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H. Parcel and Land Owner l.i,ormation APN(000-000-00 Format) Gross Acres �{ Land Owner 2. 3. - 4. Additional sheets for listing APN numbers can be found on the District's website at www.valleyair.ora. I. Project Development and Operation Will the project require demolition of existing structures? ❑ Yes,complete 1-1 No,complete 1-2 1-1. Demolition Total square feet of building(s)footprint to be demolished: Number of Building Stories: Demolition Start Date(Month/Year): Number of Days for Demolition: 1-2. Timing Expected number of work days per week during construction? Will the project be developed in multiple phases? 10 5 days ❑ 6 days ❑7 days ❑ Yes,complete 1-3 No,complete 1-4 1-3. Phased Site Development and Building Construction In addition to the information below the applicant may submit a phase specific activity timeline. The phase specific activity timeline form can be found on the District's website at www.valleyair.org. Start of Construction(Month/Year): Gross Acres: End of Construction(Month/Year): Net Acres(area devoted to buildings/structures): 1 First Date of Occupation(Month/Year): Paved Parking Area(#of Spaces): Building Square Footage: Number of Dwelling Units: Start of Construction(Month/Year): Gross Acres: 2 End of Construction(Month/Year): Net Acres(area devoted to buildings/structures): First Date of Occupation(Month/Year): Paved Parking Area(#of Spaces): Building Square Footage: Number of Dwelling Units: Start of Construction(Month/Year): Gross Acres: 3 End of Construction(Month/Year): Net Acres(area devoted to buildings/structures): First Date of Occupation(Month/Year): Paved Parking Area(#of Spaces): Building Square Footage: Number of Dwelling Units: Start of Construction(Month/Year): Gross Acres: End of Construction(Month/Year): Net Acres(area devoted to buildings/structures): 4 First Date of Occupation(Month/Year): Paved Parking Area(#of Spaces): Building Square Footage: Number of Dwelling Units: additional sheets for phasing information can be found on the District's website at www.valleyair.org. Central Region Office: 1990 E.Gettysburg Ave.Fresno,CA 93726-0244 TEL(559)230-6000 FAX(559)230-6061 WEB www.vallevair.orp Page 2 of 12 Residential/Non-Residential/Mixed-Use Application Form Revised June 28,2019