M CA STATE OF CALIFORNIA DEPARTMENT OF REAL ESTATE NOTICE OF INTENTION (COMMON INTEREST) FOR USE ONLYNote: Submit this package and one photocopy of pages 1 and 2; FILE NUMBER QUESTIONNAIRE 1. GENERAL INFORMATION (1.A2261.O) A. THIS APPLICATION IS FOR A: [Check box(es)] FINAL PUBLIC REPORT PRELIMINARY PUBLIC REPORT OVERALL PRELIMINARY PUBLIC REPORT (MULTI-PHASE MAP PROJECTS ONLY) CONDITIONAL PUBLIC REPORT AMOUNT REQUIRED $ AMOUNT RECEIVED $ REFUND AMOUNT $ B. TYPE OF SUBDIVISION [Check box(es)]AMT TRANSFERRED FOR LOTS CONDOMINIUM UC MT NDIVIDED INTEREST $ PLANNED DEVELOPMENT ONVERSIONFROM FILE # COMMUNITY APARTMENTOBILE HOME MIXED USE ENANCY-IN-COMMON C. SUBDIVISION IDENTIFICATION AND LOCATION NAME OF SUBDIVISION TRACT NUMBER NAME TO BE USED IN ADVERTISING SUBDIVISION LOCATION (address/main access roads/cross streets) CITY COUNTY NEAREST CITY MILES/DIRECTION FROM CITY D. THIS APPLICATION IS BEING SUBMITTED AS: [Check one] SINGLE PHASE PROJECT FIRST PHASE OF A MASTER PLANNED DEVELOPMENT (MPD) THAT WILL CONTAIN MULTIPLE OWNERS222 ASSOCIATIONS. FIRST PHASE OF A MULTIPLE-PHASE SUBDIVISION WITH ALL PHASES SUBJECT TO ONE OWNERS222 ASSOCIATION. WILL THIS SUBDIVISION ALSO BE PART OF AN EXISTING MASTER PLANNED DEVELOPMENT?NO YES PROVIDE FILE NUMBER & REAL ESTATE SPECIALIST NAME BELOW. S UBSEQUENT PHASE TO AN EXISTING SUBDIVISION. PROVIDE FILE NUMBER & REAL ESTATE SPECIALIST NAME BELOW. MASTER FILE # OR MPD FILE # (or MPD name, if number unknown) REAL ESTATE SPECIALIST ASSIGNED TO MOST RECENT SUBSEQUENT OR MPD PHASE E. WILL YOU ALSO FILE WITH CFPB? (Refer to Question 1.O) NO YES F. WERE PRE-APPROVED MASTER MANAGEMENT DOCUMENTS USED? NO YES MMD # MD # G. SIZE OF THIS FILING NUMBER OF RESIDENTIAL LOTS/UNITS/INTERESTS (Do not count common area lots) NUMBER OF COMMERCIAL UNITS/INTERESTS/MODULES (Mixed Use Projects Only) NUMBER OF COMMON AREA LOTS NUMBER OF ACRES IN THIS FILING LIST COMMON AREA LOT NUMBERS/LETTERS/MODULES Check appropriate box(es) Lots/Units to be: Sold Lea sed All residential lots to be sold vacant All residential lots to be sold with completed residential structures. Residential lots to be sold both vacant and improved with residential structures. Vacant lots to be sold under agreement obligating buyer to enter into construction contract with seller or seller controlled entity. All lots to be sold with age restrictions. At least 50% of the lots/units will be sold subject to affordable housing H. WAS A PRELIMINARY (OR OVERALL PRELIMINARY) PUBLIC REPORT ISSUED FOR THIS FILING? YES If PRELIMINARY If OVERALL PRELIMINARY issued (covering all lots in the party. Note: Any difference between originally paid lot fees and [Assigned File Number] WHEN PUBLIC REPORT IS READY: AIL TO SRP LL SRP FOR PICK-UP EMAIL TO SRP American LegalNet, Inc. www.FormsWorkFlow.com I. SUBDIVIDER INFORMATIONK. HOA BUDGET PREPARER NAME NAME ATTENTION ATTENTION BUSINESS ADDRESSBUSINESS ADDRESS CITY CITY STATE ZIP CODE STATE ZIP CODE TELEPHONE NUMBER (INCLUDE A/C) FAX NUMBER TELEPHONE NUMBER (INCLUDE A/C) FAX NUMBER EMAIL ADDRESS EMAIL ADDRESS J. SINGLE RESPONSIBLE PARTY (SRP)L. MANAGEMENT DOCUMENTS PREPARER NAME NAMETTENTION TTENTION A ABUSINESS ADDRESSBUSINESS ADDRESS CITY CITY STATE ZIP CODE STATE ZIP CODE TELEPHONE NUMBER (INCLUDE A/C) FAX NUMBER TELEPHONE NUMBER (INCLUDE A/C) FAX NUMBER ADDRESS EMAIL EMAIL ADDRESS RE 624 Part III Page 2 of 35 M. OVERALL PROJECT PLAN (See Part I, Figure C, for explanation of multiple-maps and phases.) 1 (check one box)(Enter 1st, 2nd, 3rd, etc. and 1, 2, 3, etc. in the spaces below as appropriate.) (One public report covering the entire project). American LegalNet, Inc. www.FormsWorkFlow.com RE 624 Part III Page 3 of 35 Attach phasing schedule if additional space is needed. File No. (if known) Phase Tract Number Residential Lot/Unit Number Common Area Lot Numbers/Letters/Modules Describe Yes underlined in red. Note: American LegalNet, Inc. www.FormsWorkFlow.com RE 624 Part III Page 4 of 35 *2. SUBDIVIDER STATUS [Master File Item] submit submit 3. LOCATION OF SUBDIVISION SALES RECORDS Yes Yes COMPANY NAME TELEPHONE