Laserfiche WebLink
Environmental Wormation Form <br /> Part B <br /> DATE : <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 <br /> _AGENT OF OWNER <br /> Name <br /> Address �. <br /> City <br /> State/Zip �A 9� qn <br /> Phone <br /> A. PROJECT DESCRIPTION <br /> 1 . Type of application: Q Use Permit <br /> Major Subdivision, <br /> Zone Reclassification, Q Minor Subdivision, E] Site Approval, <br /> Zone Variance, Q Other: <br /> 2 . Project location: South Sid of Fin <br /> Describe the project; ierequest <br /> ht A4i1_e Rnari Nest o S P R R 1jne <br /> request being made and nature of use . <br /> Identify specific project components : Industrial Subdivision <br /> 3 . Total acreage of project: 98 # of existing <br /> Assessor Parcel # (s ) :_ 092_020-12 parcels :—One <br /> 4 . If there is an existing EIR assessing any aspect of your project <br /> site , provide title and date : None <br /> 5 . Other permits and approvals (County, Regional , State and Federal ) <br /> required for this project : <br /> PERMIT AGENCY <br /> Sanita Treatment Plant Water Quality Control Board <br /> Major Subdivision _ 7 _ <br /> (6/86 ) <br />