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Environmental Information Form <br /> Part B <br /> DATE : February 14, 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 X PROPERTY OWNER X AGENT OF OWNER <br /> Name Don A. Cose <br /> Address 19 E. 6th Street <br /> City Tracy <br /> State/Zip CA 95376 <br /> Phone (209) 836 0422 <br /> A. PROJECT DESCRIPTION <br /> 1. Type of application: Q Use Permit, Q Major Subdivision, <br /> Q Zone Reclassification, Q Minor Subdivision,- E] Site Approval, <br /> Zone Variance, Q Other: Golf course and subdivision.. .. <br /> 2 . Project location: NE corner of I-5 and Hwy 132, Vernalis <br /> Describe the project; . i:e. ,"-request being made and nature of use . <br /> Identify specific project components :_-18=hale championship golf course, <br /> clubhouse, -parking, shopping; driving range, 800•=900'houses <br /> 3 . Total acreage of project: 1,192 # of existing parcels :'---- <br /> Assessor <br /> arcels : -""Assessor Parcel # (s ) : , <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 /> GPA - Williamson cancellations - rezoning - specific plan approval <br /> General Plan Map Amendment 11 ( 6-86 ) <br />