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Environmental Information Form <br /> Part B <br /> DATE : AVG. (4-, M-7 <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 _AGENT OF OWNER <br /> Name W003Cr E N rrtt4EE S 31 kWC. <br /> Address +-S-1 1; FEATNE %VER. I)i-l E SUITE <br /> City STnCKT6 N <br /> State/Zip Cly IS-2.0-7 <br /> Phone 4-�1(0— 0011 <br /> A. PROJECT DESCRIPTION <br /> 1 . Type of application : Q use Permit, Q Major Subdivision, <br /> Zone Reclassification, DQ Minor Subdivision, Q Site Approval , <br /> Zone Variance, Q Other : <br /> 2 . Project location: E . SLOE WEST LANE . N. OF BEAR• CP-eE1--' <br /> Describe the project; i .e . , request being made and nature of use . <br /> Identify specific project components : <br /> 3 . Total acreage of project: # of existing parcels : <br /> Assessor Parcel # (s ) : 092-0'2.0— S <br /> 4 . If there is an existing EIR assessing any aspect of your project <br /> site , provide title and date : WOOL <br /> 5 . Other permits and approvals (County, Regional, State and Federal ) <br /> required for this project : <br /> PERMIT AGENCY <br /> NONE <br /> Minor Subdivision - 7 - ( 6/86 ) <br />