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Environmental Information Form <br /> Part B <br /> DATE : FEB. 'L'Z� l`ZPiS <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 Vi00Gr- E.ki6- IIJ EERS INC- <br /> Address A-S7E3 FEAT-JEF— F—WEi? 'L>R-WE , SUIrE <br /> city NO CK-TO N <br /> State/Zip CA gSZ,O- <br /> Phone 4--77 6 —00 11 <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 /> Zone variance, Q Other: <br /> 2 . Project location: N. SIDE L1BER.T`( F-O&p L W. OF zoWuEs P—OAD <br /> Describe the project; i .e. , request being made and nature of use . <br /> Identify specific project components : <br /> DIVIDE A 30 . 47 AC. PAP_CEL INTO 2 PA F-T-S <br /> AIzCEL N COQ.) AIN IIJ 10. 0 A Ci?-ES PAF-CE7L B <br /> C0►JT"-?�1N 1tJC' 20• AC ES <br /> 3 . Total acreage of project: 30.x- # of existing parcels : <br /> Assessor Parcel # (s ) :- 00-7 — 100- 1-0 <br /> 4 . If there is an existing EIR assessing any aspect of your project <br /> site , provide title and date: NON E- <br /> 5 . <br /> 5 . Other permits and approvals (County, Regional , State and Federal ) <br /> required for this project: <br /> PERMIT AGENCY <br /> NOAE. <br /> Minor Subdivision - 7 - ( 6/86 ) <br />