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' Environmental Information Forrn <br /> Part B <br /> DATE : April 4. 1989 <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 _-XPROPERTY OWNER AGENT OF OWNER <br /> Name Tom Summers <br /> Address 2301 White Lane <br /> City Stockton <br /> State/Zip CA 95205 <br /> Phone 209-931-3301 <br /> A. PROJECT DESCRIPTION <br /> 1 . Type of application: Q Use Permit, Ll Major Subdivision, <br /> Zone Reclassification, Q Minor Subdivision, Q Site Approval , <br /> Zone variance, [�]x Other • General Plan Amendment <br /> 2 . Project location: 704 Alpine Road, Stockton, CA <br /> Describe the project; i .e . , request being made and nature of use . <br /> Identify specific project components : 7 lot subdivision <br /> 3 . Total acreage of project: 17 # of existing parcels : 1 <br /> Assessor Parcel # (s ) : 103-02-20 <br /> 4 . If there is an existing EIR assessing any aspect of your project <br /> site , provide title and date : No <br /> 5 . Other permits and approvals (County, Regional , State and Federal ) <br /> required for this project : <br /> PERMIT AGENCY <br /> NTA_ <br /> Major Subdivision - 7 - (6/86 ) <br />