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'aVF" Environmental Information <br /> For Staff Use Only <br /> File No . _ <br /> Date Filed <br /> APPLICATION FORM PART B: <br /> ENVIRONMENTAL INFORMATION <br /> (To be Filled Out By Applicant ) <br /> NOTE : In completing this form, use additional sheets if necessary . <br /> Answer all questions to the best of your ability. If 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 A. R. Sanguinetti & Assoc . <br /> Address5651 N . Pershing Ave. , Suite B- <br /> City • Stockton, California <br /> 5-tate/Zip - California 95207 <br /> Phone (209) 477-0899 <br /> Minor Subdivision (Tentative Parcel Map) <br /> TYPE OF APPLICATION <br /> PROJECT To divide a 63 . 0 acre parcel into a 46 . 0 acre parcel and <br /> a 17 . 0 acre parcel or a church consisting or a sanctuary , Sunday S-�haol, <br /> Administration Building, Chapei & Ministry housing -- <br /> OTHER PERMITS AND APPROVALS (COUNTY, REGIONAL, STATE AND FEDERAL) <br /> REQUIRED FOR THIS PROJECT <br /> PERMIT AGENCY <br /> Sewage Plant& Wells S .J . County Health District <br /> Waste Discharge staze Water Quality <br /> -1- ( 9/85 ) <br /> Plan-44 (12/85) <br />