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HomeMy WebLinkAboutItem No. 3CITY LSIRO'RE DREAM EXTREME. REPORT TO THE PLANNING COMMISSION TO: HONORABLE CHAIRMAN AND MEMBERS OF THE PLANNING COMMISSION FROM: TOM WEINER, ACTING DIRECTOR OF COMMUNITY DEVELOPMENT DATE: APRIL 21, 2009 SUBJECT: CONDITIONAL USE PERMIT NO. 2008 -21 AND A MINOR DESIGN REVIEW — FOR THE DESIGN OF A MONO -LIGHT POLE STRUCTURE APPLICANT: ROYAL STREET COMMUNICATIONS CALIFORNIA, LLC., 2913 EL CAMINO REAL, STE.561, TUSTIN, CA 92782 OWNER: CITY OF LAKE ELSINORE, 130 S. MAIN STREET, LAKE ELSINORE, CA 92530 Project Request The applicant is requesting a Conditional Use Permit and Minor Design Review for the design of six (6) antennae panels to be located on an existing ball field light pole at an approximate height of seventy feet (70'), one (1) microwave antenna and one (1) GPS antenna. Review is pursuant to Chapter 17.184 (Design Review), Chapter 17.168 (Conditional Use Permit) and the Public Institutional Section of the Land Use Element of the Lake Elsinore General Plan. Proiect Location The project site is located in McVicker Park at the southwest corner of McVicker Canyon Park Road and Grand Avenue, Assessor Parcel Number (APN) 391 - 830 -011. Planning Commission Staff Report Conditional Use Permit No. 2008 -21 and a Minor Design Review April 21, 2009 Environmental Setting Project I McVicker Park PI (Public Institutional) Public Institutional Site I Site North Single Family R -1 (Single Family La Laguna Specific Plan Residential Residential) South Vacant and R -1 (Single Family Low Density (LD) and Low Single Family Residential) Medium Density (LMD) Residential Residential West Fire Station PI (Public Institutional) Public Institutional East Single Family R-1 (Single Family Low Medium Density Residential Residential) Residential (L D) Background Royal Street Communications is proposing to construct a wireless antenna facility and replace an existing ball field light pole located at the McVicker Park site so as to provide cellular telephone coverage to the residential development surrounding McVicker Canyon Park Road and Grand Avenue. The project site has a land use designation of Public Institutional. The Lake Elsinore Municipal Code (LEMC) recognizes that certain uses may require outdoor operation and /or have the potential to impact surrounding properties and therefore require additional approval and consideration. Such uses shall require a Conditional Use Permit pursuant to Lake Elsinore Municipal Code (LEMC) Section 17.168 (Conditional Use Permits). Project Description The proposed unmanned wireless telecommunication facility will replace an existing ball field light pole at the McVicker Park site and will consist of the following improvements: • An ultimate 80 -foot tall light pole will be disguised as a mono -light pole tower with six (6) antennae panels to be located at an approximate height of seventy feet (70'). • One two -foot (2') diameter microwave dish to be located on the mono -light pole tower which provides linkage to landline telephone service. ■ One (1) GPS antenna to be located on the mono -light pole tower for emergency -911 compliance. KVaT.�Le�i4 Yfi:,i FV A9.� Planning Commission Staff Report Conditional Use Permit No. 2008 -21 and a Minor Design Review April 21, 2009 • Coaxial lines connecting the tower antennas to an equipment shelter. • Four (4) equipment cabinets housing electronic equipment are proposed within the within the quipment enclosure area. • One (1) temporary generator that will provide power during outage periods. The enclosure area containing the facility equipment will be screened and secured within a proposed 8'0" tall masonry wall. A four foot (4') wide access gate will be located along the north side of the enclosure area. Climbing vines will be planted against the masonry walls and low shrubs and ground cover will be planted in areas surrounding the walls so as to grow on and soften the appearance of the walls. Analysis 1. Facility Site: The proposed site plan meets all applicable standards and criteria outlined in the zoning district of the LEMC and the Land Use Element of the Lake Elsinore General Plan. 2. Transmission /Calling Coverage: After extensive research regarding potential site placement and opportunity for co- location, Royal Street Communications has concluded that due to the height requirements and the coverage objective of the selected search ring, there are no other practical locations for the telecommunications facility within the immediate area. 3. Tower Height: The applicant has indicated that in order to provide the desirable service, the height of the antennas must be a minimum of sixty feet (60') and extending as high as sixty eight feet (68'). The ultimate height of the mono -light pole is approximately eighty feet (80'). It should be noted that the mono -light pole will replace an existing ball field light pole, and the proposed height is the same as the other remaining ball field lights. Staff believes the proposed tower height and design meets the intent of the LEMC and will not result in incompatibility issues with surrounding properties and planned land uses given the location of the proposed facility and that sufficient setbacks have been achieved from surrounding properties. 