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SU0007935
EnvironmentalHealth
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FOREST LAKE
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SU0007935
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Last modified
12/7/2020 4:16:37 PM
Creation date
9/4/2019 6:37:14 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0007935
PE
2622
FACILITY_NAME
PA-0900192
STREET_NUMBER
751
Direction
E
STREET_NAME
FOREST LAKE
STREET_TYPE
RD
City
ACAMPO
APN
00313001
ENTERED_DATE
10/5/2009 12:00:00 AM
SITE_LOCATION
751 E FOREST LAKE RD
RECEIVED_DATE
9/28/2009 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\wng
Supplemental fields
FilePath
\MIGRATIONS\F\FOREST LAKE\751\SU0007935\EH PERM.PDF
Tags
EHD - Public
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-° APPLICATION - MINOR SUBDIVISION <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOrWNT DErWT;4b4J <br /> FILE NO: MS- <br /> A <br /> S- UU [[�1 <br /> a��xow�t <br /> TO <br /> BE COMPLETED BY,THEAPPLIGANT"PRIOR-TO>F`ILINGTTHE"APP ]CATION <br /> Engineer/Surveyor A licant lnformatio <br /> 4 ..x. i..: ..::. <br /> ,Owner Information i= pp i__-" n <br /> Name: Jc-sk.-r f d- { E Name: 0fA_ <br /> Address: Address: 0 I4 $ A tdC4 c,- <br /> �C'N-MV0 <br /> f�tt Dr 5Z2 0 1IALt �L Rti�lL1 L�� Z�`JZ <br /> Phone: Phone: <br /> , PROJECT DESCRIPTION <br /> „.. . <br /> a k <br /> , , ; ;Proposalicm <br /> —Description of the proposedproject: - � ic Cit "ITL � <br /> TO BE COMPLETED.FOR ALLAPPLICATIONS"SUB'MITTE.4,UNDER;THE PROVISIONSQF.SECTION-9-610 '- <br /> Homeslte Provision OF"THE,DEI/ELOPMENT.iTITLE.:=AREA EXCEPTION IN THE"AGRICULTURAL ZONES .y <br /> Is the proposed project for a(check one and provide the requested information): <br /> Homesite Parcel <br /> • Have you created a homesite parcel since July 29, 1992? <br /> (If yes,this application cannot be accepted and processed). <br /> • Have you owned the property for more than ten years? <br /> (If no,this application cannot be accepted and processed). <br /> (If yes, please provide a copy of the recorded grant deed for the property). <br /> • Is there an existing single family dwelling or mobile home on a permanent foundation on the proposed homesite parcel? <br /> • If yes, how long has the single family dwelling or mobile home on a permanent foundation been on the property? <br /> ❑ Financing Parcel <br /> PROPERTY AND;VICINITY::DESCRIPTION <br /> 3 <br /> Property Information <br /> Number of Existing <br /> Assessor Parcel Number(s) Property Size Parcels Williamson Act Contract <br /> 00 3 — ti 3c— Q 1 21 te--1-5 br Yes ❑ No <br /> Property Address: 6 -r—c> 5'T— L_6'Ie_�_ <br /> F:%DEVSVS%Planning Application ForrnsWinor Subdivision(Rev,05-11-09) Page 3 of 9 <br />
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