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Environmental Information Form <br /> Part B <br /> DATE : APRIL 3 1989 <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 PROPERTY OWNER X AGENT OF OWNER <br /> Name RICHARD M. BISHOP P.L.S. <br /> Address 5383 E. FIG AVENUE <br /> City MANTECA <br /> State/Zip CALIFORNIA 95336 <br /> Phone 209)239-3121 <br /> A. PROJECT DESCRIPTION <br /> 1 . Type of application : Q Use Permit , Major Subdivision , <br /> Zone Reclassification, Q Minor Subdivision, [fl Site Approval , <br /> Zone Variance, Q Other : <br /> 2 . Project location: 35500 SO. WELTY ROAD - VERNALIS <br /> Describe the project; i .e . , request being made and nature of use . <br /> Identify specific project components : SEE PART A - PAGE 3, QUESTIONS fl1 <br /> 3 . Total acreage of project: 5.7 AC +/-# of existing parcels : I <br /> Assessor Parcel # ( s ) :— 255-250-03 <br /> 4 . If there is an existing EIR assessing any aspect of your project <br /> site , provide title and date : NONE <br /> 5 . Other permits and approvals (County, Regional , State and Federal ) <br /> required for this project : NONE <br /> PERMIT AGENCY <br /> Site Approval Application - 5 - ( 6/86 ) <br />