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Environmental Information Form <br /> Part B <br /> r <br /> DATE : March 20 , 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 x PROPERTY OWNER AGENT OF OWNER <br /> Name Raymond M_ Hn3zp c <br /> Address 23284 E . Hiway 120 <br /> City Esr-,r <br /> State/Zip CA 95320 <br /> Phone 838-6483 <br /> A. PROJECT DESCRIPTION <br /> 1. Type of application: Q Use Permit, Major Subdivision, <br /> QZone Reclassification, Q Minor Subdivision, Q Site Approval, <br /> QZone Variance, Q Other : <br /> 2 . Project location: 22888 E . Hiway 120 "Gcalon <br /> Describe the project; i .e . , request being made and nature of use . <br /> Identify specific project components : Requesting permits for <br /> installation of Barton Walnut Huller and Dehydrator <br /> 3 . Total acreage of project: 1 # of existing parcels : 1 <br /> Assessor Parcel # (s ) : 247-020-04-3 <br /> 4 . If there is an existing EIR assessing any aspect of your project <br /> site , provide title and date : NA <br /> 5 . Other permits and approvals (County, Regional, State and Federal ) <br /> required for this project : <br /> PERMIT AGENCY <br /> electrical f,ount <br /> _natural gas County <br /> Pit_ County <br /> Site Approval Application - 5 - (6/86 ) <br />