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Environmental Information Form <br /> Part B <br /> DATE : OCT. 14, 1987 <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 X AGENT OF OWNER <br /> Name SAM TRAGER AGENT: RICHARD M. BISHOP, L.S. <br /> Address P.O. BOX 1084 5383 E. FIG AVENUE <br /> City TRACY MANTECA <br /> State/Zip CALIFORNIA 95376 CALIFORNIA 95336 <br /> Phone 209)835-9420 209)239-3121 <br /> A. PROJECT DESCRIPTION <br /> 1 . Type of application: Use Permit, Q Major Subdivision, <br /> Zone Reclassification, EX Minor Subdivision, Q Site Approval, <br /> Q Zone variance, Q Other : <br /> 2 . Project location: 15835 W. BETHANY ROAD - TRACY <br /> Describe the project; i .e . , request being made and nature of use . <br /> Identify specific project components : <br /> TO CREATE 4 - 40 AC PARCELS FOR AGRICULTURAL USE <br /> 3 . Total acreage of project: 166 AC +/-# of existing parcels : 2 <br /> Assessor Parcel # (s ) :- 209-310-14 <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 : N/A <br /> P ERP"IT AGENCY <br /> Minor Subdivision - 7 - ( 6/86 ) <br />