RECEIVED
By E07081 at 9:59 am, Apr 15, 2021
(�Cityof
�SantaRosa
.,
.,
,, PLANNING & ECONOMIC
DEVELOPMENT
DISCLOSURE FORM
(Form 3 of 5)
.
•
Project Title: 1650 West Steele Lane Apartments
(Include site address)
Please provide the name of each individual, partnership, corporation, LLC, or trust who has an interest in the proposed land use action. Include the names of all applicants, developers, property owners, and each person or entity that holds an option on the property.
Individuals: Identify all individuals
Partnerships: Identify all general and limited partners Corporations: Identify all shareholders owning 10% or more of the stock and all officers and directors (unless the corporation is listed on any major stock exchange, in which case only the identity of the exchange must be listed.
LLCs: Identify all members, managers, partners, officers and directors.
Trusts: Identify all trustees and beneficiaries.
Option Holders: Identify all holders of options on the real property.
Full Name: Address:
McBride Lane Apartments LLC 19 Leona Drive, San Rafael, CA 94903 In addition, please identify the name of each civil engineer, architect, and consultant for the project.
Full Name: Address:
Hedgpeth Architects 2321 Bethards Drive, Santa Rosa CA 95405 Civil Design Consultants 2200 Range Avenue, Suite 204, Santa Rosa CA 95403 MacNair Landscape Architecture P.O. Box 251, Kenwood, CA 95452 Additional names and addresses attached: □ Yes E No
The above information shall be promptly updated by the applicant to reflect any change that occurs prior to final action. . . Warren J. Hedgpeth Warren J. Hedgpeth I certify that the above information 1s true and correct: _____________ _ Applicant
April 1, 2021
Date
Attachment 1