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SU0012994
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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17398
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2600 - Land Use Program
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SD-91-70
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SU0012994
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Entry Properties
Last modified
1/28/2020 4:44:33 PM
Creation date
9/4/2019 5:24:36 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0012994
PE
2680
FACILITY_NAME
SD-91-70
STREET_NUMBER
17398
Direction
N
STREET_NAME
DE VRIES
STREET_TYPE
RD
City
LODI
Zip
95242-
APN
02516004
ENTERED_DATE
1/28/2020 12:00:00 AM
SITE_LOCATION
17398 N DE VRIES RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\sballwahn
Supplemental fields
FilePath
\MIGRATIONS\D\DE VRIES\17898\SD-91-70\EH PERM.PDF
Tags
EHD - Public
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APPLICATION CONTROL SHEET <br /> T0 bem <br /> completed bV'Development Service staff",-,. <br /> PreApp Only: 0 Yes 10 No Fee: Receipt Number: Date: <br /> File Number: 70 Fee: -3 Receipt Number: Date: <br /> File Number: Fee: Receipt Number: Date: <br /> File Number: I—Fee: Receipt Number: Date: <br /> Description of Project <br /> Project Location: <br /> 2 <br /> Q f <br /> ,� E -E De )ZV11'e's �L) 1el, <br /> 0 ,- W93r a-1 cdv, <br /> Address: /7 3 98 IV 9S�4-2 <br /> APN ,): 02_5--1(o-0,f <br /> General Plan Community: General Plan Designation:,L,',, <br /> Property Zonin; ;� I Overlay Zone(s): <br /> Zoning Map: <br /> Adjacent General Plan Zoning <br /> North: <br /> South: <br /> II <br /> East: <br /> West: <br /> 100-Year Flood 0 Yes TR-No Williamson Act � Yes 0 No Supervisorial District: <br /> Airport Area: Specific Plans) 0 Yes No: <br /> History: <br /> CHECKLIST: <br /> All Applications <br /> Completed Application Forms P_ Owners'Signature <br /> Copy of Deed or Preliminary Title Report Copies of Plan or Map <br /> 81/2'x 11' Reduced Plan or Map Hazardous Materials Disclosure Survey 0 <br /> Development Impact Mitigation Fee Form 13 Assessor and History Pages � <br /> Names List 1) Sewer/Water'Will Serve' Letler 0 <br /> General Plan Map 0 Zoning Map ID <br /> Soils Report 0 Soils Suitability Study <br /> These materials may not be required for certain applications. Check the application type for details. <br /> -Maps <br /> Map Signed by Owner D Tract Number and Name (Major Subs only) 0 <br /> Sepia 0 All Lots Numbered 0 <br /> Contour Llnes 11 Location of Well and Septic System 0 <br /> Agricultural Homesite Form 0 1 Adjoining Property Owners Names on Map 0 <br /> Excavations <br /> Reclamation Plan and Schedule 0 Financial Guarabtee 0 <br /> Typical Cross-sections 0 Elevation Calculation Schedule 0 <br /> Engineer's Stamp 0 <br /> Completed By. Data.- <br /> _7 <br /> mmm <br /> ppc"nr.arm 3-18-91 <br />
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