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DATE: May 18,1987 <br />Environr Intal Information Form <br />(To be Completed By Applicant) <br />Part B <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 William D. Edwards <br />Address 6352 West Canal Blvd. <br />City Tracv <br />State/Zip Ca. 95376 <br />Phone 835-4651 <br />A. PROJECT DESCRIPTION <br />1. Type of application: [] Use Permit, ER Major Subdivision, <br />Zone Reclassification, Q Minor Subdivision, Q Site Approval, <br />Q Zone Variance, [:] Other: <br />2. Project location:Por. Lot 47, Brichetto Tract, Sec.3-T, 35 R 5 E <br />Describe the project; i.e., request being made and nature of use. <br />Identify specific project components:Subdivide 23 plus acres into a <br />max of 14 Residential lots for single family residences Tract <br />#2055 <br />3. Total acreage of project: 23 plus # of existing parcels: <br />Assessor Parcel #(s): 237-54-011 <br />4. If there is an existing EIR assessing any aspect of your project <br />site, provide title and date: ER -86-3 Traina Bros. EIR <br />5. Other permits and approvals (County, Regional, State and Federal) <br />required for this project: <br />P-ERMIT AGENCY <br />- NI/A <br />Zone Reclassification - 7 - (6/86) <br />