Laserfiche WebLink
Surface Subsurface Report Questionnaire <br /> Project Name Page 2 of to <br /> Our Project Number: XXXXXX <br /> May 31, 2007 <br /> NEIL O. ANDERSON &ASSOCIATES, INC. <br /> ENVIROMENTAL QUESTIONNAIRE AND DISCLOSURE STATEMENT <br /> PART 1: USER'S RESPONSIBILITIES <br /> (To be completed by Client) <br /> 1. Have any title reports or previous environmental reports been prepared for Yes <br /> the property? (Please provide copies of any available reports.) No <br /> �5— �Lr7r� iG`alc7� <br /> �'t/O — �'R✓i/oir�naCL�f[_-2t7"{C�-rte <br /> 2. Describe the proposed parcel division or lot line adjustment, and the <br /> Proposed future use of each new parcel. (Attach tentative map if <br /> available.) 7 <br /> C� 7� 140,91E iTe !2'4/�C'tZ� <br /> 3. Are you aware of any environmental liens or land use limitations recorded ❑ Yes <br /> against the property? If so, please explain: o <br /> — 4. Do you have any specialized knowledge or experience relating to ❑ Yes ;<No <br /> environmental conditions on the property which may be helpful to us? If <br /> so, please explain: <br /> 5. Is the purchase price significantly lower than that of comparable <br /> properties in the area? If so please explain: <br /> ❑ YesNo <br /> 6. Is there an additional purpose for the completion of this SSCR, beyond <br /> satisfying San Joaquin County requirements for parcel division or lot line <br /> adjustment? If so, please explain: <br /> 7. What is the proposed future use of the property? (Please provide a site map ifavailable.) <br /> /It//V- J�-A-77Aus - <br /> ENDORSEMENTS: <br /> 9112 Ind ustri;d Vo;3v • Lodi_CA 952x0• 209367.3 X01 • I-1, 204 364.1238 <br /> 'pU'\ril U. Indei , d .1.,onucs. ha-. <br />