Laserfiche WebLink
Environmental Information Form <br /> Part B <br /> DATE: <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 AGENT OF OWNER <br /> Name TFr;l . S-19L.F+tQ C,- PSt�tx! <br /> Address ', p, <br /> City L-0 c;)i <br /> State/Zip <br /> Phone 214 <br /> A. PROJECT DESCRIPTION <br /> 1 . Type of application: Q Use Permit, Major Subdivision, <br /> Zone . Reclassification, Q Minor Subdivision, Site Approval , <br /> QZone Variance, Q Other : <br /> 2 . Project location; <br /> Describe the project; i .e. , request being made and nature of use . <br /> Identify specific project components : <br /> 1- <br /> ai <br /> 3 . Total acreage of project: 1. I of existing parcels : <br /> Assessor Parcel € (s ) : <br /> 4 . If there is an existing EIR assessing any aspect of your project <br /> site , provide title and date : N/0,4�5T <br /> 5 . Other permits and approvals (County, Regional, State and Federal ) <br /> required for this project: <br /> PERMIT AGENCY <br /> Site Approval Application - 5 - ( 6/86 ) <br />