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Environmental Information Form <br /> Part B <br /> DATE: June 28, 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 X PROPERTY OWNER AGENT OF OWNER <br /> Name Duane Rohrer <br /> Address 2801 Fincnoa <br /> City Modesto <br /> State/Zip Ca. 95354 <br /> Phone 209- 572-5626 <br /> A. PROJECT DESCRIPTION <br /> 1. Type of application: Q Use Permit, Q Major Subdivision, <br /> Zone Reclassification, Q Minor Subdivision, El Site Approval , <br /> Zone Variance, Q Other: <br /> 2. Project location: Koontz Road <br /> Describe the project; i .e . , request being made and nature of use . <br /> Identify specific project components : Construct Tomato Grading <br /> Station & Truck Staging. Tomatoes will be graded by Calif. Dept. of <br /> Food & Agriculture before delivery to canneries. <br /> 3 . Total acreage of project: 10 Ac. # of existing parcels : 2 <br /> Assessor Parcel Us ) :: 001-18-8 & 9 <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 /> Building Permit County Building Inspection <br /> } <br /> Site Approval Application - 5 - ( 6/86 ) <br />