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Environmental Information Form <br /> Part B <br /> DATE : <br /> (To be Completed By Applicant ) <br /> NOTE: In completing this form, use additional sheets if necessary. <br /> Answer all questions to the beat 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 Ratunhach F Piazza Inc. <br /> Address 323 iVest Elm Street <br /> City Lo 1 <br /> State Zip 95240 <br /> Phone 368-6618 <br /> A. PROJECT DESCRIPTION <br /> 1. Type of application: Q Use Permit, Q Major Subdivision, <br /> Q Zone Reclassification, E] Minor Subdivision, Q Site Approval, <br /> Q Zone variance, Q Other: <br /> 2. Project location:_ Southeast corner of L. Sacramento Rd � Peltier Road <br /> Describe the project; i .e . , request being made and nature of use. <br /> Identify specific project components :-Divide homesite from farm land. <br /> 3 . Total acreage of project: 20 ± # of existing parcels : 1 <br /> Assessor Parcel # (a ) : 013-175 -01 <br /> 4 . If there is an existing EIR assessing any aspect of your project <br /> sitQ, provide title and date: - <br /> 5 . Other permits and approvals (County, Regional, State and Federal ) <br /> ......required for ' this project;. <br /> PERMIT AGENCY <br /> None <br /> Minor Subdivision - 7 - ( 6/86 ) <br />