Laserfiche WebLink
Environmental Information <br /> m: <br /> '�;raRr <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 - Albert R. Sanguinetti <br /> Address 5651 N . Pershing Suite B-1 <br /> City Stockton , <br /> State/Zip California 95207 <br /> Phone209 477-0899 <br /> TYPE OF APPLICATION Variance A plication Minor Subdivision <br /> PROJECT Christian Life Center <br /> Please refer to Environmental Information previously filled <br /> out for the minor subdivision concurrent with this application . <br /> OTHER PERMITS AND APPROVALS (COUNTY, REGIONAL, STATE AND FEDERAL) <br /> REQUIRED FOR THIS PROJECT <br /> PERMIT AGENCY <br /> _1_ ( 9/85 ) <br />