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Environmental information Form <br /> Part B <br /> DATE : TQl., 1c1 ' I C1 iz?. <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 Steve Schulke - HCI TELECOMMUNICATIONS CORPORATION <br /> Address 101 Howard Street <br /> City San Franciso <br /> State/Zip CA 94105 <br /> Phone (415)_978-1268 <br /> A. PROJECT DESCRIPTION <br /> 1. Type of application: Q Use Permit, Q Major Subdivision, <br /> Q Zone Reclassification, ffE Minor Subdivision, 0 Site Approval , <br /> Q Zone Variance, 0 Other: <br /> 2. Project location: NW corner of intersection of Corral Hollow Road and IIP Railroad <br /> Describe the project; i .e. , request being made and nature of use . <br /> Identify specific project components : Construction of a ± 2,000 sq. ft. <br /> Public Utility Telecommunications Junction facility to have electronic equipment <br /> and related uses. <br /> 3 . Total acreage of project: - 2 # of existing parcels : 1 <br /> Assessor Parcel # (s ) : 237-11-0070 <br /> 4 . If there is an existing EIR assessing any aspect of your project <br /> site, provide title and date: N/A <br /> S . Other permits and approvals (County, Regional, State and Federal ) <br /> required for this project: <br /> PERMIT AGENCY <br /> NONE - <br /> Minor Subdivision - 7 - ( 6/86 ) <br />