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Environmental Information Form <br /> Part B <br /> DATE: DEC. 23, 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 /> PER80N CCMPLETING FORM X PROPERTY OWNER X AGENT OF OWNER <br /> Name VINK BROS. <br /> Address _ 30222 S. CHRTS_M_AN R_ n_ <br /> City TArY <br /> State/Zip r—AT,TmgNTA_ 95376 <br /> Phone (209) 478-0991 <br /> A. PROJECT DESCRIPTION <br /> 1. Type of application; Q Use Permit, Q Major Subdivision, <br /> Q Zone Reclassification, E] Minor Subdivision, Q Site` Approval, <br /> Q Zone variance, E] Other: <br /> 2. Project location:_ N.E. 1/4 OF SECTION 14 T.3S. , R.5E. , M.D.B. & M. <br /> Describe the project; i .e. , request being made and nature of use. <br /> Identify specific project components : TO DIVIDE EXISTING 157.87 ac. <br /> PARCEL INTO (1) 3.26ac, (1) 154.61 ac. Parcels <br /> 3 . Total acreage of project: 161.9 ac. # of .existing parcels: 4 <br /> Asse--sor Parcel Us ) :: 253-240-02, ,03, 05 & 06 <br /> 4 . If there is an existing EIR assessing any aspect of your project <br /> site, provide title and date: NONE <br /> 5. Other permits and approvals (County, Regional , State and Federal ) <br /> required for this project: <br /> PERMIT AGENCY <br /> WEL1.L <br /> PERCOLATION LTH DPT. <br /> RCOLATION TEST HEALTH <br /> BUILDING BUILDING DEPT. <br /> Minor Subdivision - 7 - ( 6/86 ) <br />