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� a <br /> Environmental Information Form <br /> Part B <br /> DATE: Nov. °I <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 X PROPERTY OWNER AGENT OF OWNER <br /> Name Laurie Edwards Brown <br /> Address 403 Coventry Drive <br /> City Stockton <br /> State/Zip CA 95207 <br /> Phone (209 ) 478-1144 <br /> A. PROJECT DESCRIPTION <br /> 1 . Type of application: Q use Permit, Q Major Subdivision, <br /> Q Zone Reclassification, M Minor Subdivision, Q Site Approval, <br /> Zone Variance, Q Other : <br /> 2 . Project location: 10551 Fairchild Road , Stockton, CA <br /> Describe the project; i .e . , request being made and nature of use . <br /> Identify specific project components : <br /> ( Cee attached narrative describing requests made hereunder) . <br /> 3 . Total acreage of project: 112.57 # 60 existing parcels : 1 <br /> Assessor Parcel # ( s ) : #��T - <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: San Joaquin County Planning Division <br /> PERT"IT AGENCY <br /> Minor Subdivision San Joaquin County Planning DSvisinn <br /> Minor Subdivision - 7 - ( 6/86 ) <br />