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Environmental Information Form <br /> Part B <br /> DATE : June 8 , 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 PROPERTY OWNER X AGENT OF OWNER <br /> Name Steve Herum <br /> Address 509 W. Weber Avenue, 5th Floor <br /> City Stockton <br /> State/Zip California, 95203 <br /> Phone (209) 948-8200 <br /> A. PROJECT DESCRIPTION <br /> 1. Type of application: Q use Permit, E_) Major Subdivision, <br /> Q Zone Reclassification, Q Minor Subdivision, Q Site Approval, <br /> L" J Other: General Plan Map Amendment <br /> Q Zone variance, <br /> East side of North 99 Frontage Road, <br /> 2 . Project location: 1/2 mile south of Hammer Lane. <br /> Describe the project; i .e. , request being made and nature of use . <br /> Identify specific project components : A mobile home park consisting <br /> of approximately 200 mobile home units. <br /> 3 . Total acreage of project: 30 # of existing parcels : 1 <br /> Assessor Parcel # (s ) : 087-040-13 <br /> 4 . If there is an existing EIR assessing any aspect of your project <br /> site , provide title and date: NA <br /> 5 . Other permits and approvals (County, Regional, State and Federal ) <br /> required for this project : <br /> PERMIT AGENCY <br /> Rezoning County of San Joaquin <br /> Use Permit County of San Joaquin <br /> General Plan Map Amendment 11 ( 6-86 ) <br />