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1 <br /> Environmental Information <br /> ITF <br /> For Staff Use Only <br /> File No. <br /> Date Filed <br /> APPLICATION FORM PART B: <br /> ENVIRONMENTAL INFORMATION <br /> (To be Filled Out By Applicant ) <br /> NOTE: In completing this form, use additional sheets if necessary. <br /> Answer all questions to the best of your ability. If 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 Thomas M. Rut <br /> Address 2068 Alcazar Way <br /> City Stockton <br /> State/Zip CA 95209 <br /> Phone Qs1�592(1 <br /> TYPE OF APPLICATION Minor Subdivision <br /> PROJECT Wilson Way Business Park <br /> OTHER PERMITS AND APPROVALS (COUNTY, REGIONAL, STATE AND FEDERAL) <br /> REQUIRED FOR THIS PROJECT <br /> PERMIT AGENCY <br /> Drainage State Reclamation Board <br /> Drainage State Water Quality Control Board <br /> -1- (9/85 ) <br /> Plan-44 (12/85) <br />