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Environmental Information Form <br /> Part B <br /> DATE : AUGUST 5, 1987 <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 ROBERT PORECCA AGENT: RICHARD M. BISHOP,L.S. <br /> Address 4520 DISCOVERY POINT 5383 E. FIG AVENUE <br /> city BYRON MANTECA <br /> State/Zip CALIFORNIA 94514 CALIFORNIA 95336 <br /> Phone— 415)634-7148 209)239-3121 <br /> A. PROJECT DESCRIPTION <br /> 1 . Type of application: Q Use Permit, Q Major Subdivision, <br /> Zone Reclassification, X] Minor Subdivision, Q Site Approval , <br /> Zone Variance, ❑ Other : <br /> 2 . Project location: 12671 W BETHANY ROAD - TRACY <br /> Describe the project; i .e . , request being made and nature of use . <br /> Identify specific project components : SEE ATTACHED TPM <br /> 3 . Total acreage of project: 45.9 AC GROCSof existing parcels : 2 <br /> Assessor Parcel #k (s ) : 211-020-04 AND LOT 28 & 29 NAGLEE BURK TRACT <br /> 4 . If there is an existing EIR assessing any aspect of your project <br /> site , provide title and date: N/A <br /> 5 . Other permits and approvals (County, Regional, State and Federal ) <br /> N/A required for this project : <br /> PERMIT AGENCY <br /> Minor Subdivision - 7 - ( 6/86 ) <br />