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Environmental Information Form <br /> Part B <br /> DATE: November 3 , 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 Vic Meyer Enar . Assoc _ <br /> Address-4 N . Main St , <br /> City_ Lodi . <br /> State/Zip Calif . 95241 <br /> Phone ( 209 ) 334-2332 <br /> A. PROJECT DESCRIPTION <br /> 1. Type of application: Q Use Permit, D Major Subdivision, <br /> QZone Reclassification, Q Minor Subdivision, Site Approval, <br /> Zone variance, [] Other: <br /> 2. Project location: F r,A, nHh7 � <br /> - . _idge p . <br /> Describe the project; i.e. , request being made and nature of use. <br /> Identify specific project components : niAinpr tnii ehpc tp rpt ; rp anri <br /> 3 . Total acreage of project:- - rl- # of existing parcels:_ I <br /> Assessor Parcel # (s ) : n17_ 14N_n?-5 ­- <br /> 4 . 'If there- is- an existing EIR assessing any aspect of- your project . <br /> site, provide title and date:_ N.n. <br /> 5. Other permits and approvals (County; Regional, State and Federal) <br /> _ required for this 'project: <br /> : .: PERMIT AGENCY <br /> Nnnfz <br /> Minor Subdivision - 7 - (6/86 ) <br />