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Environmental Information Form <br /> Part B <br /> DATE: May 11, 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 James H. Walker, Jr. <br /> Address 11471 Jokay Colony Road <br /> City Lodi <br /> State/Zip CA 95?40 <br /> Phone Business (209) 463-9911 Residence (2-09) 931-522.2. <br /> A. PROJECT DESCRIPTION <br /> 1 . Type of application: r7lL-.] Use Permit, Q Major Subdivision, <br /> Q Zone Reclassification, [] Minor Subdivision, Q Site Approval, <br /> Zone variance, [] Other : <br /> 2 . Project location: 706 South Drake Avenue, Stockton, CA 952.05 <br /> Describe the project; i .e. , request being made and nature of use . <br /> Identify specific project components : Request for Use Permit to extend <br /> existing building to incorporate a medium size two-story social hall and <br /> classroom for Bibly study. <br /> 3 . Total acreage of project: # of existing parcels : <br /> Assessor Parcel " ( s ) : <br /> 4 . If there is an existing EIR assessing any aspect of your project <br /> site , provide title and date: n/a <br /> 5 . Other permits and ap. rovals (County, Regional , State and Federal ) <br /> required for this project : <br /> PERMIT AGENCY <br /> none <br /> Use Permit Application - 7 - ( 6/86 ) <br />