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Environmental Information Form <br /> Part B <br /> DATE : May 9. 1989 <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 xx AGENT OF OWNER <br /> Name_ Dillon Engineering <br /> Address P.O. Box 2180 <br /> City Lodi <br /> State/Zip CA 95241-2180 <br /> Phone 209-334-6613 <br /> A. PROJECT DESCRIPTION <br /> 1 . Type of application: Use Permit, Q Major Subdivision, <br /> El Zone Reclassification, Q Minor Subdivision, Q Site Approval, <br /> ElZone Variance, 1:1 Other : <br /> North side of Hildreth Lane, approximately 2, 000 feet east of <br /> 2 . Project location: Highway 99. <br /> Describe the project; i .e . , request being made and nature of use . <br /> Identify specif is project components :_Realign an exi sting gnhrl;v; <br /> to include one more lot. inn <br /> 3 . Total acreage of project: 11. 9 ac. # of existing parcels : 7 <br /> Assessor Parcel # (s ) :_085 .580_01. 0203, 04, 05, 06, 07 <br /> 4 . If there is an existing EIR assessing any aspect of your project <br /> site , provide title and date : N/A <br /> 5 . Other permits and approvals (County, Regional , State and Federal ) <br /> required for this project : <br /> PERMIT AGENCY <br /> N/A <br /> Major Subdivision - 7 - ( 6/36 ) <br />