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�. . \ .. v . •• • \ ..\ 1►►.11 1111�/� • • •....... . • \ x/1111 <br /> Part B <br /> DATE : <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 Dan Thompson, Thompson-Hysell Engineers <br /> Address 1016 12th Street <br /> City ffodesto <br /> State/Zip CA 95354 <br /> Phone 521 -8986 <br /> A. <br /> 1 - <br /> A. PROJECT DESCRIPTION <br /> 1 . Type of application: Q Use Permit, Q Major Subdivision, <br /> Q Zone Reclassification, Q Minor Subdivision, Q Site Approval , <br /> Q Zone variance, [:] Other: <br /> 2 . Project location: West side Cambridge Drive, South of Lathrop Road <br /> Describe the project; i .e . , request being made and nature of use . <br /> Identify specific project cr,.nponents : Eagle Park Unit No. 5, a <br /> 37 Lot Single Family Subdivision <br /> 3 . Total acreage of project: 7.66 # of existing parcels : 2 <br /> Assessor Parcel # (s ) : 195-440-16,17 <br /> 4 . If there is an existing EIR assessing any aspect of your project <br /> site , provide title and date: No <br /> S . Other permits and approvals (County, Regional , State and Federal ) <br /> required for this project: <br /> PERMIT AGENCY <br /> None <br /> Major Subdivision - 7 - (6/86 ) <br />