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Environmental Information For, <br /> ?art B <br /> DATE • F1�6 <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 zcr-' <br /> Address ZJ"i STV:EF,'r <br /> City I <br /> State/Zip S <br /> Phone <br /> A. PROJECT DESCRIPTION <br /> 1. Type of application: 1] Use Permit, Q Major Subdivision, <br /> Q Zone Reclassification, Q Minor Subdivision, X Site Approval , <br /> QZone Variance, E] Other: <br /> 2. Project location: <br /> Describe the project; i .e. , request being made and nature of use . <br /> Identify specific project components :IF-EAUE:i:-TIt-4C� SIT& <br /> Fvl?— <br /> p• G��� �:S c��1���T"-3P�6NC� , � To ��F, t�'3P�I Cry `�L)I L.L�!`�lC��_ <br /> 3 . Total acreage of project: 1.255# of existing parcels : ot,1E <br /> Assessor Parcel # (s ) : <br /> O�2-IG3-o(p <br /> 4 . If there is an existing EIR assessing any aspect of your project <br /> site, provide title and date: <br /> 5 . Other permits and approvals (County, Regional, State and Federal ) <br /> required for this project: <br /> PERMIT AGENCY <br /> i NCS 'PG'¢-M r <br /> Site Approval Application - 5 - ( 6/86 ) <br />