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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 arro ton Kd . <br /> City Escalon CA <br /> State/$}p <br /> a Phone (L <br /> A. PROJECT DESCRIPTION <br /> 1 . Type of application : Q Use Permit , ❑ Major Subdivision , <br /> Zone Reclassification, MX Minor Subdivision, [] Site Approval , <br /> Zone variance , l__.I 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 Split off 1 1/2 <br /> acre homesite in order to build a home on arse one . Parce two <br /> and -t+-r-ea will remain a rice growing drying and storage operation . <br /> a CPE,476 4 ALt 4lkC fke,c6 c_ -re 47-nW/s 77m, <br /> 3 . Total acreage of project2_ SAc. N of existing parcels : 1 <br /> Assessor Parcel N ( s ) : 9 h 03 <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 o tarn a building permit upon <br /> approval from S County- I do have air pollution permits on Dryer <br /> which will be on Rarcgl_two <br /> Minor Subdivision - 7 - ( 6/86 ) <br />