Laserfiche WebLink
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 XAGENT OF OWNER <br /> Name Don Fal1 Pt a1 , DSA 1�i a Pig Eft <br /> Address 420 Nudner T.n <br /> City uolIister <br /> State/Zip CA, 95023 <br /> Phone (408) 637-3040 <br /> A. PROJECT DESCRIPTION <br /> 1 . Type of application : Q Use Permit, Q Major Subdivision. , <br /> Zone Reclassification, Q Minor Subdivision, Site Approval , <br /> QZone variance, Q Other: <br /> 2 . Project location: 14613 North Thornton Rd, Lodi CA <br /> Describe the project; i .e. , request being made and nature of use . <br /> Identify specific project components : Provide' facilities for weicr Ing <br /> and washi rz of &1 Gi zes of v .h 1 .-s and eg i 8ment -install a 75' <br /> Pu"lis gr.alP_ Cnnatrurt offi e and storage buildinz and two wash bays. <br /> Machinery- j:ressurp_pumps, vaccumes. purIfIcation filtering system. <br /> total reclame, Cleaning compounds are Blodegradeable. <br /> 3 . Total acreage of project: 1 # of existing parcels : 1 <br /> Assessor Parcel # (s ) :-550-03 <br /> 4 . If there is an existing EIR assessing any aspect of your project <br /> site , provide title and date: none <br /> 5 . Other permits and approvals (County, Regional, State and Federal ) <br /> required for this project : <br /> PERMIT AGENCY <br /> Encroachment permit for work within road Right of way <br /> Use Permit Application - 7 - ( 6/86 ) <br />