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Environmental Information Form <br /> Part B <br /> DATE : March 5, 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 PROPERTY OWNER xx AGENT OF OWNER <br /> Name James Vosburg <br /> Address 303 W. Magnolia <br /> City Stockton , <br /> State/Zip California , g52D3 <br /> Phone 943-7350 (h) 473-5565 (w) <br /> A. PROJECT DESCRIPTION <br /> 1. Type of application: x-] Use Permit, [] Major Subdivision, <br /> D Zone Reclassification, ❑ Minor Subdivision, q Site Approval , <br /> Zone Variance, F-j Other : <br /> 2. Project location: 5749 E . Waterloo Rd . <br /> Describe the project; i .e . , request being made and nature of use . <br /> Identify specific project components : Permit for horse boarding <br /> facility. First the existing horse facility will be improved and <br /> within a year I expect to build a covered riding arena and adjacent <br /> boarding stalls. <br /> 3 . Total acreage of project: 15 # of existing parcels <br /> Assessor Parcel # (s ) : 087-100-30 <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 /> none <br /> Use Permit Application - 7 - ( 6/86 ) <br />