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Environmental Information Form <br /> Part B <br /> DATE : <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 Grupe Operating Company <br /> Address P.O. Box 7576 <br /> City Stockton <br /> State/Zip CA 95207 <br /> Phone (209) 473-6135 Attn: Paula Belden <br /> A. PROJECT DESCRIPTION <br /> 1 . Type of application: Q Use Permit, Q Major Subdivision, <br /> 0 Zone Reclassification, Q Minor Subdivision, Q Site Approval , <br /> El Zone Variance, Q Other : <br /> 2 . Project location: 16035 N. Ray Road Lodi, CA 95240 APN 025-130-03 <br /> Describe the project; i .e. , request being made and nature of use . <br /> Identify specific project components : Kennel dogs in an existing metal <br /> building which is a 24 ' x 40 ' with a cement floor. Dog are loaded <br /> and transported to a training area. No new building will be con- <br /> structed. <br /> 3 . Total acreage of project: 18 . 12 # of existing parcels : 1 <br /> Assessor Parcel # (s ) : <br /> Note: Project is 24 ' x 40 ' building on an 18 . 12 acre site. <br /> 4 . If there is an existing EIR assessing any aspect of your project <br /> site , provide title and date: none <br /> 5 . Other permits and approvals (County, Regional , State and Federal ) <br /> required for this project : <br /> PERMIT AGENCY <br /> General Env. Health Permit Ap. . San Joaauin Local Health Dist. <br /> Site Approval Application - 5 - ( 6/86 ) <br />