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Environmental Information Form <br /> m®� <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 X PROPERTY OWNER AGENT OF OWNER <br /> Name_Frank C & Helen C Alegre, Alegre-Hughes <br /> Address 2000 Edgewood Drive <br /> City Lodi <br /> State/Zip CA 95240 <br /> Phone 209-334-2112 <br /> A. PROJECT DESCRIPTION <br /> 1 . Type of application.: E] Use Permit, Q Major Subdivision, <br /> EX Zone Reclassification, Q Minor Subdivision, 0 Site Approval, <br /> ElZone Variance, H Other : General Plan Amendment <br /> 2 . Project location: 4988 Highway 12, Lodi 95240 & 5184 Highway 12 Lodi 95240 <br /> Describe the project; i .e . , request being made and nature of use . <br /> Identify specific project components : Trucking yard & truck parkn� <br /> & maintenance for owner operator. <br /> 3 . Total acreage of project: 80.0 # of existing parcels : 7 <br /> Assessor Parcel # (s ) :3il_nO 4SZ� 22, 24, 43, 44, 23, & 25 <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 /> General Plan Map Amendment 11 ( 6-86 ) <br />