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Environmental Information Form <br /> Part B <br /> DATE : January 8. 1990 <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 Kenneth H. Glantz <br /> Address 1150 W. Robinhood Dr. #1C ' <br /> City Stockton <br /> State/Zip CA 95207 <br /> Phone 957-6111 <br /> A. PROJECT DESCRIPTION <br /> 1 . Type of application: ❑ use Permit, Major Subdivision, <br /> ❑ Zone Reclassification, ❑ Minor Subdivision, Q Site Approval, <br /> Zone variance, F-� Other: <br /> 2 . Project location: 4300 Mariposa Road <br /> Describe the project; i .e . , request being made and nature of use . <br /> Identify specific project components :.Automotive, truck s bus repair <br /> and overhauling <br /> 3 . Total acreage of project: 2.4 # of existing parcels: 6.7 <br /> Assessor Parcel # ( s ) : 1 <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 /> uUTn mown <br /> Site Approval Application - 5 - (6/86 ) <br />