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Environmental Information Form <br /> Part B <br /> DAT E : September 20, 1988 <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 Nichols, Melburg & Rossetto, AIA, Architects <br /> Address 7844 Madison Ave. , Suite 150 <br /> city Fair Oaks, California 95628 <br /> State/Zip California, 95628 <br /> Phone (916) 967-1340 <br /> A. PROJECT DESCRIPTION <br /> 1. Type of application: Q Use Permit, Q Major Subdivision, <br /> Q Zone Reclassification, [—] Minor Subdivision, Q Site Approval, <br /> Q Zone Variance, Q Other : <br /> 2 . Project location: Northland Road, 1200' east of Highway 99 frontage road <br /> Describe the project; i .e . , request being made and nature of use . <br /> Identify specific project components I A 25,828 of church meetinghouse <br /> with 268 parking spaces in a lighted and landscaped parking lot; an additional <br /> 14,600 sf church meetinghouse with an additional 106 parking spaces. <br /> 3 . Total acreage of project: 11.76 # of existing parcels : 1 <br /> Assessor Parcel Us ) :: 197-100-01 <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 /> None <br /> Use Permit Application - 7 - ( 6/86 ) <br />