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Environmental Information Form <br /> Part B <br /> DATE: December 6, 1988 <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 O uprtarol i & Associates <br /> Address 160 Northcra e Drive i <br /> City Manteca <br /> State/Zip California 95336 <br /> Phone (209) 239-4908 <br /> .f <br /> A. PROJECT DESCRIPTION <br /> i <br /> 1. Type of application: Q Use Permit, Q Major Subdivision, <br /> Q Zone Reclassification, Q Minor Subdivision, Site Approval, <br /> j <br /> Zone Variance, Q Other: <br /> I <br /> 2. Project location: 20712 So. Murphy Road <br /> Describe the project; . i..e. , request being made and nature of use . <br /> Identify specific project components : Create 10.0$ AC parcel to finance <br /> a residence for a son who earns. a substantial portion of his livelihood from <br /> farming. r+ <br /> 3 . Total acreage of project: 38.1 . # of existing parcels: .l <br /> Assessor Parcel # (s ) : 245-140-18 <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 /> PERMIT AGENCY <br /> Well & Septic Permit Local Health District i <br /> Building Permit Building Department <br /> Minor Subdivision - 7 - ( 6/86 ) <br />