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SU0001999
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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LONE TREE
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2600 - Land Use Program
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LA-90-55
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SU0001999
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Entry Properties
Last modified
5/7/2020 11:29:03 AM
Creation date
9/6/2019 11:01:51 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0001999
PE
2690
FACILITY_NAME
LA-90-55
STREET_NUMBER
25650
STREET_NAME
LONE TREE
STREET_TYPE
RD
ENTERED_DATE
10/23/2001 12:00:00 AM
SITE_LOCATION
25650 LONE TREE RD
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\L\LONE TREE\25650\LA-90-55\SU0001999\APPL.PDF \MIGRATIONS\L\LONE TREE\25650\LA-90-55\SU0001999\CDD OK.PDF \MIGRATIONS\L\LONE TREE\25650\LA-90-55\SU0001999\EH COND.PDF
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EHD - Public
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❑ SERVICES <br /> List the public services and facilities which will be necessary for <br /> the project . Specify what public agency, if any , that will provide <br /> each . If private or individual services are proposed, explain: <br /> Are services cur- <br /> rently provided? Which City, Special District , <br /> If no, how far will etc . , will be providing each <br /> lines need to be service or what private <br /> Service extended?--- services are rp oposed? _ <br /> Water _ _Yes X_No NA_ Rural residential <br /> Sewer Yes p_NoRF -5ePIc SYS e Tian ee SeT <br /> Drainage _ Yes A No _ mot- F r_i afure------ <br /> Electricity 7 Yes No <br /> Gas _Yes No <br /> 7BGEµJ 6, _Yes _No___ <br /> Proposed property size and use : <br /> Parcel 1 size : 1 . 06 acres use : Rural residential <br /> Parcel 2 size : r-3�cres use : ura rest ectal <br /> Parcel 3 size :----27-3- acres use :_-T-g-fricu ura _ <br /> Parcel 4 size : use : <br /> F1 SIGNATURE <br /> I certify under penalty of perjury that I am (check one ) : <br /> Legal Owner ( s ) (All owners must sign as their names appear -on the <br /> deed. ) , <br /> corporate Officer ( s ) empowered to sign for the corporation, <br /> LJ Owner ' s legal agent (attach proof of the owner ' s consent to file <br /> the application ) , <br /> and tha t fo egoing is true and correct . <br /> D L /Zo k1U <br /> (Signature ) —� (Date ) <br /> Lot Line Adjustment - 4 - ( 8/86 ) <br />
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