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Environmental Information Form <br /> Part B <br /> DATE : MAY 15,1987 <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 KEN & HARRIET YASUI AGENT: RICHARD M. BISHOP L.S. <br /> Address 1896 RADCLIFF COURT 5383 E. FIG AVE. <br /> City TRACY, CALIFORNIA MANTECA, CALIFORNIA <br /> State/Zip 95376 95336 <br /> Phone 209) 835-3754 209)239-3121 <br /> A. PROJECT DESCRIPTION <br /> 1. Type of application: Q Use Permit, Q Major Subdivision, <br /> Zone Reclassification, FX Minor Subdivision, Q Site Approval , <br /> QZone variance, Q Other : <br /> 2 . Project location: KASSON &DURHAM FERRY ROADS <br /> Describe the project; i .e . , request being made and nature of use . <br /> Identify specific project components : <br /> SEE TENTATIVE PARCEL MAP <br /> 3 . Total acreage of project: 4A�RF6S+/- # of existing parcels :. 4 <br /> Assessor Parcel # (s ) : 255-230-04,,x,.07.88 <br /> 4 . If there is an existing EIR assessing any aspect of your project <br /> site, provide title and date: N/A <br /> 5 . Other permits and approvals (County, Regional , State and Federal ) <br /> required for this project : <br /> N/A <br /> PERMIT AGENCY <br /> Minor Subdivision - 7 - ( 6/86 ) <br />