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Environmental Information Form <br /> Part B <br /> DATE: <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 CCMPLETING FORM PROPERTY OWNER x AGENT OF OWNER <br /> Name Dan Thompson Thompson-Hvsell Engineers <br /> Address 2707 E. Fremont St. <br /> City Stockton <br /> State/Zip CA 95205 <br /> Phone (209) 465-1919 <br /> A. PROJECT DESCRIPTION <br /> 1. Type of application: E] use Permit, Q Major Subdivision, <br /> Zone Reclassification, r7x- Minor Subdivision, M Site Approval, <br /> Q Zone variance, E3 Other: <br /> 2. Project location: So. French Camp Slough - west of I-5 <br /> Describe the project; i.e. , request being made and nature of use. <br /> Identify specific project components: The oroiect is creating a <br /> 50 acres parcel from parcels 318 acres,- 96 acres, 59 acres ana 27 acres <br /> 3. Total acreage of projects 50C ac. # of existing parcels: 2 <br /> Assecsor Parcel Us ) : 161-18-08 & 193-04-06 <br /> 4. If there is an existing EIR assessing any aspect of your project <br /> site, provide title and date: Weston Ranch, 1988 <br /> 5.. Other permits and approvals (County, Regional , State and Federal) <br /> required for this project: <br /> PERMIT AGENCY <br /> None <br /> Minor Subdivision - 7 - (6/86) <br />