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X f -� - Environn ttal Information For <br /> � �... ,- <br /> y .Pa rt 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 0A <br /> Address o-s - e-v S-(- <br /> City 'S.C-'-' Fv---"\ <br /> State/Zip Ga.h F <br /> Phone 2C- - (�-"!� <br /> A. PROJECT DESCRIPTION <br /> ' 1. Type of application: use Permit, Major Subdivision, <br /> Zone Reclassification, Minor Subdivision, <br /> Z Site Approval, <br /> Zone variance, 7 Other: <br /> 2. Project location- Frc�c�-ao ecl <br /> Describe the project; i.e . , r _uest being made and nature 7,4e- <br /> CL <br /> Identify specific project components : . owner cv�Uw�C ��s �o,-- <br /> . 4 lti v� r c <br /> 3. Total acreage of project: . 572 # of existing parcels : 20 2f • <br /> Assessor Parcel # (s ) :- 1 -7`l - r 5O 21 67ho rrb1�2e+- os ow\ !of- 2r wrr1, <br /> 0411-� le!- 1—ac, . 5772 ...�rsarrCs�. <br /> 4 . If there is an existing EIR assessing any aspect of your project <br /> site, provide title and dater F <br /> 5 . Other permits and approvals (County, Regional, State and Federal ) <br /> required for this project: <br /> PERMIT AGENCY <br /> J - EU�L�f►.1<� i��� �; S h N �,cam.G�; t N <br /> Site Approval Application - 5 - ( 6/86 ) <br />