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Environmental Information Form <br /> Part B <br /> DATE : SEPT. 13� IIaB <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 CCMPLETING FORM PROPERTY OWNER X AGENT OF OWNER <br /> Name N E.NCINEE S INC . <br /> Address 4-S?A FEATHEIz- R.IV EK- L)KNE SUITE <br /> City STOCK-TON <br /> State/Zip CFS 9520'7 <br /> Phone 4-1 Q— 0011 <br /> A. PROJECT DESCRIPTION <br /> 1 . Type of application: Q use Permit, [:] Major Subdivision, <br /> Zone Reclassification, 0 Minor Subdivision, E] Site Approval , <br /> Zone Variance, Q Other : <br /> 2 . Project location: N. E . COI-. STATE RtG-tiWh-( qq Fr FOPP(RNO L&WE <br /> Describe the project; i .e. , request being made and nature of use . <br /> Identify specific project components : bw1UE- E.XtSTING- <br /> 6.3 AC. PARCEL INTO '2- RURAL RJEStDENTiAI.. .OTS <br /> z,0 AC. ►N S(7-F- AND At -L 3 ACF-E. PA9-C.EL. F0f- <br /> TBE.- E)(15TW(3- COWAF-10CE ST"DR.E <br /> 3 . Total acreage of project: 6.3 # of existing parcels : <br /> Assessor Parcel Us ) :: 8 5 — '310— OG <br /> 4 . If there is an existing EIR assessing any aspect of your project <br /> site , provide title and date : No NE <br /> 5 . Other permits and approvals (County, Regional , State and Federal ) <br /> required for this project: <br /> PERMIT AGENCY <br /> NONE <br /> Minor Subdivision - 7 - ( 6/86 ) <br />