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Environmental Information Form <br /> Part B <br /> DATE : July 1 9AA <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 1 1 'A ri nga Morrill <br /> 1 <br /> Address 4578 Feath r River Drive, S ii .P r-2 <br /> city S .ockton <br /> State/Zip CA 95207 <br /> Phone 473- 1904 <br /> A. PROJECT DESCRIPTION <br /> 1. Type of application: [D Use Permit, E] Major Subdivision, <br /> Q Zone Reclassification, E] Minor Subdivision, Site Approval, <br /> Zone Variance, Q Other : <br /> 2 . Project location: Nnrth Side T,()(-k Rnad, 3000 ± f ,Pt qw of State Bt 19 and-88 <br /> Describe the project; i .e. , request being made and nature of use . <br /> Identify specific project components : <br /> 3 . Total acreage of project: lzi_3± Ar_ # of existing parcels : Three <br /> Assessor Parcel Us ) :: 051-990-8 051-2g0-10, 091-2g0-11 <br /> 4 . If there is an existing EIR assessing any aspect of your project <br /> site, provide title and date : NnnP assessing this a=iiratinn site hilt-- <br /> there <br /> iltthere is an EIR for "The Uplands" project (ER-89-1) . <br /> 5 . Other permits and approvals (County, Regional, State and Federal ) <br /> required for this project : <br /> PERMIT AGENCY <br /> Gradi ng R77i 1 rlJ nq T)Ppt <br /> Fnrrnarhment p1h1i r- nor cs I)Q„+ <br /> u„,iiing 'Ph ii1rliMg TVPpt <br /> Major Subdivision - 7 - (6/86 ) <br />