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For Staff Use Only <br /> File No . <br /> Date Filed <br /> APPLICATION FORD! 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 Idartin A. Schuler <br /> Address 1306 Elizabeth Street <br /> City Escalon <br /> State/Zip CA„ 95320 <br /> Phone (209)838-2622 _ <br /> TYPE OF APPLICATION minor Subdivision <br /> PROJECT To create a parcel for financing a home for owner/operator <br /> OTHER PERMITS AND APPROVALS (COUN'T'Y, REGIONAL, STA'L'E AND FEDERAL) <br /> REQUIRED FOR THIS PROJECT <br /> PERMIT AGENCY <br /> N/A N/A <br />