Laserfiche WebLink
Environmental Information Form <br /> Part B <br /> DATE: August 25, 1987 <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 X PROPERTY OWNER AGENT OF OWNER <br /> Name Ted & Mary Baskette <br /> Address_ 27989 S Banta Rd <br /> City <br /> — Tracy <br /> State/Zip Calif . <br /> Phone (209 (R-15-5771 <br /> A. PROJECT DESCRIPTION <br /> 1. Type of application: �] Use Permit, [] Major Subdivision, <br /> []X Zone Reclassification, [D Minor Subdivision, E] Site Approval, <br /> Q Zone variance, Q Other: <br /> 2 . Project location: 26444 S Banta Rd , Tracy, Cal. 95376 <br /> Describe the project; i .e. , request being made and nature of use. <br /> Identify specific project components : Limited Industrial Park. <br /> International Mattress Company and Satellite Companies. Employment <br /> for about 50 people in mattress factory. <br /> 3 . Total acreage of project: 180 # of existing parcels: 3 <br /> Assessor Parcel Us ) : <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 /> 1) Williamson Act Cancellation <br /> 2) Zone Reclassification <br /> 3) Subdivision - S J County <br /> 4) Site approval or use permit S . J. County <br /> General Plan Map Amendment 11 ( 6-86 ) <br />