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For Staff Use Only <br /> File No . <br /> Date Filed <br /> APPLICATION FORM PART B: <br /> ENVIRONMENTAL INFORMATION <br /> (To be Filled Out By Applicant ) <br /> NOTE: In completing this form, use additional sheets if necessary. <br /> Answer all questions to the best of your ability. If 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 Mid-Valley Engineering, Inc. Attention: Troy Wright <br /> Address 900 "H" Street Suite G P.O. Box 816 <br /> City Modesto, _ <br /> State/Zip California 95353 <br /> Phone 209) 526-4214 <br /> TYPE OF APPLICATION Major Subdivision Application <br /> PROJECT. Vesting tentative subdivision map of Morada Estates North <br /> OTHER PERMITS AND APPROVALS (COUNTY, REGIONAL, STATE AND FEDERAL) <br /> REQUIRED FOR THIS PROJECT <br /> PERMIT AGENCY <br /> Tentative Map Approval San Joaquin County Planning Commission <br /> Tentative Map Approval San Joaquin County Board of Supervisors <br /> -1- (9/85) <br />