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SU0001036
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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2600 - Land Use Program
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MS-92-123
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SU0001036
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Entry Properties
Last modified
5/7/2020 11:28:14 AM
Creation date
9/5/2019 10:54:48 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0001036
PE
2622
FACILITY_NAME
MS-92-123
STREET_NUMBER
11349
Direction
N
STREET_NAME
HAM
STREET_TYPE
LN
City
LODI
Zip
95240
ENTERED_DATE
10/10/2001 12:00:00 AM
SITE_LOCATION
11349 N HAM LN
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\H\HAM\11349\MS-92-123\SU0001036\APPL.PDF \MIGRATIONS\H\HAM\11349\MS-92-123\SU0001036\CDD OK.PDF \MIGRATIONS\H\HAM\11349\MS-92-123\SU0001036\EH COND.PDF \MIGRATIONS\H\HAM\11349\MS-92-123\SU0001036\EH PERM.PDF
Tags
EHD - Public
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APPLICATION CONTROL SHEET <br /> �. �a�r is --csl,lr•"�'a "a&°%`m,l4�a ,s 4 t '. .g s <br /> t:i. ,`&•.'�; ,sg "'_ o:bn tnmplotetj byPnye�opfnant-S cd'i <br /> PmApp Only: O Yes ❑ No Foe: Recelpt Number: Dale: <br /> I r <br /> l Fag Number: z Fe r �SoD Receipt Number: 2 2�p4 <br /> File Number; r c <br /> Faa: 00 Receipt Number: Dalo: <br /> File Number. T Fee: Vb Recelpl Number. onto: <br /> I Description of Project /1V, n c /y-, <br /> i <br /> s <br /> (Ptojocl Location: Qr r P r ` 4 H ��G� •. f e <br /> Address: 9 r 9,5-2 <br /> 4 -y /, <br /> APN(s):05' `(/ <br /> General Plan Communily: Gonoral Plon Designation: <br /> Zoning Mop: 61 Property Zoning; L— O Overlay Zone'(s1: <br /> Adjacent General Plan Zoning <br /> North; <br /> u �2 <br /> South: <br /> East- <br /> [ <br /> ast <br /> West: <br /> 1110.Year Flood ❑ Yes B Na'z`i Q Williamson Ae1 Q Yes `W No Suporylsorlol District: <br /> i Alrped Arco:/ r' Ir Spoclllc Plon(s) ❑ Yes No: <br /> Hisloryt <br /> All Applications <br /> Compiolod Applicallon Forms Owners'Signature ir <br /> Copy of Deed or Preliminary Title Report• Copies of Plan or Map ly <br /> 8Y.'x 11•Reduced Plan or Map q Hazardous Melerlels Disclosure Survey ❑ <br /> Development Impact Mitigation Fee Form ❑ Assessor and History Pages <br /> Nomas List• SowerMalor Vill Soma"Loller• ❑ - <br /> } General Plan Map" ❑ Zoning Map" ❑ <br /> Soils Report" ❑ Soils Suitability Sludy• ❑ <br /> ' Those materials may not be required for certain applications, Check the application type lot dololls. <br /> Tentative Maps <br /> Map Signed by Owner O Tiael Number and Name(Major Subs only) ❑ <br /> Sopla Q An Lots Numbored <br /> Contour Lines ❑ Location of Well and Soplic System ❑ <br /> Agdeullural Homosite Form ❑ Adjoining Properly Owners Nomas on Map <br /> Fi:cavatlons <br /> Roclamallon Pion and Schedule ❑ Financial Gumanlee ❑ <br /> Typical Cross-sections pElevation Ceiculatian Schedule ❑ <br /> Engtnoer's Stamp ❑ <br /> Completed By: Dole: <br /> appcnlr-rrn <br /> i <br />
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