'.. '..i~ -- "'AI C>, ... WOLCOTTS FO""S, INC.
AU. PU"OSE AC,NOWLEOO",ENT WITt! SIGN," CAPACITYIRE..ESENTATIONITWO RNG""""NTS
7 ~111~~tIJ~lml~ 8
, _.,-,--,---,------,-,---------~.
1653
CAUFORNIA ALL-PURPOSE ACKNOWLEDGMENT
~.z2d; ,::Z2Z:':<?:Z;-;;Ø~;<:<:~-'Zx.;;-;<:;; - ;2:?"¿~=:;-"?'¿¡>...ê'B?~.G.= ~
State ~f (q I, 1'0 r 111 ('1
County of S"Q¡l /)¡ f!J (>
On íD-/c)- ,!" before me, tnl rJlfl,¡} I Ù-1lldqtf );O!a'J¥
Onto N.....n<! Tme 01 onlœr 10,." 'J... 000, NoIo~ ..
personally appeared C/1[I') í3 <f-fo(J,f-j, '"
NO~{o) 01 5,,""""
~rsonallY known to me - OR -l] proved to me on the basis of satisfactory evidence to be the person(s)
whose name(s) is/are subscribed to the within instrument
and acknowledged to me that helshe/they executed the
same in his/her/their authorized capacity(jes), and that by
MICHAEL LANDAU ,., hislherltheir signature(s) on the instrument the person(s),
or the entity upon behalf of which the person(s) acted,
COMM, 111078714 ¡;; executed the instrument.
NOTAR~ PUBLIC. CAliFORNIA 0
SAN DIEGO COUNTY ~ WITNES: my h~:d a~eal'
loIyComrn,Expl...DO',15, 1999
7/uJ1¿ <LJ(; ¿:¿:
&........01-"'P-
OPTIONAL
Though IIIe inlormation below is nol required by'aw, it may prove valuable to persons relying on the documonl anet coutd prevenl
froudulont removal and "",ttachmenl 01 this lorm 10 another documenl.
Description of Attached Document
TItle or Type of Document:
Document Date: - n- Number of Pages:
Signer(s) Other Than Named Above: -
Capacity(les) Claimed by Signer(s)
Signer's Name: - Signer's Name:
0 Individual 0 Individual
0 Corporate Officer 0 Corporate Officer
lïtle(s): ~-- -ntle(s):
0 Partner - 0 Limited 0 General 0 Partner - 0 Limited 0 General
0 Attorney-in-Fact 0 Attorney-In-Fact
0 Trustee -. 0 Trustee
LJ Guardian or Conservator r.J Guardian or Conservator
0 Other: Top of thumb be,. 0 Other: Top of !bumb he'" \
Signer Is Representing: Signer Is Representing:
--- J
-
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"'094 NoII""o' NoIo~ ,,-~tion. '236 R"""""..., PO SO. 10'" . eM""" Po'" eA 91309-"'" Pmd, No, 5807 Roo"'" ~I Tol,F... 1""'"7'_'
----,
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