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r,. <br /> Environmental Information <br /> 70 <br /> For Staff Use Only <br /> File No . <br /> Date Filed <br /> APPLICATION FORM PART B: <br /> ENVIRONMENTAL INFORMATION <br /> (To be Filled Out By Applicant ) <br /> NOTE: In completing this form, use additional sheets if necessary. <br /> . Answer all questions to the best of your ability. If 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 Veronica L. Davis <br /> Address 8626 N Lower Sacramento Road #18-8017 <br /> Stockton <br /> State/Zip CA 95210 <br /> Phone 209473-8594 <br /> TYPE OF APPLICATION Tentative Parcel Map <br /> PROJECT Two Lot Parcel Map <br /> OTHER PERMITS AND APPROVALS (COUNTY, REGIONAL, STATE AND FEDERAL) <br /> REQUIRED FOR THIS PROJECT <br /> PERMIT AGENCY <br /> None <br /> -1- (9/85 ) <br /> Plan-44 (12/85) <br />