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Environmental Information Form <br /> ?art B <br /> DATE : 1-12-88 <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 Emile Atwood <br /> Address 9025 N. West Lane <br /> City Stockton, CA <br /> State/Zip California 95210 <br /> Phone 957-4027 <br /> A. PROJECT DESCRIPTION <br /> 1 . Type of application: Q use Permit, [U Major Subdivision, <br /> Zone Reclassification, M Minor Subdivision, Q Site Approval, <br /> Q Zone Variance, D Other: <br /> 2 . Project location: 10600 N Highway 99 Frontage <br /> Describe the project; i .e . , request being made and nature of use . <br /> Identify specific project c--mponents : RR65 27 .4 acres <br /> 3 . Total acreage of project: 27 . 4 # of existing parcels : 1 <br /> Assessor Parcel Us ) : 086-07-35 <br /> 4 . If there is an existing EIR assessing any aspect of your project <br /> site, provide title and date: N/A <br /> 5 . Other permits and approvals (County, Regional, State and Federal ) <br /> required for this project : <br /> PERMIT AGENCY <br /> N/A <br /> Major Subdivision - 7 - (6/86 ) <br />