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Environmental Inform tion Form <br /> R.-E L C. <br /> DATE: <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 formscannotbe accepted. <br /> PERSON COMPLETING FORM X PROPERTY OWNER AGE T OF OWNER <br /> Name ���h �•� �! �� , / <br /> Address _-7 G < • F.r G' � <br /> City G<��. ' <br /> State/Zip G<t p �> G(� <br /> Phone - 9 %:� 7— <br /> A. PROJECT DESCRIPTION <br /> 1 . Type of application: Q Use Permit, Q Major Subdivisi n, <br /> Q Zone Reclassification, Q Minor Subdivision, Q Sit Approval, <br /> Q Zone variance, Q Other: <br /> a. Project location: /74 <br /> Describe the project; i .e . , request being made and nature of use . �`�y ` <br /> Identify specific project components : 7"� n' /fie_ � ". <br /> f-71-' i <br /> i <br /> 3 . Total acreage of project: �.2• � # of existing parcels : <br /> Assessor Parcel Us ) : <br /> : <br /> 4 . If there is an -existing EIR assessing any aspect of your project <br /> site, provide title and date: <br /> 5 . Other permits and approvals (County, Regional, State arid Federal) <br /> required for this project: <br /> PERMIT AGENCY <br /> Minor Subdivision - 7 - ( 6/86) <br />