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SU0006479
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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2600 - Land Use Program
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PA-0700100
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SU0006479
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Entry Properties
Last modified
12/17/2019 9:14:17 AM
Creation date
9/6/2019 10:17:14 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0006479
PE
2631
FACILITY_NAME
PA-0700100
STREET_NUMBER
21080
Direction
S
STREET_NAME
MOUNTAIN HOUSE
STREET_TYPE
PKWY
City
TRACY
APN
20915026
ENTERED_DATE
3/15/2007 12:00:00 AM
SITE_LOCATION
21080 S MOUNTAIN HOUSE PKWY
RECEIVED_DATE
3/15/2007 12:00:00 AM
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\sballwahn
Supplemental fields
FilePath
\MIGRATIONS\M\MOUNTAIN HOUSE PKWY\21080\PA-0700100\SU0006479\EH PERM.PDF
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EHD - Public
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,o�IN APPLICATION — ;-TE APPROVAL <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> N: <) <br /> J FILE NUMBER: SA- <br /> quid OFNi <br /> BUILDINGS AND STRUCTURES <br /> his information may be shown on the Site Plan <br /> Structure <br /> NumberProposed Use" Ground Floor Area Highest Floor Overall Height(in feet) <br /> n 1 rn <br /> The"structure number"should be used in identifying the structure on the Site Plan. <br /> "If there are two or more proposed uses in a building, make separate listings for each use. For residential projects, <br /> number of units in each structure. <br /> SITE IMPROVEMENTS AND SERVICES <br /> Off-Street Parking <br /> Full-size Parking Compact Parking Handicap Parking Covered Parking Total Parking Parking Lot Trees <br /> Spaces Number S aces Number Spaces Number Spaces Number S aces Number Number <br /> 14 1 --er I -a- L -_0" q 1 <br /> Landscaping <br /> Landscaping Area Percent of Project Street Trees Street Trees Method of Irrigation <br /> (Square Feet Area Landscaped (Type) Number <br /> aou <br /> Water <br /> Annex-Formation Distance to Public <br /> Public Water Service Provider Required Water Feet <br /> Proposed ❑ <br /> Exislin ❑ N <br /> New Well ❑ <br /> Private Water Existing Well Well Replacement ❑ <br /> Sewage Disposal <br /> Public Sewage Annex-Formation Distance to Public <br /> Disposal Service Provider Required Sewer Facility <br /> Proposed <br /> Existing <br /> On-site wage <br /> Dis osalSeExisting Septic System New Septic System ❑ Other ❑ <br /> Storm Drainage <br /> Public Storm <br /> Drainage Service Provider(if Public) Annex-Formation Terminal Drainage Detention-Retention <br /> Proposed ❑ Required to: Ponds <br /> Existing ❑ N -- <br /> Private Stor <br /> Draina a On-site Retention Pond s ❑ Natural Drainage/No Chane Other ❑ <br /> Electricity Telephone Service <br /> Distance to <br /> Service Provider Service Service Provider Distance to Service <br /> i e 1001 - 100 <br /> School Service Fire Protection Service <br /> Distance to Elem <br /> Service Provider School Service ProviderDistance to File Station <br /> t VaUA W0,J M ft- M1 S <br /> \DEVSVC\Planning Application Forms\Site Approval.(Revised 1-3-03) Page 3 of 9 <br />
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