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Environmental Information Form <br /> Part B <br /> DATE: _February 9 . 1989 <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 X AGENT OF OWNER <br /> Name Gary Reeve <br /> Address P - 0-Box 215 <br /> City Tracy <br /> State/Zip Ca . 8-021 <br /> Phone 209 835-2002 <br /> A. PROJECT DESCRIPTION <br /> 1. Type of application: Q Use Permit, Major Subdivision, <br /> Q Zone Reclassification, Minor Subdivision, Q Site Approval, <br /> QZone Variance, Q Other: <br /> 2 . Project location: North west corner of Bethany and Reeve Roads <br /> Describe the project; i .e . , request being made and nature of use . <br /> Identify specific project components : The request is for the <br /> owner/operator to split a 1 . 5 acre par—c—eT ort in or er to <br /> finance for a u ure omesi e . <br /> 3 . Total acreage of project: 49 . 26 # of existing parcels : 1 <br /> Assessor Parcel # (s ) : 209-'��1 0 � <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 /> N .A. <br /> Minor Subdivision - 7 - (6/86 ) <br />