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oqi� <br /> _ <br /> I -�� �'t .-.nl.. W.' <br /> Environmental Information 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 X AGENT OF OWNER <br /> Name Baumbach $ Piazza, Inc. <br /> Address 323 West Elm treet <br /> City Lodi <br /> State/Zip CA 95240 <br /> Phone <br /> A. PROJECT DESCRIPTION <br /> 1 . Type of application: Q use Permit, Major Subdivision, <br /> Q Zone Reclassification, Q Minor Subdivision, Q Site Approval , <br /> Zone variance, Q Other : - <br /> 2 . Project location: Woodson Road, North of Jahant Road, West of Hwy 99. <br /> Describe the project; i .e. , request being made and nature of use . <br /> Identify specific project components : Propose RR-100 subdivision with <br /> a total of 87 lots, Unit No. 1 completed containing 13 lots. <br /> 3 . Total acreage of project: 234.7 # of existing parcels : <br /> Assessor Parcel # (s ) : Four <br /> 4 . If there is an existing EIR assessing any aspect of your project <br /> site, provide title and date: Previous E.I.R. for Pha_Se I in Countv files. <br /> 5 . Other permits and approvals (County, Regional , State and Federal ) <br /> required for this project: <br /> PERMIT AGENCY <br /> None <br /> Major Subdivision - 7 - (6/86 ) <br />