Laserfiche WebLink
Environmental Information Form <br /> Part B <br /> DATE : /(2 /3 <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 AGENT OF OWNER <br /> Name Ce ^ ; '- CDM hIER N 0 LTE �aSS�G <br /> Address <br /> City <br /> State/Zip ( AL[FORt,)1Ai `55AI <br /> Phone (�[Co 4A -:;n1) n, <br /> A. PROJECT DESCRIPTION <br /> 1. Type of application : L-! use Permit, E] Major Subdivision, <br /> Zone Reclassification, Q Minor Subdivision, Q Site Approval , <br /> Zone variance, D Other : <br /> 2 . Project location: SHAW RoAy IAmz-rw nF �2EMC�NT <br /> Describe the project; i .e . , request being made and nature of use . <br /> Identify specific project components : PACLCEL. 2 <br /> 3 . Total acreage of project: -7.2 :L # of existing parcels : <br /> Assessor Parcel # (s ) : 143 - -707 '32 <br /> 4 . If there is an existing EIR assessing any aspect of your project <br /> site , provide title and date : NOW E - <br /> 5 . 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 />