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Environmental Information Form <br /> Part B <br /> DATE : OCT. ire , li e <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 _AGENT OF OWNER <br /> Name IN ECS INC. <br /> Address_ ZIO N HLJWTF-r- S <br /> City STDGKTON <br /> State/Zip CA q9 OI — <br /> Phone +,(64-- A=612- <br /> A. <br /> -632A. PROJECT DESCRIPTION <br /> 1 . Type of application: Q Use Permit, Q Major Subdivision, <br /> Zone Reclassification, CK Minor Subdivision, Q Site Approval, <br /> Zone variance, Q Other : <br /> 2 . Project location: BOTH SIDES OF I-5, Sou i OF MATREWS RD. <br /> Describe the project; i .e . , request beinq made and nature of use . <br /> Identify specific project components : <br /> 3 . Total acreage of project: 7 # of existing parcels : <br /> Assessor Parcel # (s ) : 193-7.00 -- 1 <br /> 4 . If there is an existing EIR assessing any aspect of your project <br /> site , provide title and date: NO N E <br /> 5 . Other permits and approvals (County, Regional, State and Federal ) <br /> required for this project: <br /> PERMIT AGENCY <br /> NONE <br /> Minor Subdivision - 7 - ( 6/86 ) <br /> .-a+:a�w6i,:►raar,l�:,..:ro-'kSM• :+v�A,— -t <br />