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Environmental Information Form <br /> Part B <br /> DATE: January 17,1989 <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 AGENT OF OWNER <br /> Name K W Engineering <br /> Address 3849 Perlta Blvd. , Al <br /> City Fremont <br /> State/Zip Ca. 94536 <br /> Phone 415 795-0322 <br /> A. PROJECT DESCRIPTION <br /> 1. Type of application: E] Use Permit, Q Major Subdivision, <br /> Q Zone Reclassification, Q Minor Subdivision, Q Site Approval, <br /> Zone Variance, Q Other: <br /> 2 . Project location: Lathrop & Harlan Road. <br /> Describe the project; i .e. , request being made and nature of use . <br /> Identify specific project components : Parcel 2-;A shopping center with <br /> food markets, bank, retail stores, services, offices, parking lot, etc. <br /> Parcel 3- A motel with appr. 150 units <br /> 3 . Total acreage of project: 16.38 # of existing parcels : 3 <br /> Assessor Parcel # (s ) : 195-121-12 & 13 (parcels 2 & 3 ) <br /> 195-121-10 & 11 parcel 1 . . .no Development under this appli- <br /> 4 . If there is an existing EIR assessing any aspect of your project cation, <br /> site, provide title and date: N/A <br /> 5 . Other permits and approvals (County, Regional, State and Federal ) <br /> required for this project : <br /> PERMIT AGENCY <br /> Parcel Map County <br /> Building Permit County <br /> Improvement Plan County <br /> Minor Subdivision - 7 - ( 6/86 ) <br />