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Er ironmentai Information Form <br /> Part B <br /> DATE: July 7, 1988 <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 FOR.4 PROPERTY OWNER AGZNT OF, OWNER <br /> Name Bruce Bloom (For Frank Budesilich) <br /> Address ?. 0. Box 267- <br /> City Stockton <br /> State/Zip CA 95201 <br /> Phone (209) 948-4121 <br /> A. PROJECT DESCRIPTION <br /> 1. Type of application: [:] Use: Permit, E] Major Subdivision, <br /> Zone Reclassificat :'.�D2,1' Y 1 lvda—' Subdivision, Q Site Approval, <br /> Zone Variance, r7 0G;heo: <br /> 2� Project location: B<st of Highway 99 and south of Highway 88 <br /> Describe the project, i.e. , request being made and nature of use. <br /> Identify specific project compoaents : An e-,fisting single parcel of <br /> land consisting of 35.67_ acres if to be divided into five various si:ea parcels <br /> including the extension of Wilcox Road <br /> 3 . Total acreage of project: 35.67 f of existing parcels: 1 <br /> Assessor Parcel Us ) -° 101-021-4.0 and 101-210-02 <br /> 4 . If there is an existing ER assessing any aspect of your project <br /> site, provide title and date: No <br /> f . Other permits and approvals (Ca=ty, Regional, State and Federal) <br /> required for this prc�ect: <br /> PERMIT AGENCY <br /> Fi ohvav 88 T=rovpments Cal-Trans <br /> W-Ti r•o-c Ro r4 Z' 0-cio San Joaquin Countv Public Works <br /> - `, (6/86 ) <br />