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• Environmental Information Form <br /> Part B <br /> DATE: April 20, 1999 <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 XX PROPERTY OWNER AGENT OF OWNER <br /> Name Ray Wright <br /> Address . �ox 344 <br /> City Manteca <br /> State/Zip �;a , • , <br /> Phone �32-5-'iZ55 <br /> A. PROJECT DESCRIPTION <br /> 1. Type of application: Q Use Permit, Q Major Subdivision, <br /> Q Zone Reclassification, Q Minor Subdivision, Q Site Approval, <br /> Q Zone variance, Q Other : <br /> 2. Project location: 20504 S. State Hiwav 99 <br /> Describe the project; i .e . , request being made and nature of use . <br /> Identify specific project components : trent spaces for customers <br /> to sd11 merchandise. <br /> 3 . Total acreage of project: 1.23 # of existing parcels: <br /> Assessor Parcel Us ) :: 243-230-20 <br /> 4 . If there is an existing EIR assessing any aspect of your project <br /> site , provide title and date: No <br /> 5 . Other permits and approvals (County, Regional, State and Federal) <br /> required for this project: <br /> PERMIT AGENCY <br /> County --ginning <br /> Site Approval Application - 5 - (6/86 ) <br />