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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 , 5tn F.Loor <br /> City Stoc .ton <br /> State/Zip California , 95203 <br /> Phone (209) 948-820 <br /> A. PROJECT DESCRIPTION <br /> 1 . Type of application: Q Use Permit, D Major Subdivision, <br /> [] Zone Reclassification, ❑ Minor Subdivision, ❑ Site Approval, <br /> El Zone variance, ?> Other : General Plan Man Amendment <br /> East side of North 99 Frontage Road, <br /> 2 . Project locationa1/2 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: NP. <br /> 5 . Other permits and approvals (County, Regional, State and Federal ) <br /> required for this project: <br /> PERMIT AGENCY <br /> Rezoninc Countv of San Joacuin <br /> Use Permit Countv of San Joacuin <br /> General Plan Map Amendment 11 (6-86 ) <br />