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Fnvironmentai Information Porro <br /> Part B <br /> DATE : May 25 � 1989 <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 Wong Engineers Inc <br /> Address 4578 Feather River Drive Suite A <br /> City Stockton <br /> State/Zip California 95207 <br /> Phone (209 ) 476-0011 <br /> A. PROJECT DESCRIPTION <br /> 1 . Type of application: Q Use Permit, Q Major Subdivision, <br /> QZone Reclassification, E3 Minor Subdivision, Site Approval , <br /> Zone Variance, Q Other : <br /> Lone Tree Road <br /> 2 . Project location: Approx. 1300 ' West of Lone Tree & Wagner Roads <br /> Describe the project; i .e . , request being made and nature of use . <br /> Identify specific project components : The request is to divide a <br /> 40.0 Acre parcel into a 3 .0 acre homsite parcel and a 37 .0 acre <br /> 'Walnut-.. Qrchard <br /> 3 . Total acreage of project: 40 .0 # of existing parcels : 1 <br /> Assessor Parcel # (s ) : 203-21-25 <br /> 4 . If there is an existing EIR assessing any aspect of your project <br /> site , provide title and dater N. <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 />