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Environmental Information Form <br /> Part B <br /> DATE: 4-20-89 <br /> (To be Completed By Applicant) <br /> NOTE: In completing this form, use additional she 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 C & G Engineering <br /> Address --b oakdaie Road <br /> Cit 11,11odesto <br /> State/Zip �a q;�KK <br /> Phone�27-8110 <br /> A. PROJECT DESCRIPTION <br /> 1. Type of application: use Permit, ❑ Major Subdivision, <br /> Q Zone Reclassification, Q Minor Subdivision, Q Site Approval, <br /> Q Zone variance, 0 Other: <br /> 2. Project location: 22229 River Road , Escalon . Ca. <br /> Describe the project; i .e. , request being made and nature of use . <br /> Identify specific project components : <br /> Propcsed- Welding and pump repair business . <br /> Agnlicant intends to construct . 400 sn ft building for weldi -e, <br /> custom gine fittings fabrication and a riculturpl j' n irri =tion <br /> system maintance repair. <br /> 3 . Total acreage of project: 4 . 687 AC #' of existing parcels : 7 <br /> Assessor Parcel # (s ) : 247-08-5 <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 County Building Department <br /> Site Approval Application - 5 - (6/86) <br />