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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 X PROPERTY OWNER AGENT OF OWNER <br /> Name Aldo Navone <br /> Address 8058 No. Hwy. 88 <br /> City Stockton <br /> State/Zip CA <br /> Phone �, 4 <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 /> QZone Variance, Q Other: - - " <br /> 2. Project location: Comstock Road East of Highway 88 <br /> Describe the project; i.e. , request being made and nature of use. <br /> Identify specific project components : <br /> Create 2 homesites for family members who work on the orooerty _ <br /> 3 . Total acreage of project: of existing parcels: 1 <br /> Assessor Parcel # (S ) : 089-1-30-36 - — <br /> 4 . If there is an e::isting 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: None <br /> PERMIT AGENCY <br /> Minor Subdivision - 7 - ( 6/86 ) <br />