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Environmental Information Form <br /> Part B <br /> DATE : April 27 , 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 Kieldsen-Sinnock $ Associates <br /> Address 1113 West Fremont Street <br /> City Stockton <br /> State/Zip California 93201 <br /> Phone 209/946-0268 <br /> A. PROJECT DESCRIPTION <br /> 1. Type of application: Q Use Permit, Q Major Subdivision, <br /> TI Zone Reclassification, Q Minor Subdivision, Q Site Approval , <br /> Zone Variance, Q Other: <br /> 2 . Project location: 2440 River Drive <br /> Describe the project; i.e. , request being made and nature of use . <br /> Identify specific project components : <br /> To divide 2 . 13 acres into 4 parcels . <br /> 3 . Total acreage of project: 2 . 13 # of existing parcels : 1 <br /> Assessor Parcel lr (s ) : 11-020-06 <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 /> Minor Subdivision <br /> - 7 - ( 6/86 ) <br />