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Environmental Information Form <br /> Part B <br /> DATE : SPDfpmbpr 5 989 <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 Wong En ineers Inc . <br /> Address 4578 Feather River Drive Suite A <br /> City Stockton <br /> State/Zip CA 95207 <br /> Phone (209)476-0011 <br /> A. PROJECT DESCRIPTION <br /> 1 . Type of application: Q Use Permit, Major Subdivision, <br /> Zone Reclassification, X] Minor Subdivision, Q Site Approval , <br /> Zone Variance, Q Other : <br /> 2 . Project location: Location East side of Fine Road,south of Milton Rd. <br /> Describe the project; i .e . , request being made and nature of use . <br /> Identify specific project components : The request is to divide one <br /> 5 .60 Acre Parcel into two parcels Parcel 1 '= 2 -00 Acres _ ParePl 2 <br /> = 3 .60 Acres . <br /> 3 . Total acreage of project: 5 .60 ae# of existing parcels : 1 <br /> Assessor Parcel # (s ) : 093-040::=09 <br /> 4 . If there is an existing EIR assessing any aspect of your project <br /> site , provide title and date: TA <br /> 5 . Other permits .-and approvals . (County, Regional, - State and Federal ) <br /> required for this project: <br /> PERMIT AGENCY <br /> No permits required, <br /> Minor Subdivision - 7 - ( 6/86 ) <br />