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Environmental Information <br /> f: 'd <br /> For Staff Use Only <br /> File No . 6rP- 86' 21 <br /> Date Filed 5-17 '86 <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 AGENT OF OWNER <br /> Name Daniel Thompson - THOMPSON-HYSELL ENGINEERS, INC . <br /> Address 2132 Wylie Drive <br /> City Modesto <br /> State/Zip California 95355 <br /> Phone ( 209 ) 521 -8986 <br /> TYPE OF APPLICATION General Plan Amendment <br /> PROJECT Residential commercial and recreational development <br /> ( see attachment ) . <br /> OTHER PERMITS AND APPROVALS (COUNTY, REGIONAL, STATE AND FEDERAL) <br /> REQUIRED FOR THIS PROJECT <br /> PERMIT AGENCY <br /> Tentative Subdivision County Planning Commission <br /> _ Re7nne Board of Supervisors __ _ _ _ <br /> General Plan Amendment Board of Supervisors <br /> -1- ( 9/85 ) <br /> Plan-44 (12/85) <br />