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Environmental Information Form <br /> Part B <br /> DATE: 5/27/88 <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 WOODARD <br /> Address 14900 W. HWY 12 <br /> City TODI <br /> State/Zip CA 95242 <br /> Phone 369-1041 <br /> A. PROJECT DESCRIPTION <br /> 1. Type of application: Q Use Permit, Q Major Subdivision, <br /> H Zone Reclassification, Q Minor Subdivision, E] Site Approval, <br /> Q Zone variance, Q Other: GPA <br /> 2. Project location: 14900 W HWY 12 <br /> Describe the project; i.e. , request being made and nature of use. <br /> Identify specific project components : EX;ZTI MARINA RESORT TO BE <br /> EXPANDED BY ADDITION OF 716 CAMPSITES AND RE . <br /> 3 . Total acreage of project: 150 # of existing parcels : <br /> Assessor Parcel # (s ) : 055-260-03 + 04, 055-030-01+ 09 + 13 <br /> 4 . If there is an existing EIR assessing any aspect of your project <br /> site, provide title and date: NONE <br /> 5e Other permits and approvals (County, Regional , State and Federal ) <br /> required for this project: <br /> PERMIT AGENCY <br /> ASF-WF-R WASTF DTSCHARCE CENTRAL VALLEY RWQCB <br /> EV PARK C0NSTR11CTTON HCD <br /> DOCK CONSTRUCTION ARMY CORP OF ENGINEERS <br /> ENCROACHMENTS CAL-TRANS <br /> General Plan Map Amendment 11 ( 6-86 ) <br />