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Environmental Information Form <br /> Part B <br /> DATE : May 1 1 , 1929 <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 Thomas A. Day <br /> Address 12845 F. French Camp Rd. <br /> City Manteca. CA <br /> State/Zip Calif. 95336 <br /> Phone (209) 239-3568 (209) 239-6292 <br /> A. PROJECT DESCRIPTION <br /> 1 . Type of application: Q Use Permit, EJ Major Subdivision, <br /> Zone Reclassification, Q Minor Subdivision, [X Site Approval , <br /> Zone Variance, Q Other : <br /> 2 . Project location: Ideal Parkway & Highway 120, Manteca <br /> Describe the project; i .e . , request being made and nature of use . <br /> Identify specific project components : Warehouse with Office <br /> pAyPH parking Int <br /> 3 . Total acreage of project: 8F acres # of existing parcels : <br /> Assessor Parcel # (s ) : 2(12-1gf1-n7 <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 /> Encroachment Per, County Trans. <br /> Site Approval Application - 5 - (6/86 ) <br />