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Environmental Information <br /> For Staff Use Only <br /> File No. <br /> Date Filed <br /> APPLICATION FORM PART B: <br /> ENVIRONMENTAL INFORMATION <br /> (To be Filled Out By Applicant ) <br /> NOTE: In completing this form, use additional sheets if necessary. <br /> Answer all questions to the best of your ability. If 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, L.S. _ <br /> Address 5383 E. FIG AVENUE <br /> City MANTECA <br /> State/Zip CALIFORNIA 95336 <br /> Phone 209)239-3121 <br /> TYPE OF APPLICATION MINOR SUBDIVISION <br /> PROJECT TO CREATE A HOMESITE FOR OWNERS <br /> OTHER PERMITS AND APPROVALS (COUNTY, REGIONAL, STATE AND FEDERAL) <br /> REQUIRED FOR THIS PROJECT <br /> PERMIT AGENCY <br /> N/A N/A <br /> -1- (9/85 ) <br /> Plan-44 (12/85) <br />