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Environmental Information Form <br /> Part B <br /> DATE : 25 March 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 XX AGENT OF OWNER <br /> Name Jose L. Alva <br /> Address 4505 Precissi Ln. <br /> City Stockton <br /> State/Zip CA 95207 <br /> Phone ( 209 ) 477-6061 <br /> A . PROJECT DESCRIPTION <br /> 1. Type of application : E] Use Permit, D Major Subdivision, <br /> Zone Reclassification, Q Minor Subdivision, Q Site Approval , <br /> [� Zone variance , Q Other : <br /> 2 . Project location: 2po1 r_ Louise Ave. Lathrop, CA <br /> Describe the project; i .e . , request being made and nature of use . <br /> Identify specific project components : <br /> The establishment of a Multi-Vendor Facility ea Market) <br /> 3 . Total acreage of project: 80 . 75 ± # of existing parcels : 1 <br /> Assessor Parcel # (s ) :- 195-500-02 <br /> 4 . If there is an existing EIR assessing 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 NONE AGENCY <br /> Use Permit Application - 7 - ( 6/86 ) <br />