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Environmental Information Form <br /> Part B <br /> DATE • 7/10/88 <br /> (Tb 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 Baumbach Fa Piazza Inc. <br /> Address 323 West Elm Street <br /> City Lodi. <br /> State/Zip CA 9S240 <br /> Phone (209) 368.-6618 <br /> A. PROJECT DESCRIPTION <br /> 1. Type of application: Q Use Permit, Q Major Subdivision, <br /> Zone Reclassification, [] Minor Subdivision, Q Site Approval , <br /> Q Zone variance, Q Other : <br /> 2 . Project location: North side Armstrong Road, 1/2 mile West of Devries Road <br /> Describe the project; i .e . , request being made and nature of use . <br /> Identify specific project components : <br /> Home sites for farm family members. <br /> 3 . Total acreage of project: 153 + # of existing parcels . two <br /> Assessor Parcel # (s ) : OSS-230-16 <br /> 4 . If there is an existing EIR assessing any aspect of your project <br /> site , provide title and date: No <br /> 5. Other permits and approvals (County, Regional, State and Federal ) <br /> required for this project: <br /> PERMIT AGENCY <br /> See certificate of compliance cc 87-S an -T <br /> Minor Subdivision - 7 - ( 6/86 ) <br />