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Environmental Information Form <br /> Part B <br /> DATE : February 12, 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 X AGENT OF OWNER <br /> Name Peter B. Tobin, Project Planner Bar h <br /> Address 3134-A Auburn Blvd. <br /> City Sacramento, <br /> State/Zip California 95821 <br /> Phone (916) 484-1212 <br /> A. PROJECT DESCRIPTION <br /> 1 . Type 'of application : Use Permit , Q Major Subdivision, <br /> Zone Reclassification, �X Minor Subdivision, Q Site Approval , <br /> Zone Variance , [:] Other : <br /> Northeast corner of Lower Sacramento Road and Indiana Street <br /> 2 . Project location: Woodbridge, California (San Joaquin .Cbunty) <br /> Describe the project; i . e . , request being made and nature of use . <br /> Identify specific project components : <br /> SEE EXHIBIT "A" ATTACHED <br /> 28,450 sq ft <br /> 3 . Total acreage of project: ' .65 acres # of existing parcels : 3 <br /> Assessor Parcel # (s ) : 015-140-23, 24, and 015-160-22 <br /> 4 . If there is an existing EIR assessing any aspect of your project <br /> site, provide title and date: None known <br /> 5 '. Other permits and approvals (County, Regional , State and Federal ) <br /> required for this project: <br /> PERMIT AGENCY <br /> Under roundtank permit San Joaquin County Hazardous Waste <br /> Health Foodpermit H Department <br /> _Air polution control permit San Joaquin County Air Polution Control Di5trict <br /> Building permit San-Joaquin Count <br /> Approval from Public Works Department of San Joaquin County <br /> Development plan approval from San Joaquin County Planning Department <br /> Minor Subdivision <br /> - 7 - ( 6/86 ) <br />