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Environmental Information Form <br /> Part B . <br /> DATE : <br /> (To be Completed By Applicant ) <br /> NOTA : 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 AGENT OF OWNER <br /> Name Jose L. Alva <br /> Address 4505 Precissi Lane <br /> City Stockton , <br /> State/Zip CA 95207 <br /> Phone ( 209 ) 477-5061 <br /> A. PROJECT' DESCRIPTION <br /> 1. Type of application : Q Use Permit, E-�] Major Subdivision, <br /> Zone Reclassification, E] Minor Subdivision, L___: Site Aouroval , <br /> Zone Variance , FY7M Other : General Plan Text Amendment <br /> 2 . Project location : Applicable county wide . <br /> Describe the project ; i . e . , request being made and nature of use . <br /> Iden _fy specific project components : No specific project at <br /> present. <br /> 3 . Total acreage of project: N/A # of existing parcels : N/A <br /> Assesscr Parcel = , $ ) N/A <br /> 4 . If there is an existing EIR assessing any aspect of your project <br /> site , provide title and date: N0 <br /> 5 . Other permits and approvals (County, Regional , State and Federal ) <br /> relauized for this project : <br /> PE'PMIT AGEENCY <br /> N/A <br /> General Plan Text Amendment 11 ( 6-86 ) <br />