4. Stealthing Improvements: The proposed mono -light pole tower will function in operation and design as a ball field light pole. Appearance and character will serve to conceal the antennas from view as much as possible. 5. Decorative Fencing: The proposed equipment will be housed within a block wall area. 6. Landscaping Staff believes the proposed masonry screen walls, wall vines and foundation plantings will all serve to screen the ground mounted equipment from view. r c .-A � i -I NO. —A Planning Commission Staff Report Conditional Use Permit No. 2008 -21 and a Minor Design Review April 21, 2009 7. Operation and Maintenance: There will be virtually no increase in traffic in the area as a result of this project. After construction, Royal Street Communications Wireless technicians visit the facility approximately once every four (4) weeks. Additionally, no increase in ambient noise level is anticipated as there are no external air - conditioning units needed or proposed for this facility. The applicant is proposing to place a backup power generator onsite which would only be utilized during power outages. Staff has added a recommended condition of approval requiring that the generator comply with City Noise Ordinance provisions. Environmental Determination Pursuant to the California Environmental Quality Act (CEQA), Section 15303 (New Construction or Conversion of Small Structures), staff has determined that the proposed project will not have a significant effect on the environment and shall therefore be exempt from the provisions of CEQA. Therefore no additional environmental clearance is necessary. Recommendation It is recommended that the Planning Commission adopt Resolution No. 2009 - approving Conditional Use Permit No. 2008 -21 and Resolution No. 2009 -_ approving a Minor Design Review for the design of a Wireless Mono -Light Pole Cellular Tower. This recommendation is based on the findings, exhibits and conditions of approval attached to this Staff Report. PREPARED BY: KirtA. Coury, Project Planner APPROVED BY: Tom Weiner, Acting Director of Community Development Attachments 1. Vicinity Map 2. Resolution No. 2009 -_ approving Conditional Use Permit No. 2008 -21 3. Resolution No. 2009 -_ approving a Minor Design Review for the design of a Wireless Mono -Light Pole Cellular Tower 4. Conditions of Approval 5. Signed Acknowledgement of Conditions Form 6. Exhibits: 'A': Site Plan (reduction) `B': Enlarged Site Plan (reduction) `C': Elevations (reduction) `D': Conceptual Landscape Plan E': Color Photo Simulations F': Full Size Plans VICINITY MAP CUP 2008 -21 MINOR DESIGN REVIEW APN 391 - 830 -011 PLANNING COMMISSION 21 APRIL 2009 AGENDA ITEM NO. PAGE 5 a 2 RESOLUTION NO. 2009- RESOLUTION OF THE PLANNING COMMISSION OF THE CITY OF LAKE ELSINORE, CALIFORNIA, APPROVING CONDITIONAL USE PERMIT NO. 2008 -21 WHEREAS, Royal Street Communications, California, LLC., has initiated proceedings for Conditional Use Permit No. 2008 -21, for the design and construction of an eighty foot (80') tall cellular mono -light pole antenna tower, and equipment located at a ball field within McVicker Park, (Assessor Parcel Number 391 - 830 -011) (the "Project "); and WHEREAS, Section 17.74 of the Lake Elsinore Municipal Code, the City of Lake Elsinore recognizes that certain uses have operational characteristics that, depending upon the location and design of the use, may have the potential to negatively impact adjoining properties, businesses or residents and therefore are permitted subject to the issuance of a conditional use permit, which allows the City to comprehensively review and approve the use; and WHEREAS, the Planning Commission of the City of Lake Elsinore has been delegated with the responsibility of considering and approving, conditionally approving, or denying conditional use permits; and WHEREAS, on April 21, 2009, at a duly noticed public hearing, the Planning Commission considered evidence presented by the Community Development Department and other interested parties with respect to the Project. NOW, THEREFORE, THE PLANNING COMMISSION OF THE CITY OF LAKE ELSINORE DOES HEREBY RESOLVE, DETERMINE AND ORDER AS FOLLOWS: SECTION 1. The Planning Commission has considered Conditional Use Permit No. 2008 -21 prior to rendering its decision and finds that the requirements of Chapters 17.168 and 17.184 