Laserfiche WebLink
Environmental Information Form <br /> " Part B <br /> DATE: 29 JULY 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 X PROPERTY_ OWNER AGENT OF OWNER <br /> DARYL PIERZINA AND <br /> Name ROBERT E. SMITH <br /> Address P.O. Box 8402 <br /> City SANTA CRUZ <br /> State/Zip CA 95061 <br /> Phone 408 438--162 <br /> A. PROJECT DESCRIPTION <br /> 1. Type of application: Q Use Permit, Q Major Subdivision, <br /> Q Zone Reclassification, Q Minor Subdivision, E] Site Approval, <br /> Q Zone Variance, Q Other: <br /> 2. Project location: 11338 S. HARLAN ROAD LATHROP. CA r <br /> Describe the project; i.e. , request being made and nature of use. <br /> Identify specific project components : DEVELOPMENT OF A <br /> CONTRACTOR-5YARD FOR THE STORAGE AND MINOR MAINTENANCE OF Q <br /> ATERIALS. <br /> 3. Total acreage of project: 1.66 <br /> 66 A _ # of existing parcels: 1 <br /> Assessor Parcel #(s ) :- 195-02-005 <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 /> required for this project: <br /> PERMIT AGENCY <br /> BUILDING PERMIT SAN JOAQUIN COUNTY BUILDING DEPT. <br /> SEPTIC TANK FERMI <br /> Site Approval Application - 5 - (6/86) <br />