The Sutter Parking Garage Expansion (Project) is proposed within the Sutter Roseville Medical Center campus (Campus). The Campus is within the Northeast Roseville Specific Plan. The Campus includes frontage on Secret Ravine Parkway and an entrance along East Roseville Parkway and is predominately surrounded by open space along the south and west portions of the Campus. Throughout the years the Campus has been developed with a main hospital building, acute care buildings, and outlying medical buildings and two (2) parking garages. In 2006, the Planning Commission approved a Conditional Use Permit which authorized expansion of the Campus from the originally approved 804,000 square feet to 1,100,000 square feet. At full buildout, the SRMC would contain a total of 738,500 square feet of licensed acute care spaces, 361,500 square feet of medical office building space for non-acute care and physician’s offices, and a total of 3,864 surface and parking structure spaces (parking space square footage is not included in the 1,100,000 square feet). The Project site is approximately 0.94 acres in size and is located at 12 Medical Plaza Drive, within the Campus. The Project site has a General Plan designation of Business Professional and zoning designation of Planned Development for a Medical Campus. The applicant requests approval of a Design Review Permit to allow the construction of an approximately 192,000-square foot parking structure, which would create an additional 551 parking stalls for the Campus. The applicant proposes to expand the existing parking garage to support the Campus as well as the previously approved Medical Office Building 7.