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SU0003167
EnvironmentalHealth
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2600 - Land Use Program
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SU0003167
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Entry Properties
Last modified
5/7/2020 11:29:42 AM
Creation date
9/9/2019 9:10:17 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0003167
PE
2633
FACILITY_NAME
SA-92-54
STREET_NUMBER
801
Direction
E
STREET_NAME
ROTH
STREET_TYPE
RD
City
FRENCH CAMP
ENTERED_DATE
11/6/2001 12:00:00 AM
SITE_LOCATION
801 E ROTH RD
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\R\ROTH\801\SA-92-54\SU0003167\APPL.PDF \MIGRATIONS\R\ROTH\801\SA-92-54\SU0003167\CDD OK.PDF \MIGRATIONS\R\ROTH\801\SA-92-54\SU0003167\EH COND.PDF
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EHD - Public
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APPLICATION CONTROL SHEET <br /> To ba completed by Development Service atoll <br /> PreApp Only: ❑Yes ❑ No Fee: Receipt Number: I <br /> Filo Number: rL„ Fee: j 220,-00 Receipt Number: Z'7 3 <br /> File Number: Fee: Receipt Number: <br /> File Number: Fee: Receipt Number: <br /> Description of Project S'� �Orolrr, y t <br /> 1 [(�f S is <br /> Project Location: AJO v C, 3$D <br /> Address: <br /> APN(5):193- 32 <br /> General Plan Community: General Plan Designation: fy ✓t /l 1 <br /> Zoning Map:S e. Property Zoning: –Z Ovetley Zone(s): <br /> Adjacent General Plan Zoning / - <br /> North: t I — <br /> South: C l <br /> East: /„ 142 Z <br /> t r <br /> West: y <br /> 100-Year Flood ❑ Yes V No2dyyB Williamson Act ❑ Yes No Supervisorial District: <br /> Airport Area: (,Ln Specific Plan(s) ❑ Yes W No: <br /> History: 111,E <br /> CHECKLIST <br /> All Applications <br /> Completed Application Forms .8--- Owners'Sign elute 1� <br /> Copy of Deed or Preliminary Title Report• 21,11 Copies of Plan or Map ❑ <br /> 8'/,•x 11'Reduced Plan or Map 0 Hazardous Materials Disclosure Survey <br /> Development Impact Mitigation Fee Form ❑ Assessor and History Pages y– <br /> Names List• gV'- Sewer/Wolor-Will Sorva-Letter ❑ <br /> General Plan Map• ❑ Zoning Map• ❑ <br /> Solis Report• ❑ Solis Sullability Study• ❑ <br /> Those materials may not be required for certain applications. Check the application typo for details. <br /> Tentative Maps <br /> Map Signed by Owner ❑ Tract Number and Name(Major Subs only) ❑ <br /> Sepia ❑ All Lots Numbered ❑ <br /> Contour Linea ❑ Location of Well and Septic System ❑ <br /> Agricultural Homesile Form ❑ Adjoining Property Owners Names on Map ❑ <br /> Excavations <br /> Reclamation Plan and Schedule ❑ Financial Guarantee ❑ <br /> Typical Cross-sections ❑ Elevation Calculation Schedule ❑ <br /> Engineer's Slemp ❑ <br /> Completed By: Dale: <br /> appcnlr.rm3-18-91 <br />
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