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SU0000895
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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M
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MICKE GROVE
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11266
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2600 - Land Use Program
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MS-92-39
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SU0000895
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Entry Properties
Last modified
5/7/2020 11:28:07 AM
Creation date
9/6/2019 10:11:13 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0000895
PE
2622
FACILITY_NAME
MS-92-39
STREET_NUMBER
11266
Direction
N
STREET_NAME
MICKE GROVE
STREET_TYPE
RD
City
LODI
ENTERED_DATE
10/5/2001 12:00:00 AM
SITE_LOCATION
11266 N MICKE GROVE RD
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\M\MICKE GROVE\11266\MS-92-39\SU0000895\APPL.PDF \MIGRATIONS\M\MICKE GROVE\11266\MS-92-39\SU0000895\CDD OK.PDF \MIGRATIONS\M\MICKE GROVE\11266\MS-92-39\SU0000895\EH COND.PDF
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EHD - Public
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APOLICATION CONTROL SHEET <br /> To be complexed by Development Service aleft <br /> PreApp Only: ❑Yes No Fee: Receipt Number. I Date: <br /> File Number: - Fee: Receipt Number. -2 0 Z D 7 Due Te{ <br /> File Number - D Fee: �l�j Receipt Number: ;Lp Z e 6 Dates <br /> File Number: Fee: Receipt Number. Date: <br /> Description of Project I✓ rL c� r PC U O <br /> D!v1 e- Z- I 'L-To o Z , Z <br /> �+ —IF e/_tj!7t!7 t�sJ A /� <br /> Project Location: �A-5SIDE O 1`,t�E L.,' 4'04E ro,.i7 I O00 I <br /> So o ILSc ohm xJ <br /> o T� --t-T-0 , <br /> Address: u4 I , ��ILKE ta20.�c �k-oA-'D <br /> APN(s): 05 -1 D S <br /> General Plan Community General Plan Designation: <br /> Ac-tZ14.i-7-�) Q� <br /> Zonmg Map: -(v Property Zoning: A L - 'O Overlay Zone(s): <br /> Adjacent I General Plan Zoning <br /> North: Pc-C��L C-LI IC_t- L- I C <br /> South: <br /> IO <br /> East: _ 40 <br /> West: <br /> 100-Year Flood ❑ Yes'Z;�No I Williamson Ac; ❑ Yes No Supervisorial District:Airport Area: �,j O^{C I Specific Plan(s) Yes ❑ No: <br /> History: PO L -1 a <br /> CHECKLIST <br /> All Applications <br /> Completed Application Forms Owners'Signature <br /> Copy of Deed or P,ofinh,n,iDLDjt_5tp2r• Copies of Plan or Map' <br /> 11'Reduced Plan or Map Hazardous Materials Disclosure Survey O <br /> Davelopmenl Impact Maio°tion Fee Form O Assessor and History Paces <br /> Names List' Sewer/Water Will Serve'Loner• ❑ <br /> General Plan Map' ❑ Zoning Map' ❑ <br /> Soils Repos• C Soils Suitability Study• ❑ <br /> • These materials may not be required for cenain applications. Check the application type for detail. <br /> Tentative Maps <br /> Map Signed by Owner Tract Number and Name(Major Subs only) ❑ <br /> Sep,° I All Lots Numbered •I�� <br /> Contour Lines Location of Well and Septic System <br /> Agncuhural Homeaite Forth 731*1 Adjoining Properly Owners Names on Map <br /> Etcavatlons <br /> Reclamation Plan and Schedule O Financial Guarantee O <br /> Typical Cross-sections p Elevation Calculation Schedule O <br /> Engineer's Stamp ❑ <br /> Completed 6y: 'P�TR_I Lt h ttJO tSf;jr_ Date: 5'n_P f <br /> appcntrurm Zi-- -vi <br />
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