Laserfiche WebLink
Environmental Information Form <br /> Part B <br /> i <br /> DATE: 5-1-89 <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 TOPOGRAPHIC SURVEYS,INC. <br /> Address 3102 11011 STREET <br /> City SACRAMENTO <br /> State/Zip CALIFORNIA 95816 <br /> Phone 916-452-9128 <br /> A. PROJECT DESCRIPTION <br /> 1. Type of application: Q Use Permit, Q Major Subdivision, <br /> ❑ Zone Reclassification, Q Minor Subdivision, Q Site Approval, <br /> Zone variance, Q Other: <br /> 2 . Project location: ROBERTS ISLAND, SAN JOAQUIN CO. <br /> Describe the project; i.e. , request being made and nature of use. <br /> Identify specific project components : 5 LOT PARCEL <br /> SPL_TT FOR AGRIBUSI17--2S. 70Y-ET) AG-a0. 312y MOTLT. CTTr ACp7.grr. <br /> 3 . Total acreage of project: 312 f of existing parcels : 1 <br /> Assessor Parcel # (s ) : 131-090-03 <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 /> N7A <br /> Minor Subdivision - 7 - ( 6/86 ) j <br />