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Environmental Information Form <br /> Part B <br /> DATE: S I\--O ov ri,-M 9 2 l R S <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 Mr. J. Hoblitzell , FE <br /> Address 6540 S. Austin Road <br /> Cit Stockton <br /> State/Zip California 95213 <br /> Phone 209 463-7108 <br /> A. PROJECT DESCRIPTION <br /> 1. Type of application: X Use Permit, Q Major Subdivision, <br /> Q Zone Reclassification, Q Minor Subdivision, Q Site Approval, <br /> Q Zone variance, Q Other: <br /> 2. Project location: 6600 S. Austin Road, Stockton, CA 95213 (greenfield) <br /> Describe the project; i .e . , request being made and nature of use . <br /> Identify specific project components : <br /> See7e-c-715-n-77 ot Attachmento. <br /> 3 . Total acreage of project: 56.902 # of existing parcels : 1 <br /> Assessor Parcel # (s ) : No. 181-090-12 (Portion of Sec. 26 T.1N. .R.7E) <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 /> See Section 4.0 of Attachment No. 2 <br /> Minor Subdivision - 7 - ( 6/86 ) <br />