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Environmental Information Form <br /> Part B <br /> DATE : <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 Clayton T. Titus , General Contractor <br /> Address 2�8,ql phnanix T.akP_ Rd. <br /> City <br /> State Zip Calif - <br /> Phone (2 - <br /> A. PROJECT DESCRIPTION <br /> 1 . Type of application: Q Use Permit, Q Major Subdivision, <br /> Zone Reclassification, Q Minor Subdivision, 1-:site Approval, <br /> QZone variance, Q Other: <br /> 2 . Project location: Lot 6 , Ideal Parkway, San Joaquin Co. (Manteca) <br /> Describe the project; i .e. , request being made and nature of use . <br /> Identify specific project components : concrete slab-metal bldgs . <br /> _g/r pawing, Septic System for warehouse <br /> 3 . Total acreage of project: . 86 # of existing parcels : 1 <br /> Assessor Parcel # (s ) : 208-190-06 <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 /> SJ.CO. Building Dept. <br /> SJ.CO. Health Dept. <br /> Site Approval Application - 5 - ( 6/86 ) <br />