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SU0012635
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2600 - Land Use Program
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QX-91-0006
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SU0012635
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Entry Properties
Last modified
11/14/2019 1:15:54 PM
Creation date
11/14/2019 1:08:26 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0012635
PE
2605
FACILITY_NAME
QX-91-0006
STREET_NUMBER
8000
Direction
N
STREET_NAME
WAVERLY
STREET_TYPE
RD
City
LINDEN
Zip
95236-
ENTERED_DATE
11/14/2019 12:00:00 AM
SITE_LOCATION
8000 N WAVERLY RD
QC Status
Approved
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SJGOV\wng
Tags
EHD - Public
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y APOLICATION CONTROL SHEET <br /> To be completed by Development Service staff <br /> PreApp Only: ❑Yes ❑ No Fee: R.—pt Number: Due: <br /> File Number: Fee V,' Receipt Number: Dateif <br /> File Number: Fee: Receipt Number: Date: <br /> File Number: Fee: Receipt Number: Date: <br /> Description of Project ) I I•` <br /> a �o� LAA C a� <br /> Project Location: w;b�t S c•y l+ <br /> Address: J J (,��V L 2 ti <br /> 11 3 APN(s): Det — yJDUIr ��, <br /> General Plan Community: General Plan Designation.74� V � <br /> Zoning Map: t— Property Zoning: ...� U Overlay Zone(s): — <br /> Adjacent General Plan I Zoning <br /> North: _ V <br /> South: I I <br /> East: 1 I _ J <br /> West: I t, J <br /> 104Year Flood ❑ Yes No Williamson Act )!�.Yes ❑ No I Supervisorial District: <br /> Airport Area: (J Specific Plan(s) ❑ Yes E�-No: <br /> History: — ` _ "'� -Q J — <br /> CHECKLIST <br /> All Applications <br /> Completed Application Forms Owners'Signature $ <br /> Copy of Deed or Preliminary Title Report• Copies of Plan or Map Q' <br /> B``/a'x 11'Reduced Plan or Map Hazardous Materials Disclosure Survey <br /> Development Impact Mitigation Fee Form ❑ I Assessor and History Pages <br /> Names Ust• Sawer/Waler'Will Serve'Loner• D <br /> General Plan Map' D Zoning Map• ❑ <br /> Soils Report• p I Soils Suhabilily Study' C <br /> • These materials may not be required lot certain applications. Check the application type lot details. <br /> Tentative Maps <br /> Map Signed by Owner p Tract Number and Name(Major Sups only) D <br /> SepiaD I All Lots Numbered D <br /> Contour Unes D Location of Well and Septic System C <br /> Agricultural Homeslte Fonn D Adjoining Property Owners Names on Map C <br /> Excavations <br /> Reclamation Plan and Schedule b- Financial Guarantee D <br /> Typical Cross-sections Elevation Calculation Schedule ❑ <br /> Engineer's Stamp L b q <br /> Completed By: 1L F tir7 I ✓. Date: Ll-Z GI <br /> aptscntr rm o- a <br />
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