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APPENDIX A <br /> EMFjO xWAL INPCRHATICK FORM <br /> (To Be Completed By Applicant) <br /> Date Filed <br /> General Information <br /> 1. Name and address of developer or project sponsor: <br /> GOLD BOND BUILDING PRODUCTS, INC. <br /> 2. Address of project: 800 West Church Street, Stockton, CA <br /> Assessor's Block and Lot Number: 145-230-04 <br /> 3. Name, address, and telephone number of person to be contacted concerning <br /> this project: Steven Miller, 2001 Rexford Rd. , Charlotte, NC 28211 <br /> 4. Indicate number of the permit application for the project to which this <br /> form pertains: Not applicable <br /> 5. List and describe any other related permits and other public approvals <br /> required for this project , including those required by city, regional , <br /> state and federal agencies: None <br /> 6. Existing zoning district: Heavy Industrial (M2) <br /> 7. Proposed use of site (Project for which this form is filed) : Variance to <br /> Vadose Zone monitoring for a #6 underground fuel storage tank. <br /> Project Description <br /> 8. Site size. The #6 fuel tank's volume is approximately 5,300 barrels. <br /> 9. Square footage. Not applicable <br /> 10. Number of floors of construction. Not applicable <br /> 11. Amount of off-street parking provided. Not applicable <br /> 12. Attach plans. <br /> 13. Proposed scheduling. Not applicable <br /> 14. Associated project. None <br /> 15. Anticipated incremental development. None <br /> 16. If residential, include the number of units, schedule of unit sizes, range <br /> of sale prices or rents, and type of household size expected. Not applicable <br /> _ <br /> 295 <br />