of the Lake Elsinore Municipal Code (where applicable) have been satisfied. SECTION 2. The California Legislature has determined that certain classes of projects do not have a significant effect on the environment and are therefore exempt from the California Environmental Quality Act (Cal. Pub. Res. Code §§ 21000 et seq.: "CEQA ") and the State Guidelines for Implementation of CEQA (14 C.C.R. §§ 15000 et seq.: the "CEQA Guidelines "). A Class 3 exemption exists for: "Construction and location of limited numbers of new, small facilities or structures; installation of small new equipment and facilities in small structures; and the conversion of existing small structures from one use to another where only minor modifications are made in the exterior of the structure." AGENDA !TE a NO. 3 2-a- PLANNING COMMISSION RESOLUTION NO. 2009- PAGE 2 OF 4 The mono -light pole antenna tower, equipment and improvements qualify for a Class 3 exemption because they involve the construction of one new light pole, which is a small facility and structure, on an existing ball park. None of the exceptions to the categorical exemptions set forth in CEQA Guidelines section 15300.2 applies here. The Facilities will not result in damage to scenic resources, including trees (except those dead or dying), and is not located on any site compiled pursuant to Government Code section 65962.5 (hazardous and toxic waste sites). Therefore, the Planning Commission hereby finds and determines that the Project is exempt from CEQA and the CEQA Guidelines. SECTION 3. That in accordance with State Planning and Zoning Law, and the Lake Elsinore Municipal Code (where applicable), the Planning Commission makes the following findings for approval of CUP 2008 -21: 1. The proposed use, on its own merits and within the context of its setting, is in accord with the objectives of the General Plan and the purpose of the planning district in which the site is located. Issuance of this Conditional Use Permit will facilitate and improve wireless communication coverage for the general public and City of Lake Elsinore residents. Furthermore, the proposed land use conforms to the objectives of the General Plan and the purpose of the planning district in which the site is located. 2. The proposed use will not be detrimental to the general health, safety, comfort, or welfare of persons residing or working within the neighborhood of the proposed use or the City, or injurious to property or improvements in the neighborhood or the City. All applicable City departments and agencies have been afforded the opportunity to review the Conditional Use Permit and their comments have been addressed in the conditions of approval attached to the staff report for this Project. Conditions have been applied relating to the installation and maintenance of the facility, regulations of points of vehicular ingress and egress and control of potential nuisances, so as to eliminate any negative impacts to the general health, safety, comfort, or welfare of the surrounding neighborhood or the City. 3. The site for the intended use is adequate in size and shape to accommodate the use, and for all the yards, setbacks, walls or fences, landscaping, buffers and other features required. The proposed facility has been designed in consideration of the size and shape of the property and both existing and planned land uses in the vicinity. Adequate setbacks, security walls and screening have all been incorporated into the design of the facility to ensure that the proposed eighty foot (80) tall structure will not be incompatible with existing and planned surrounding land uses on adjacent PWENDAfsEM,1 ,Eo. .3 PAGE c o7-a PLANNING COMMISSION RESOLUTION NO. 2009 -_ PAGE 3OF4 properties. Moreover, the facility has been designed as and will function as a ball field light pole at a height consistent with the other ball field lights.. 4. In approving the subject use, there will be no adverse affect on abutting property or the permitted and normal use thereof. The proposed use has been thoroughly reviewed and conditioned by all applicable City departments and outside agencies, eliminating the potential for any and all adverse effects on the abutting property. 