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Environmental Information Form <br /> Part B <br /> DATE <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 Phillip W. Cody <br /> Address plp TnH, ,-trial Drive <br /> City Stockton <br /> State/Zip <br /> Phone (209) 982-4 <br /> 997 <br /> A. PROJECT DESCRIPTION <br /> 1 . Type of application: Q Use Permit, Q Major Subdivision, <br /> Zone Reclassification, Q Minor Subdivision, Q Site Approval, <br /> [� Zone variance, E] Other : <br /> 2 . Project location: 13771 So . Prescott Rd. , Manteca , CA 95336 <br /> Describe the project; i .e . , request being made and nature of use . <br /> Identify specific project components : Lawn, garden, agricultural , <br /> chemical . and fertilizer sales distribution center. <br /> 3 . Total acreage of project: 25. 4 # of existing parcels : 1 <br /> Assessor Parcel # (s ) : 206=0T--2F— <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 /> County building and fire department authorization. <br /> Use Permit Application - 7 - ( 6/86 ) <br />