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Environmental Information Form <br /> Part B <br /> DATE: 4/18/88 <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_ Nancy L. Caplin <br /> Address 1050 Elkhorn Drive <br /> City Stockton <br /> State/Zip California 95209 <br /> Phone (20 477-8896 <br /> A. PROJECT DESCRIPTION <br /> 1. Type of application: Use Permit, Q Major Subdivision, . <br /> [] Zone Reclassification, Q Minor Subdivision, Q Site Approval, <br /> QZone variance, EJ Other: <br /> 2 . Project location: 15n �Ikbnr <br /> Describe the project; i .e. , reque t being made an nature of use . <br /> Identify specific project components : Enlarged clubhouse, cart shed, <br /> Eularged parking 1of <br /> 3 . Total acreage of project: # of existing parcels: 23 <br /> Assessor Parcel # (s ) : mr uin ni, ns & n <br /> 4 . If there is an existing EIR assessing any aspect of your project <br /> site, provide title and date: <br /> 5 . Other permits and approvals (County, Regional, State and Federal) <br /> required for this project: <br /> PERMIT AGENCY <br /> Use Permit Application - 7 - (6/86 ) <br />