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SU0001676
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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2600 - Land Use Program
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LA-94-05
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SU0001676
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Entry Properties
Last modified
11/25/2019 2:40:50 PM
Creation date
9/6/2019 10:09:56 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0001676
PE
2690
FACILITY_NAME
LA-94-05
STREET_NUMBER
19583
Direction
E
STREET_NAME
MEHRTEN
STREET_TYPE
RD
City
CLEMENTS
ENTERED_DATE
10/19/2001 12:00:00 AM
SITE_LOCATION
19583 E MEHRTEN RD
QC Status
Approved
Scanner
SJGOV\sballwahn
Supplemental fields
FilePath
\MIGRATIONS\M\MEHRTEN\19583\LA-94-05\SU0001676\EH PERM.PDF
Tags
EHD - Public
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APPLICATION CONTROL SHEET <br /> al, <br /> '4`� <br /> l - >& ai ? a rk{ t h a *d 6n eoritploet ]bVejmoni Sn :c e1 l! E Q �s� t <br /> PioApp Only-' ❑Yes ❑ No Foo: necelpt Number: Daly: <br /> fila Number, L-A r <br /> Foo• L4-(d-I_� nocofpt Numbor: / onto: <br /> rile Numbor• foe: nocoipt Nurnbar: Data: <br /> File Nurnbar: roe: Ilocofpt Numbor: Dais: <br /> Doacrlptlotr of Project L lTt L 1l/E ' AbJ USTN-40,117 <br /> Ile ++ te,d A A�7"larr <br /> �'o �'p L��c pl�•LSG ! . <br /> D F <br /> 7z lvL2 . � a CC.Er� � • <br /> Pre)axlLaaauen: pr1~�IIl SQU71� SI�� dF C ';Z:dAD goo a /v'657 <br /> t5� 51A761 19Kif ovs A -pw%VIITE 'T--O W or) -lHf- A/MIA <br /> S!'a!~of M Hitt�l3 Icor► 2aoo"' EA 5 r Q?'-' ,, A r-R V 416 7zo"b N Clc�rf+t <br /> Address: !R 5 3 F_ MShf1�T rd 'Kolrp CCerk J-^1r <br /> 0500 <br /> C OLC!E7z 7�oa16 {t(ri xw�f APN(s): 0 ZO <br /> 0'L3" ' f o <br /> Gcaoral Pian Community: <br /> Goncial Pion Doslgnallon: G O <br /> Zotring Mop: Property Zoning: /4 Overlay Zoaro(s): <br /> Ad)ncont t30101[ol Pion Zvnhtg <br /> 140101: A G C -40 <br /> South: 1/ to. <br /> East: /r <br /> rr h <br /> Wesk G <br /> 100-vont Flood V.-fe-s ly115- Wlllinmson Act l-las [ i'o Suporvlsortal District: <br /> Airport Area, S Cilie Plants) ❑ Yes o: <br /> Illslary: <br /> i: .K: 1 0111111, <br /> riF sp 01 <br /> 5• r XC � Y <br /> All Applications <br /> Completed Application Forms owners'Signature <br /> Copy of Dead or Prollminary Title nepod' Copies of I or Mop <br /> ow x i i'noducad Pion or Mop 17� I faxatdous Motor lots Disclosure Survey to <br /> Devolopmant impact Mitigation foo Form O Assessor and Fllstary Pages t <br /> Nomas List' MOT ❑ SewarlWator'Wlll Servo•Letter" ❑ <br /> r General Plan Mop <br /> q Zoning Mop•. fl <br /> Soils noport" 13 Sells Suitability Study"' 13 <br /> Subsidence Area ❑ Yes IIIo Exports"Sall Area ❑ Yes 131,4 <br /> 1- <br /> 0 These ntnictials may not be rocluited for cortain appllcagons. Chock 1110 application typo for details. <br /> Tentative Maps <br /> Map Signed by Owner l8� Ttaet Number and Name(Molar Subs only) 1:31 <br /> Adjoining property Owners Names on Map d All Lots Numbered 111— <br /> Contour Lines [a1-- IIIof Wall and Septic Systorn <br /> Excavations <br /> noclamotfon Pian and Schodula 17 Financial Guarantee ❑ <br /> Typicol Cross•socilons- n Elevation Calculniton Schedule ❑ <br /> En9lncer's Stamp ❑ <br /> i.i � Dntn: 712s�A�' <br />
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