NUMBER NAME OF CUSTODIAN STREET ADDRESS (POST OFFICE BOXES ARE NOT ACCEPTABLE) CITY COUNTY ZIP CODE 4. CONDITIONAL/PRELIMINARY PUBLIC REPORT Note: If Yes American LegalNet, Inc. www.FormsWorkFlow.com RE 624 Part III Page 5 of 35 NAME CODE SECTION (CHECK ONE) a) a)BUSINESS ADDRESS (POST OFFICE BOXES ARE NOT ACCEPTABLE) CITY STATE ZIP CODE Yes subdivider; 5. ADVERTISING AND PROMOTION [Master File Item for 5A(1)-5A(7)] Note: Note: YES Yes Yes Yes Yes Yes Yes Yes Yes American LegalNet, Inc. www.FormsWorkFlow.com RE 624 Part III Page 6 of 35 Yes submit *6. TITLE/MINERAL RIGHTS Submit Yes submit Yes Yes Yes submit Yes Yes Yes Yes Yes *7. LEASES AFFECTING TITLE [Master File Item] Yes submit 8. COASTAL ZONE PERMIT OR EXEMPTION [Master File Item] submit Yes American LegalNet, Inc. www.FormsWorkFlow.com RE 624 Part III Page 7 of 35 9. USES, ZONING, HAZARDS, AIRPORTS, NUCLEAR POWER PLANTS Indicate (Use descriptive language, NOT CODES. If multi-family, describe.) South East West Yes state Yes Notice of Airport in Vicinity Yes American LegalNet, Inc. www.FormsWorkFlow.com RE 624 Part III Page 8 of 35 Yes describe Yes describe (Counties of San Luis Obispo, San Diego, Orange, Sacramento, San Joaquin and Amador only.) Yes state Yes explain American LegalNet, Inc. www.FormsWorkFlow.com RE 624 Part III Page 9 of 35 Yes Note: Yes Note: Yes Yes Note: Yes Special Flood Hazard Area (any type Yes information not Special Flood Hazard Area the fact that Special Flood Hazard Area as designated by American LegalNet, Inc. www.FormsWorkFlow.com RE 624 Part III Page 10 of 35 Area of Potential Flooding Area of Potential Flooding Area of Potential Flooding Very High Fire Hazard Severity Zone Very High Fire Hazard Severity Zone Very High Fire Hazard Severity Zone State Responsibility Area State Responsibility Area the fact Yes information not Yes Yes Q 9K American LegalNet, Inc. www.FormsWorkFlow.com RE 624 Part III State Responsibility Area Earthquake Fault Zone Earthquake Fault Zone Earthquake Fault Zone Seismic Hazard Zone pursuant to the Seismic Hazard Zone the fact that the property Seismic Hazard Zone * Future changes which place any part of the unsold lots/units in this subdivision within amended public report application. Page 11 of 35 Yes Yes Yes Q 9K American LegalNet, Inc. www.FormsWorkFlow.com RE 624 Part III Notice of San Francisco Bay Conservation and Development Commission Jurisdiction Notice of Right to Farm 10. FIRE PROTECTION [Master File Item] describe identify the Page 12 of 35 Yes Yes Yes and Yes American LegalNet, Inc. www.FormsWorkFlow.com RE 624 Part III Page 13 of 35 namestate describe submit Note: Note: 11. SEWAGE DISPOSAL [Master File Item for 11D] list Yes Yes Yes comply NAME OF THE PRIVATE SEWER ENTITY TELEPHONE NUMBER ADDRESS CITY STATE ZIP CODE Submit Submit American LegalNet, Inc. www.FormsWorkFlow.com RE 624 Part III costs (excluding Septic Systems) state state state submit on each and every lot does not specify that each and every lot If purchaser state 12. SOILS, FILLED GROUND & GEOLOGICAL INFORMATION State public agency Page 14 of 35 Yes Yes Yes Yes (Date) NAME OF SOIL PUBLIC AGENCY ADDRESS CITY STATE ZIP CODE NAME OF FILLED GROUND PUBLIC AGENCY ADDRESS CITY STATE ZIP CODE NAME OF GEOLOGICAL REPORT PUBLIC AGENCY ADDRESS CITY STATE ZIP CODE American LegalNet, Inc. www.FormsWorkFlow.com RE 624 Part III Page 15 of 35 (Note: Check NA, if no vacant lots will be offered.) ............................. Yes explain and provide Check 13. NOT APPLICABLE TO RE 624 14. WATER SUPPLIER [Master File Item] If WELLS, answer NA to questions 14A-14D and proceed to question 14E. State SUPPLIER NAME ADDRESS CITY STATE ZIP CODE If YEScheck irrigation district community service district Yes Yes Yes American LegalNet, Inc. www.FormsWorkFlow.com RE 624 Part III distribution shall state their respective qualifying authority including any licenses held.) state submit submit normal list Page 16 of 35 Yes Yes Yes Yes Yes Yes (Date) State American LegalNet, Inc. www.FormsWorkFlow.com RE 624 Part III Page 17 of 35 Yes state Yes submit Yes Submit Yes