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Environmental Information Form <br /> Part B <br /> DATE : March 1 , 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 Dale J. Ramey <br /> Address 544 E. Yosemite Avenue <br /> City Manteca <br /> State/Zip Ca 95336 <br /> Phone (209) 823-314 <br /> A. PROJECT DESCRIPTION <br /> 1 . Type of application : Q use Permit, Q Major Subdivision, <br /> Q Zone Reclassification, Q Minor Subdivision, 0 Site Approval , <br /> Zone Variance, [] Other : <br /> 2 . Project location: South West Corner West Ripon Road & Kincaid Road <br /> Describe the project; i .e . , request being made and nature of use . <br /> Identify specific project components : Divide Parcel for <br /> Residence <br /> 3 . Total acreage of project: 80 # of existing parcels : 1 <br /> Assessor Parcel # (s ) : 257-230-01 <br /> 4 . If there is an existing EIR assessing any aspect of your project <br /> site, provide title and date : Not aware of any <br /> 5 . Other permits and approvals (County, Regional , State and Federal ) <br /> required for this project : <br /> PERMIT AGENCY <br /> Minor Subdivision - 7 - ( 6/86 ) <br />