Laserfiche WebLink
� 1 <br /> Environmental Information Forr, <br /> Part B <br /> DATE: MAY 1988 <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 Yy AGENT OF OWNER <br /> Name N & � cQ1,!57-RJ "TTON n')t' (,L77)7 N � <br /> Address P% Fnvrp <br /> City Mnr,Tr^n <br /> State/Zip Cp or:-77— <br /> Phone Phone <br /> A. PROJECT DESCRIPTION <br /> 1. Type of application: Use Permit, [ ] Major Subdivision, <br /> Zone Reclassification, E] Minor Subdivision, 1_^.! Site Approval, <br /> Zone Variance, I7X Other: STREET ABANDONMENT <br /> 2. Project location: , a=t/- <br /> Describe the proji .e. , request being madd and nature of use. <br /> Identify specific project components : <br /> 3 . Total acredrfP ]e� 3 # 8existingar parcels: <br /> Assessor Parcel # s ) lo,-1n_a � 10 _ n- 0 _180_46 <br /> - <br /> 4. If there isantexistitle nd daReass assessing any aspect of your project <br /> site, provide <br /> ONE <br /> Other permits and approvals (County, Regional, State and Federal) <br /> required for this goject: <br /> FET AGENCY <br /> 17 1)7Nv DFpMTT F M JITV <br /> _ (6/8b ) <br /> Use Permit Application 7 <br />