5. Adequate conditions and safeguards pursuant to Lake Elsinore Municipal Code Section 17.184.070 have been incorporated into the approval of the Conditional Use Permit to insure that the use continues in a manner envisioned by these findings for the term of the use. Pursuant to the Lake Elsinore Municipal Code, the proposed telecommunications facility has been scheduled for consideration and approval of the Planning Commission at the regularly scheduled meeting on April 21, 2009. SECTION 4. Based upon the evidence presented, the above findings, and the conditions of approval, the Planning Commission hereby approves Conditional Use Permit 2008 -21. SECTION 5. This Resolution shall take effect from and after the date of its passage and adoption. PASSED, APPROVED AND ADOPTED this 21 day of April 2009, by the following vote: Axel Zanelli, Chairman City of Lake Elsinore ATTEST: Tom Weiner Acting Director of Community Development AGENDA Ids; f�0 _3 _ PAZE L_ G,- LD- PLANNING COMMISSION RESOLUTION NO. 2009- PAGE 4 OF 4 STATE OF CALIFORNIA ) COUNTY OF RIVERSIDE )ss. CITY OF LAKE ELSINORE ) I, TOM WEINER, Acting Director of Community Development of the City of Lake Elsinore, California, hereby certify that Resolution No. 2009- was adopted by the Planning Commission of the City of Lake Elsinore at a regular meeting held on the 21 day of April 2009, and that the same was adopted by the following vote: AYES: NOES: ABSENT: ABSTAIN: Tom Weiner Acting Director of Community Development Ft0fjiDA tii f a e 3 PAve I Gr- ,D L RESOLUTION NO. 2009- RESOLUTION OF THE PLANNING COMMISSION OF THE CITY OF LAKE ELSINORE, CALIFORNIA, APPROVING A MINOR DESIGN REVIEW FOR THE DESIGN AND CONSTRUCTION OF A VERIZON MONOPINE WIRELESS ANTENNA TOWER FACILITY WHEREAS, Royal Street Communications, California, LLC., has initiated proceedings for a Minor Design Review for the design and construction of an eighty foot (80') tall cellular mono -light pole antenna tower, equipment and associated improvements located at a ball field within McVicker Park, (Assessor Parcel Number 391 - 830 -011) (the "Project "); and WHEREAS, the Planning Commission of the City of Lake Elsinore has been delegated with the responsibility of considering and approving, conditionally approving, or denying Minor Design Review requests for projects; and WHEREAS, on April 21, 2009, at a duly noticed public hearing, the Planning Commission considered evidence presented by the Community Development Department and other interested parties with respect to the Project. NOW, THEREFORE, THE PLANNING COMMISSION OF THE CITY OF LAKE ELSINORE DOES HEREBY RESOLVE, DETERMINE AND ORDER AS FOLLOWS: SECTION 1. The Planning Commission has considered the proposed design for the Project and has found it acceptable. The Planning Commission finds that the requirements of Chapters 17.74 and 17.82 of the Lake Elsinore Municipal Code (where applicable) have been satisfied.. SECTION 2. The California Legislature has determined that certain classes of projects do not have a significant effect on the environment and are therefore exempt from the California Environmental Quality Act (Cal. Pub. Res. Code §§ 21000 et seq.: "CEQA ") and the State Guidelines for Implementation of CEQA (14 C.C.R. §§ 15000 et seq.: the "CEQA Guidelines "). A Class 3 exemption exists for: "Construction and location of limited numbers of new, small facilities or structures; installation of small new equipment and facilities in small structures; and the conversion of existing small structures from one use to another where only minor modifications are made in the exterior of the structure." The mono -light pole antenna tower, equipment and improvements qualify for a Class 3 exemption because they involve the construction of one new light pole, which is a small facility and structure, on an existing ball park. None of the exceptions to the categorical exemptions set forth in CEQA Guidelines section 15300.2 applies here. The improvements will not result in damage to scenic resources, including trees (except those dead or dying), and is not located on AGEf3D:k i r E , rao. PACE 10 01 D-.)- PLANNING COMMISSION RESOLUTION NO. 2009 - PAGE2OF4 any site compiled pursuant to Government Code section 65962.5 (hazardous and toxic waste sites). Therefore, the Planning Commission hereby finds and determines that the Project is exempt from CEQA and the CEQA Guidelines. SECTION 3. That in accordance with State Planning and Zoning Law, and the Lake Elsinore Municipal Code (where applicable), the Planning Commission makes the following findings for the approval of the Minor Design Review: 1. The Project, as approved, will comply with the goals and objectives of the General Plan and the Zoning District in which the Project is located. The Minor Design Review complies with the goals and objectives of the General Plan in that the approval of this cellular telecommunications facility project will assist in achieving the development of a well balanced and functional mix of residential, commercial, industrial, open space, recreational, and institutional land uses as well as improve wireless communication coverage for the general public and City of Lake Elsinore residents. 