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Supohmmury Dmcummt D <br /> ENVIRONMENTAL INFORMATION FORM <br /> Lrro be Completed by Applicant) <br /> tate Filed q - 5-Q►3 <br /> L4weral mforwatfin <br /> I. Name and address of developer or project sponsor: John Eagal - Owner, 9132 Sandringham Ct. <br /> LAUockton. CA 95209 and TerryStranste, StranIze Aquatic Resources PO Box 665 Galt CA 95632 <br /> 2. Address of project: 12 W Lorenzen Road, Tracy, CA <br /> Assessor's Block and Lot Number: 239 - 140 - 03 <br /> 3. Name,address,and telephone number of person to be contacted concerning this project: <br /> Terry Strange, Strange Aquatic Resources, PO Box 665 Galt, CA 95632 ph (209) 367-3508 <br /> 4. Indicate number of the permit application for the project to which this form pertains: <br /> S. list and describe any other related permits and other public approvals required for this project,includir. <br /> L those required by city,regional,state and federal agencies: <br /> County Business License, Grading Permit, State Aquaculture Permit <br /> 6- Existing zoning district: General Agriculture <br /> 7. Proposed use of site (Project for which this form is filed): Outdoor Sports Clubs including a water <br /> skiing club and fishing club; Aquaculture <br /> 1? Won DEsaiptl<on SEE SAN JOAQUIN COUNTY APPLICATION-USE PERMIT <br /> 8. Site size. <br /> 9. Square footage. <br /> '0. Number of floors of construction. <br /> 11. Amount of off-street parking provided. <br /> 12. Attach plans. <br /> 13. Proposed scheduling. <br />