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Environmental information Form <br /> Part B <br /> DATE: March 14, 1991 — <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 <br /> Address„ 777 N. Pershing Ave. Suite 2B___ -- <br /> City Stockton <br /> State/Zip CA, 95203 --- <br /> Phone 20 462-9855 <br /> A. PROJECT DESCRIPTION <br /> 1. Type of application: Q Use Permit, Major Subdivision, <br /> Zone Reclassification, Minor Subdivision, D Site Approval , <br /> Zone Variance, Q Other : <br /> 2 . Project location: <br /> Describe the project; i .e . , request being made and nature of use . <br /> Identify specific project components: 218 lots includina lake, <br /> Recreation facilit SI' lots, cluster housin , park <br /> 3 . Total acreage of project: 124 # of existing parcels : 1 <br /> Assessor Parcel # (s ) : 019-060-29 <br /> 4 . If there is an existing EIR assessing any aspect of your project <br /> site , provide title and date: <br /> 5 . Other permits and approvals (County, Regional , State and Federal ) <br /> required for this project: <br /> PERMIT AGENCY <br /> l <br /> t <br /> Major Subdivision 7 - ( 6/S6 ) <br />