2. The Project complies with the design directives contained in the General Plan Urban Design Element and all other applicable provisions of the Lake Elsinore Municipal Code. The Minor Design Review is appropriate to the site and surrounding developments in that the cellular telecommunications facility has been designed in consideration of the size and shape of the property. Sufficient setbacks and a camouflage design have been provided thereby creating interest and varying vistas as a person moves along abutting streets. Further, the project, as proposed, will compliment the quality of existing development and will create a visually pleasing, non - detractive relationship between the proposed development and existing projects in that the cellular tower has been camouflaged as a ball field light pole. 3. Subject to the attached conditions of approval, the Project is not anticipated to result in any significant adverse environmental impacts. Notwithstanding the fact that the Project is exempt from CEQA pursuant to a Class 3 categorical exemption, the Project was reviewed and conditioned by all applicable City departments to ensure that the telecommunications facility blends into the existing natural landscape and creates the least amount of disturbance, and does not negatively impact the residents or businesses of Lake Elsinore. The Project will not result in any significant adverse environmental impacts given the attached conditions of approval. 4. Conditions and safeguards pursuant to Chapter 17.82.070 of the Zoning Code, including guarantees and evidence of compliance with conditions, have been PA II OF 02- PLANNING COMMISSION RESOLUTION NO. 2009 -_ PAGE 3 OF 4 incorporated into the approval of the Project to ensure development of the property in accordance with the objectives of Chapter 17.184. Pursuant to Section 17.82.070 of the Lake Elsinore Municipal Code, the Project has been scheduled for consideration and approval of the Planning Commission on April 21, 2009. SECTION 4. Based upon all of the evidence presented, the above findings, and the conditions of approval imposed upon the Project, the Planning Commission hereby approves the proposed Minor Design Review. SECTION 5. This Resolution shall take effect from and after the date of its passage and adoption. PASSED, APPROVED AND ADOPTED this 21 day of April 2009, by the following vote: Axel Zanelli, Chairman City of Lake Elsinore ATTEST: Tom Weiner Acting Director of Community Development AGENDA z T L a PAG£ 1 z rw _ � a- PLANNING COMMISSION RESOLUTION NO. 2009- PAGE 4 OF 4 STATE OF CALIFORNIA ) COUNTY OF RIVERSIDE )ss. CITY OF LAKE ELSINORE ) I, TOM WEINER, Acting Director of Community Development of the City of Lake Elsinore, California, hereby certify that Resolution No. 2009- was adopted by the Planning Commission of the City of Lake Elsinore at a regular meeting held on the 21 day of April 2009, and that the same was adopted by the following vote: AYES: NOES: r_1 1ya►r5 ABSTAIN: Tom Weiner Acting Director of Community Development CONDITIONS OF APPROVAL FOR CONDITIONAL USE PERMIT NO. 2008 -21 AND A MINOR DESIGN REVIEW FOR "ROYAL STREET COMMUNICATIONS MONOLIGHT POLE CELLULAR TOWER FACILITY" GENERAL CONDITIONS 1. The applicant shall defend (with counsel acceptable to the City), indemnify, and hold harmless the City, its Officials, Officers, Employees, and Agents from any claim, action, or proceeding against the City, its Officials, Officers, Employees or Agents to attach, set aside, void, or annul an approval of the City, its advisory agencies, appeal boards, or legislative body concerning the project attached hereto. 2. The decision of the Planning Commission shall be final fifteen (15) days from the date of the decision, unless an appeal has been filed with the City Council pursuant to the provisions of Chapter 17.80 of the LEMC. 3. Conditional Use Permit No. 2008 -21 shall lapse and shall become void two (2) years following the date on which the use permit became effective, unless prior to the expiration, a building permit is issued and construction commenced and diligently pursued toward completion on the site which was the subject of the use permit application. 4. Any violation or non - compliance with the Conditions of Approval shall be cause for the revocation of this Conditional Use Permit. 5. The applicant shall at all times comply with Section 17.78 (Noise Ordinance) of the Lake Elsinore Municipal Code (LEMC). 6. Conditions of Approval shall be reproduced on page one of building plans submitted to the Building Division Plan Check. All Conditions of Approval shall be met prior to the issuance of a Certificate of Occupancy and release of utilities. 7. In the event the telecommunication facility ceases to operate, the applicant shall remove the facility and convert the site to its original condition. 8. The applicant agrees to allow co- location of other antenna equipment by other wireless communication carriers at this site when considered feasible subject to an agreement between the applicant, other carriers and the property owners. 