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Environmental Information Form <br /> Part B <br /> DATE : August 11 , 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 Mid-Valley Engineering - Attn• Rick Mummert - - <br /> Address P.O. Box 816 <br /> City Modesto <br /> State/Zip CA 95353 <br /> Phone (209) 526-4214 <br /> A. PROJECT DESCRIPTION <br /> 1 . Type of application : Q use Permit , Q Major Subdivision, <br /> Q Zone Reclassification, F] Minor Subdivision, Q Site Approval , <br /> Zone Variance, Q Other : <br /> 2 . Project location : 26261 S. Austin Rd. , Ripon, CA 95366 <br /> Describe the project; i . e . , request being made and nature of use . <br /> Identify specific project components : Agriculture homesite split of <br /> 2 parcels. Parcel "1 " being 3.0 acres and Parcel 2 ' being 3.70 acres. <br /> 3 . Total acreage of project : 40 acres # of existing parcels : 1 <br /> Assessor Parcel # ( s ) : 257-210-10 <br /> 4 . If there is an existing EIR assessing any aspect of your project <br /> site , provide title and date : no EIR is existing <br /> 5 . Other permits and approvals (County, Regional , State and Federal ) <br /> required for this project : <br /> PERMIT AGENCY <br /> none required <br /> Minor Subdivision - 7 - ( 6/86 ) <br />