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APPffiIDI% H <br /> ENVIFJONMENTAL INFORMATION FORM <br /> (To Be Completed By Applicant) kl t: <br /> AUG 14 1991 <br /> Date Filed ENVIRONMENTAL HEALTH <br /> General Information PERMIT/SERVICES <br /> I. Name and address of developer or project sponsor: <br /> 2. Address of project: <br /> Assessor's Block and Lot Number: <br /> 3. Name, address, and telephone number of person to be contacted concerning <br /> this project: <br /> 4. Indicate number of the permit application for the project to which this <br /> form pertains: <br /> 5. List and describe any other related permits and other public approvals <br /> required for this project , including those required by city, regional , <br /> state and federal agencies: <br /> 6. Existing zoning district: <br /> 7. Proposed use of site (Project for which this form is filed) : <br /> Project Description <br /> S. Site size. <br /> 9. Square footage. <br /> 10. Number of floors of construction. <br /> 11. Amount of off-street parking provided. <br /> 12. Attach plans. <br /> 13. Proposed scheduling. <br /> 14. Associated project. <br /> 15. Anticipated incremental development. <br /> 16. If residential , include the number of units, schedule of unit sizes, range <br /> of sale prices or rents, and type of household size expected. <br /> 295 <br />