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r <br /> Environmental information Form <br /> Part B <br /> DATE Fc B. 2Z� l`�88 <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 CCMPLETING FORM PROPERTY OWNER AGENT OF OWNER <br /> Name \�Oocr, ENG, WF-E2S INC. <br /> Address 4S-78 FEAAT1-tER, R.ItIE� DiZ(VE ScJcT'E <br /> City e-TOCK.TO N <br /> State/Zip CA IS7,0-7 <br /> Phone 4-7 6 —00 t <br /> A. PROJECT DESCRIPTION <br /> 1. Type of application: Q Use Permit, Q Major Subdivision, <br /> [] Zone Reclassification, 21 Minor Subdivision, Q Site Approval, <br /> Zone variance, E] Other : <br /> 2 . Project location: N. SIDE LIBE4-TY 9:6,kp W. OF SOW-ES (ZOAD <br /> Describe the project; i .e . , request being made and nature of use. <br /> Identify specific project components : <br /> DIQIpE A 3�J . �- AC, PARCEL. INTO Z PA S <br /> PA(-CEL 10 0 ACRES PARCEL B <br /> C0WJ-J A1M IN .- 20.4-- ACk-cS <br /> 3 . Total acreage of project: 30.x- # of existing parcels : <br /> Ass ecsor Parcel # (s ) : CO7 — t 00— 20 <br /> 4 . If there is an existing E7--R assessing any aspect of your project <br /> site , provide title and dote : NON E <br /> 5 . Other permits and approvals (County, Regional , State and Federal ) <br /> required for this project: <br /> PERMIT AGENCYNOME <br /> Minor Subdivision - 7 - ( 6/86 ) <br />