9. The applicant shall be required to maintain and /or repair the telecommunication facility including the proposed antennas and facility equipment per the discretion of the Community Development Director or his designee. Planning Commission 9$u$' D PACE Conditions of Approval Page 2 of 3 Conditional Use Permit No. 2008 -21 and a Minor Design Review for — Royal Street Communications 10. All exterior on -site lighting shall be shielded and directed on -site so as not to create glare onto neighboring property. 11.The proposed mono -light pole structure shall be reviewed and approved by the Community Development Director or designee prior to issuance of grading or building permits. PRIOR TO BUILDING PERMITS 12.Applicant shall comply with the requirements of the Elsinore Valley Municipal Water District. Proof shall be presented to the Senior Building Inspector prior to issuance of building permits and final approval. 13.Prior to issuance of building permits, applicant shall provide assurance that all requirements of the Riverside County Fire Department have been met. 14.The applicant shall place a weatherproof 3' x 3' sign at the entrance to the project site identifying the approved days and hours of construction activity (i.e., 7:00 A.M. — 5:00 P.M., Monday through Friday with no construction activity to occur on Saturdays, Sundays or legal holidays) and a statement that complaints regarding the operation can be lodged with the City of Lake Elsinore Code Enforcement Division (951) 674 -3124. The sign shall be installed prior to the issuance of a grading permit. ENGINEERING DIVISION 15.The applicant shall obtain an encroachment permit for any work performed in public right -of -way. 16.The applicant shall obtain permission from adjacent property owners prior to grading or encroaching onto properties not part of this project. 17. Capital Improvement fees and mitigation fees (LEMC 16.34, Res. 85 -26) shall be paid prior to issuance of building permit. 18. If grading exceeds 50 cubic yards, grading plans shall be prepared by a California Registered Civil Engineer and approved prior to grading permit issuance. Prior to any grading, the applicant shall obtain a grading permit and post appropriate security. 19.The applicant shall obtain and record a utility and /or access easements to the facility if access to the site crosses separately owned properties. Planning Commission AGEUDA € Eal NO. � PAGE q t1t as Conditions of Approval Page 3 of 3 Conditional Use Permit No. 2008 -21 and a Minor Design Review for — Royal Street Communications 20. Drainage shall be conveyed to the public right of way. 21.The applicant shall implement NPDES Best Management Practices during and after construction to prevent discharge of pollutants into the city's storm drain system or adjacent properties. 22. In accordance with the City's Franchise Agreement for waste disposal & recycling, the applicant shall be required to contract with CR &R Inc. for removal and disposal of all waste material, debris, vegetation and other rubbish generated during cleaning, demolition, clear and grubbing or all other phases of construction. COMMUNITY SERVICES DEPARTMENT 23. The applicant shall ensure the equipment enclosure's interior and exterior walls are kept in good repair and graffiti free. Should it become necessary, the applicant authorizes city personnel to remove graffiti at its discretion. Planning Commission AGENDA,qE'Ll NO._ CITY OF inn LPL LSI l`IOR ?` DREAM EXTREME- ACKNOWLEDGMENT OF "DRAFT" CONDITIONS OF APPROVAL Subject: Conditional Use Permit No. 2008 -21 and a Minor Design Review for the design and construction of wireless antennae mono -light pole at an ultimate height of eighty feet (80') with equipment shelter improvements. The existing light pole structure is located at a ball field at McVicker Park located at the southwest corner of McVicker Canyon Park Road and Grand Avenue. I hereby state that I have read and acknowledge the Draft Conditions of Approval and do hereby agree to accept and abide by all final Conditions that will be approved by the Planning Commission /City Council. I also understand that all Conditions shall be met prior to issuance of permits or prior to the first Certificate of Occupancy, or as otherwise indicated in the Conditions. *The decision of the Planning Commission of the City of Lake Elsinore shall be final fifteen (15) days from the date of the decision, unless an appeal has been filed with the City Council of the City of Lake Elsinore pursuant to the provisions of Chapter 17.180 of the Lake Elsinore Municipal Code (LEMC). Date: Applicant's Signature: Print Name: Address: Phone Number: AT THE TIME OF PRINTING THE AGENDA, STAFF HAS NOT RECEIVED THE SIGNED ACKNOWLEDGMENT FORM. 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