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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 PROPERTY OWNER X AGENT OF OWNER <br /> Name Steven K. & Rhonda R. Ramsey <br /> Address 1180 South Tuxedo <br /> City Stockton <br /> State/Zip CA X5204 <br /> Phone (209) 941-8370 <br /> A. PROJECT DESCRIPTION <br /> 1. Type of application: Q Use Permit, Q Major Subdivision, <br /> Q Zone Reclassification, X� Minor Subdivision, Q Site Approval, <br /> Q Zone variance, Q Other : <br /> 2 . Project location: 1700 Report Avenue, Stockton, CA <br /> Describe the project; i .e. , request being made and na-ure of use . <br /> Identify specific project components : To divide total parcel into <br /> two equally sized parcels. Pre-engineered metal buildings will be bui t on <br /> each parcel with appropriate site improvements: Parking, Handicap Access, <br /> Storm Drains, Etc. <br /> 3 . Total acreage of project: 7/10 AC # of existing parcels: 2 <br /> Assessor Parcel Us ) :: 143 - 160 - 35 <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 /> San Joaqui�ounty Local Health Department <br /> San Joaquin County Department ot Pubfi-c-W-o-rks <br /> Minor Subdivision - 7 - ( 6/86 ) <br />