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Environmental Information Form <br /> Part B <br /> DATE : August 25, 1989 <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 Tex Ladish Ladish Construction Management, Inc <br /> Address 575 Lincoln Ave. #205 <br /> City <br /> State/Zip Napa, CA 94558 <br /> Phone (707) 224-2062 <br /> A. PROJECT DESCRIPTION <br /> I . Type of application : © Use Permit, Q Major Subdivision, <br /> Zone Reclassification, Q Minor Subdivision, 0 Site Approval , <br /> Zone Variance, M Other : <br /> 2 . Project location: 3250 Guernsey Stockton <br /> Describe the project; i .e . , request being made and nature­of <br /> Identify specific project components : We seek approval to build a.ud <br /> utilize a new church Stockton Fil/Am Seventh Day Adventist Church <br /> 3 . Total acreage of project: 4.82 4 of existing parcels : 1 <br /> Assessor Parcel I (s ) : 157-130-19 <br /> 4 . If there is an existing EIR assessing any aspect of your project <br /> site , provide title and date :No <br /> 5 . Other permits and approvals (County, Regional , State and Federal ) <br /> required for this project : <br /> PERMIT AGENCY <br /> Use Permit Planning Department <br /> Building Permit Buildin Department <br /> Sceptic System Permit Public Health Services <br /> Use Permit Application - 7 - ( 6/86 ) <br />