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Environment Information Form <br /> Part B <br /> DATE : /op-'f 7 <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 X PROPERTY OWNER AGENT OF OWNER <br /> Name <br /> Address <br /> City <br /> State/Zip <br /> Phone <br /> A. PROJECT DESCRIPTION <br /> 1 . Type of application: � Use Permit , Q Major Subdivision, <br /> Zone Reclassification, Q Minor Subdivision, Q Site Approval , <br /> Q Zone Variance , Q Other: <br /> 2 . Project location: / ,/'?00 Lj- ',"-IWV /a1 .4-Oyi C <br /> Describe the project; i .e. , reque t be made and nature of use . <br /> Identify specific project components : /�✓ Park �c�i�f> <br /> z-,,4as cam' <br /> 3 . Total acreage of project: )/ 0 # of existing parcels : <br /> Assessor Parcel # (s ) : OSS c)A0—u 9 . o_rS-_2�(- r)—o3 <br /> 4 . If there is an existing EIR assessing any aspect of your project <br /> site , provide title and date: &,OAfc. <br /> 5 . Other permits and approvals (County, Regional , State and Federal ) <br /> required for this project: <br /> PERMIT AGENCY <br /> Mobilehome/Recreational <br /> Vehicle Park Permit - 11 - (9/86 ) <br />