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Environmental Information <br /> r'�;�o•aa� <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 XX PROPERTY OWNER AGENT OF OWNER <br /> Name CARL D. and LENA NAVARRA <br /> Address 31919 S. BIRD RD. <br /> City TRACY <br /> State/Zip CA 95376 <br /> Phone (209) 836-0005 <br /> TYPE OF APPLICATION MINOR SUBDIVISION <br /> i,S5i <br /> PROJECT TO DIVIDE, TWO 'ACRE PARCELS FROM AN EXISTING 81.12 ACRR <br /> PARCEL AS PER SECTION 9-4005 OF THE PLANNING TITLE <br /> OTHER PERMITS AND APPROVALS (COUNTY, REGIONAL, STATE AND FEDERAL) <br /> REQUIRED FOR THIS PROJECT <br /> PERMIT AGENCY <br /> PERCOLATION TEST HEALTH DEPT. <br /> WELL HEALTH DEPT, <br /> BUILDING BUILDING DEPT. <br /> -1- ( 9/85 ) <br /> Plan-44 (12/85) <br />