Laserfiche WebLink
' Environmental Information Form <br /> Part B <br /> DATE: MAY 18, 1987 f <br /> (To be Completed By Applicant) <br /> I. f. I : I ' <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 WONG ENGINEERS INC <br /> Address <br /> City S y <br /> State/Zip CA 95207 <br /> Phone 476-0011 <br /> A. PROJECT DESCRIPTION <br /> 1 . Type of application: EJUse Permit, Q Major Subdivision, <br /> Zone Reclassification, x] Minor Subdivision, Q Site Approval, <br /> QZone Variance, Q Other: <br /> 2 . Project location: NORTHWEST COR WAUDMAN AND CONNIE AVENUES <br /> Describe the project; i .e . , request being made and nature of use . <br /> Identify specific project components : <br /> DIVIDE EXISTING PARCEL INTO TWO LOTS FOR RESIDENTIAL <br /> i <br /> HOME SITES <br /> 3 . Total acreage of project: 0 .53 # of existing parcels: 1 <br /> Assessor Parcel Us ) : 076-330-14 <br /> 4 . If there is an existing EIR assessing any aspect of your project <br /> site , provide title and date: NO ' <br /> 5 . Other permits and approvals (County, Regional, State and Federal ) <br /> required for this project : <br /> PERMIT AGENCY <br /> NONE <br /> _ � _ ( 6/86 ) • <br /> Minor Subdivision <br />