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Environmental Information Form <br /> Part B <br /> DATE: 6/22/89 <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 Mark Whiteside <br /> Address 3765 N. Wilcox Rd. , Suite <br /> City Stockton <br /> State/Zip CA. 95205 <br /> Phone (209) 931-1601 <br /> A. PROJECT DESCRIPTION <br /> 1. Type of application: Q Use Permit, q Major Subdivision, <br /> QZone Reclassification, q Minor Subdivision, Q Site Approval, <br /> ❑ Zone variance, Q Other: <br /> 2 . Project location: 9009 Thornton Road <br /> Describe the project; i .e . , request being made and nature of use . <br /> Identify specific project components : Construct retail building <br /> 3 . Total acreage of project: .98 # of existing parcels : NIA <br /> Assessor Parcel # (s ) : 080-300-15 <br /> 4 . If there is an existing EIR asses$ing 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 /> Building Permit San Joaquin County Building Dept. <br /> Site Approval Application - 5 - ( 6/86 ) <br />