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Environmental Information Form <br /> Part B <br /> DATE: December 21, 1988 <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 Wong Engineers, Inc. <br /> Address 4578 Feather River Drive, Suite A <br /> City Stockton, <br /> State/Zip California 95207 <br /> Phone 209) 476-0011 <br /> A. PROJECT DESCRIPTION <br /> 1. Type of application: [] use Permit, [:] major Subdivision, <br /> Zone Reclassification, 5 Minor Subdivision, Q Site Approval, <br /> Q Zone Variance, Q Other: <br /> 2. Project location: Southeast Corner Sixth & J Streets , Lathrop CA <br /> Describe the project; i .e. , request being made and nature of use. <br /> Identify specific project components : The request is to divide a <br /> 11, 250 Sq . Ft. parcel into two 5625 Sq . Ft . Residential parcels . <br /> 3 . Total acreage of project: 0. 26 AC .# of existing parcels: 1 <br /> Assessor Parcel #(s ) : 195-15-21 <br /> 4 . If there is an existing EIR assessing any aspect of your project <br /> site, provide title and date: NA <br /> 5. Other permits and approvals (County, Regional, State and Federal) <br /> required for this project: <br /> PERMIT AGENCY <br /> NA <br /> Minor Subdivision - 7 - (6/86) <br />