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i <br />r <br />CITY OF STOCKTON <br />ENVIRONMENTAL INFORMATION AND INITIAL STUDY FORM <br />(Pursuant to Cal. Code of Regulations, Title 14, Sections 15063-15065) <br />LEAD AGENCY <br />INITIAL STUDY FILE NO: IS -2-3-03 City of Stockton <br />EIR FILE NO: Community Development Dept. <br />Planning Division <br />345 North EI Dorado Street <br />INITIAL STUDY FILING DATE ` =:/ D Stockton; CA 95202 <br />(209) 937-8266 <br />Note: The purpose of this document is to describe the project, its environmental setting, any potentially significant adverse environmental <br />impacts which may be caused by the project or which may affect the project site and/or surrounding area, and any mitigation <br />measures which will be incorporated into the project. Please complete all applicable portions of Section A (General <br />Information/Project Description) and as much of Section B (Project Site Characteristics) as possible. if a question is not applicable, <br />then, respond with "AAA". After completing Sections A and B, please sign the certification following Section B and attach any <br />supplemental documentation and exhibits as deemed necessary. The completed form and applicable fees should be filed at the <br />above -noted Lead Agency address. PLEASE TYPE OR PRINT IN DARK INK. <br />A. GENERAL INFORMATION/PROJECT DESCRIPTION (Completed by Applicant) <br />1. Project Title „,: a <.. KA15EK. cv'%x=.t< vtot�-G-�i�L,a•�R,�To�-`t' sldh! <br />2. Property Owner(s): �. tT22>uNIPAr I4vtJ 465PITAU-s <br />Address: '41507 TRpQ.6� I t!�;r Zipq 4 Phone ( ) <br />3.` Applicant/Proponent: �2. -%>L,J 6® pi TAus <br />Contact Person: 1D aKft <br />Address;'Z373 jai ►�1I Zip Phone ( ) 2®q .�'(o, <br />STK-t'o�l,Cs; <br />4. Consulting Firm: Y7RE'LiFU SS Contact Person: 4.16 ly MAP:r-I>,1EZ, <br />Address: Zip 1 Phone <br />X54% �asctvt �t..VD. <br />5: Project Site Location: 5: <br />a.' Address (if applicable) or Geographic Location: -7373 WF,5T LAt�S, ST�x-l<Tot�� C.A. <br />b. Assessors Parcel Number(s): ""Z3 6 rry or 5P r Krr&4,t i15Se.550V-5 15K.- 09 P9 Ito <br />c Legal Description `Attach metes and bounds (bearings and dimensions) description and corresponding map(s) or list <br />existing lots of record from recorded deedj: FA 61, L- MA -P F6 L.ED 000 29 1q8� <br />BOK OF P t. MAf'3: P�tE i53, 54” J®.a.a L41 c'=)UXJ tom( feAS. <br />6. General Project Description: (Describe the whole action, including later phases of the project and any secondary, support, <br />or offsite features necessary for its implementation. Attach additional sheets if necessary.) <br />�t E.W l �sTnR.`t' _M�1 ssflDt"TIo <br />7. Applications Currently Under City Review: <br />File Number(s): bCj--O j <br />8. Other permits/reviews required by the City, County, State, Federal or other agencies for project implementation: <br />®t�f/i51C.7>) <br />