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Environmental Information Form <br /> Part B <br /> DATE : August 17, 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 FORM PROPERTY OWNER X AGENT OF OWNER <br /> Name R. W. Siegfried & Associates - SteDhen R. Thumlert <br /> Address 4045 Coronado Ave. <br /> Citv Stockton CA. 95204 <br /> State/Zip 95204 <br /> Phone (209)943-2021 <br /> A. PROJECT DESCRIPTION <br /> 1. Type of application : ❑ use Permit, 71 Major Subdivision, <br /> Zone Reclassification, 0 Minor Subdivision, F1 Site Approval , ` <br /> Zone Variance , F-I Other : <br /> 2 . Project location: South of Louise Ave. , East of I-5 , N. and W. of S.P.R.R. <br /> Describe the project; i .e . , request being made and nature of use . <br /> Identify specific project components : To create 3 parcels (Parcels -1-3) <br /> fcr sale and further subdivision ourvoses. <br /> 3 . Total acreage of project: 566 .68± # of existing parcels : 3 <br /> Assessor Parcel # (s ) : 195-270-56, 241-020-32 & 241-390-01 <br /> 4 . If there_ is an existing EIR assessing any aspect of your project <br /> site , provide title and date: One is currently being prepared <br /> 5 . Other permits and approvals (County, Regional , State and Federal) <br /> required for this project: <br /> PERMIT AGENCY <br /> ::one for the minor subdivision. <br /> Minor Subdivision - 7 - ( 6/86 ) <br />