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Environmental Information Form <br /> Part B <br /> DATE : January 23 , 1990 <br /> (To be Completed By Applicant ) <br /> NOTE : In completing this form, use 'additional sheets if necessary . <br /> Answer all questions to the best of your ability . If a question <br /> is not applicable to your project, write NA ( not applicable ) . <br /> Please do not leave blanks . Incomplete forms cannot be accepted . <br /> PERSON COMPLETING FORM X PROPERTY OWNER AGENT OF OWNER <br /> Name Fred A. Paulus <br /> Address iZ7b4 S .--Uarroiton Rd . <br /> City Escalon UA <br /> State/7}pUA �ODJ2U <br /> a Phone (LO836-2335 <br /> A . PROJECT DESCRIPTION <br /> 1 . Type of application : Q use Permit , (--] Major Subdivision, <br /> Q Zone Reclassification, L='-I Minor Subdivision, D Site Approval , <br /> 7 Zone variance, [:] Other : <br /> 2 . Project location : Escalon-Bellotta Hwy-Lone Tree Rd . -S . E . Corner <br /> Describe the project; i . e . , request being made and nature of use . <br /> Identify specific project components : Re uest to slit off 1 1/2 <br /> o <br /> acre homesite in order to build a home on arce ne . Parcel two <br /> and `t#re-e w1_11 remain a rice growing , <br /> /�� �,drying and storage operation . <br /> n4RGEL '7`!/QEE C.FE,476 R leo ,4, .PE TYI'KCC t— -re fC)r;41o/ o9K416UG7(Z 4T7WIS 7Jm, <br /> 3 . Total acreage of projec2t2.2g, 5AC. N of existing parcels : 1 <br /> Assessor Parcel N ( s ) : 9 MT--UT <br /> 4 . If there is an existing EIR assessing any aspect of your project <br /> site , provide title and date : NO -have not needed one <br /> 5 . Other permits and approvals (County , Regional , State and Federal ) <br /> required for this project : <br /> PERMIT AGENCY <br /> Do not have an at this time-I will obtain a building permit upon <br /> approval from YS . Y I do have air po ution perms s on Dryer <br /> which will be on oarcgl_two <br /> Minor Subdivision - 7 - ( 6/86 ) <br /> * ;__ - <br />