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Environmental Information Form <br /> Imp 0 , <br /> Part B <br /> DAT E • •3. 8 <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 X_PROPERTY OWNER AGENT OF OWNER <br /> Name W{ l44M F'� F,)E F�,O LI - <br /> ------Address--8350- --- <br /> City N <br /> state/Zip_ nAUFOR9I P. 961712 <br /> Phone <br /> A. PROJECT DESCRIPTION <br /> 1, Type of application: [S use Permit , Q Major Subdivision, <br /> Zone Reclassification, Q Minor Subdivision, Q Site Approval , <br /> Zone variance, Q Other : <br /> 2 . Project location :4301 S WHISKEY SLC"c! ? ,Re L -T C--A - '9"5Z34- <br /> Describe <br /> 95Z34Describe the project ; i .e . , request being made and nature of use . <br /> Identify specific project components : QN1 PAk4. 5U.w(24)RV <br /> M Dt�c l�tf^..r QAC G �..L6 C I �-1 Argy �'--64-K eL,, / , L 'i�aY <br /> Awl C> o—C-vC' NLL 5PAC-Vs A1130 BLA I,-LDtnt4 ;120\210W WITK <br /> 3 . Total acreage of project:A,7&K, 244e& of existing parcels : <br /> Assessor Parcel # (s ) :f31Oho -! <br /> 4u If there is an existing EIR assessing any aspect of your project <br /> site , provide title and date: NoN& <br /> 5 , Other permits and approvals (County, Regional, State and Federal) <br /> required for this project : <br /> PERMIT AGENCY <br /> tel& <br /> � D <br /> /h <br /> Mobilehome/Recreational <br /> Ve),�,cl o Park Permit ( 9/86 ) <br />