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SU0009347
EnvironmentalHealth
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PA-1200179
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SU0009347
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Last modified
11/19/2024 3:48:15 PM
Creation date
9/9/2019 10:26:56 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0009347
PE
2690
FACILITY_NAME
PA-1200179
STREET_NUMBER
6671
Direction
E
STREET_NAME
STATE ROUTE 12
City
LODI
Zip
95240-
APN
04913052 53
ENTERED_DATE
9/14/2012 12:00:00 AM
SITE_LOCATION
6671 E HWY 12
RECEIVED_DATE
9/14/2012 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\wng
Supplemental fields
FilePath
\MIGRATIONS\T\HWY 12\6671\PA-1200179\SU0009347\EH PERM.PDF
Tags
EHD - Public
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APPLICATION - LOT LINE ADJUSTMENT <br /> c ` SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> ::c .• FILE NUMBER: <br /> 9�/FOS <br /> PROPOSED PARCELS <br /> Existing Square Proposed Square <br /> Parcel Number —Existing or Proposed Use of Parcel Footage or Acreage Footage or Acreage <br /> 1 Homesite 3.9 Acres 4.4 Acres <br /> 2 Agriculture 94.2 Acres 93.8 Acres <br /> SITE IMPROVEMENTS AND SERVICES <br /> Water <br /> Annex-Formation Distance to Public <br /> Public Water Service Provider Required Water Feet <br /> Proposed ❑ <br /> Existing ❑ <br /> Private Water® Existing Well ® New Well ❑ Well Replacement ❑ <br /> Sewage Disposal <br /> Public Sewage Annex-Formation Distance to Public <br /> Disposal Service Provider Re uired Sewer Facilit <br /> Proposed ❑ <br /> Existin ❑ <br /> On-site Sewage <br /> Disposal ® F Existing 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 ❑ <br /> Required to: Ponds <br /> Existing ❑ <br /> Private Storm <br /> Draina e ❑ On-site Retention Ponds ❑ Natural Drainage/No Chane ® Other ❑ <br /> Electricity Telephone Service <br /> Distance to <br /> Service Provider Service Service Provider Distance to Service <br /> P.G.&E. Adjacent AT&T Adjacent <br /> School Service Fire Protection Service <br /> Distance to Elem <br /> Service Provider School Service Provider Distance to Fire Station <br /> Lodi Unified 2 Miles Mokelumne 5 Miles <br /> Existing Roads <br /> Road/Street Name R.O.W. Width Pavement Width Curb/Gutter Sidewalks <br /> State Highway 12 80' 45' +/- Yes ❑ No® Yes❑ No <br /> Yes ❑ No ❑ Yes ❑ No ❑ <br /> Proposed Roads <br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> N/A Yes ❑ No ❑ Yes ❑ No❑ <br /> Yes ❑ No ❑ Yes ❑ No❑ <br /> F:\DEVSVC\Planning Applicabon Foms\ Page 4 of 7 <br /> Lot Line Adjustrwnt dm.(Revimd 6-4-04) <br />
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