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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 r"�AGENT OF OWNER <br /> Address t/ <br /> City <br /> State/Zip <br /> Phone- <br /> A. PROJECT DESCRIPTION <br /> 1. Type of application: 0 Use Permit, Q Major Subdivision, <br /> Q Zone Reclassification, Q Minor Subdivision, Q Site Approval, <br /> QZone variance, Q Other: <br /> 2 . Project location: made and na u eao <br /> Describe the project; i .e . , request bein <br /> Identiff�y specific project components : <br /> lit" `i`n �'/� % �� � /tl 'zE 9oc �.o rifn r C• Ll���� /A,-Gl <br /> 3. Total acreage of project: # of existing parcels: % <br /> Assessor Parcel Us ) :: j7p/ 020 -d <br /> 4 . If there is an existing EIR assessing any aspect of your project <br /> site, provide title and date: azul De%esyihK) IFI <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 />