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Environmental Information Form <br /> Part B <br /> DATE : 11/19/87 <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 y. AGENT OF OWNER <br /> Name r^ vt <br /> Address ip�,st nFf; r-e�nt � � Po '7° E—s - � 1 th StreA+- <br /> City _ i Tracy <br /> State/Zip i ; .- <br /> Phone ';-9000 1 PROJECT DESCRIPTION <br /> 1 . Type of application: Q use Permit , Q Major Subdivision, <br /> Q Zone Reclassification, Minor Subdivision, Q Site Approval , <br /> Zone Variance, 0 Other : <br /> 2 . Project location: Assessors parcel No ' s 2-11-1 <br /> Describe the project; i . e . , request being made and nature of use . <br /> Identify specific project'• components : V.ro-oosal includes two Marinas , <br /> Restaurant/Bar, Boat Ren'ta1- & 'Reuair Boat Shon1*1ini-u)?rt • <br /> creational vehicle storage , 350 M/L' Camp sites , -- 3377 snacP Moobbi <br /> le <br /> Home, Park. - <br /> 3 . Total acreage of project: L38 r! L € of existing parcels : 1 <br /> Assessor Parcel t (s ) : 211-110--05 -and 211=110-06 . <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 /> N/A <br /> General Plan Map Amendment 11 ( 6-86 ) <br />