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SU0013085 (2)
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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DES MOINES
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2600 - Land Use Program
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SD-92-236
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SU0013085 (2)
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Entry Properties
Last modified
3/12/2020 7:22:06 PM
Creation date
9/4/2019 5:28:55 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0013085
PE
2680
FACILITY_NAME
SD-92-236
STREET_NUMBER
21753
Direction
N
STREET_NAME
DES MOINES
STREET_TYPE
RD
City
LODI
Zip
95220-
APN
01319016
ENTERED_DATE
3/12/2020 12:00:00 AM
SITE_LOCATION
21753 N DES MOINES RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\sballwahn
Supplemental fields
FilePath
\MIGRATIONS\D\DES MOINES\21751\SD-92-236\APPL.PDF
Tags
EHD - Public
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r <br /> a <br /> APPLICATION CONTROL SHEET <br /> ......{.::. :..:.::.:.::...::.::.: :::::::. <br /> 11 ` b:bg eoYri tBiedl Dbvefo rndnt:St�tvlca:st�ff.::.....::. <br /> 7. <br /> PreApp Only: p Yes No Fee: Receipt Number: Date: <br /> File Number: Fee:3 SD Receipt Number: Z�`� Date: <br /> File Number: Fee: Receipt Number: Date: <br /> File Number: Fee: Receipt Number: Date: <br /> Description of Project k <br /> - I <br /> i <br /> f I <br /> Project Location: ` �C 0 r / e S ! ZC.0 U r <br /> G -T c1 GC <br /> Address: 2 <br /> L as <br /> APN(s):v 13 07&-� <br /> General Plan Community: General Plan Designation: <br /> Zoning Map: Property Zoning: tf(} Overlay Zone(s): <br /> I <br /> i <br /> Adjacent General Plan Zoning <br /> f <br /> North: i <br /> South: <br /> East: 1 <br /> West: <br /> 100-Year Flood Q Yes No Williamson Act Q Yes No Supervisorial District: <br /> Airport Area: L-1.41% C45 Specific Plan(s) ❑ Yes ❑ No: <br /> History: <br /> CHECKL tST <br /> All Applications <br /> Completed Application Forms Owners'Signature J� <br /> Copy of Deed or Preliminary Title Report* Q Copies of Plan or Map ¢� <br /> 8'/z`x 11'Reduced Plan or Map ❑ Hazardous Materials Disclosure Survey ❑ <br /> Development Impact Mitigation Fee Form ❑ Assessor and History Pages fid' <br /> Names List• Q Sewer/Water'Will Serve'Letter' ❑ J <br /> i <br /> General Plan Map* 13 Zoning Map• O + <br /> i <br /> Soils Report* ❑ Soils Suitability Study* ❑ <br /> Subsidence Area ElYes No t Expansive Soil Area ❑ Yes B---o <br /> ,r I <br /> " These materials may not be required for certain applications. Check the application type for details. <br /> Tentative Maps <br /> Map Signed by Owner Q Tract Number and Name (Major Subs only) Q <br />- _ -- - -,.-Ad'oinin Pro a ownero-Names=on-ma ` <br /> - J 9- P dY Pte❑ _. "AEI-Lots-PEumbered—.�-:,.., -���p=�c+�• .,--- -�� <br /> Contour Lines ❑ Location of Well and Septic System ❑ <br /> Excavations <br /> Reclamation Plan and Schedule ❑ Financial Guarantee ❑ <br /> Typical Cross-sections ❑ Elevation Calculation Schedule ❑ <br /> Engineer's Stamp ❑ <br /> Completed By: Date: 2, /s' —9 <br /> appcntr.rm 3-18-91 <br /> . I <br />
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