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SU0005730 SSC RPT
EnvironmentalHealth
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2600 - Land Use Program
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SU0005730 SSC RPT
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Last modified
11/15/2019 9:58:09 AM
Creation date
11/15/2019 9:50:16 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSC RPT
RECORD_ID
SU0005730
PE
2622
FACILITY_NAME
PA-0500710
STREET_NUMBER
25050
Direction
N
STREET_NAME
WILD HARE
STREET_TYPE
LN
City
ACAMPO
Zip
95220
APN
00310025
ENTERED_DATE
10/26/2005 12:00:00 AM
SITE_LOCATION
25050 N WILD HARE LN
RECEIVED_DATE
10/26/2005 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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NOA JOB NUMBER: E05115A <br /> PROPERTY LOCATION: 25050 N. Wild Hare Road, Acampo, CA <br /> Page 5 <br /> NOA ENVIRONMENTAL <br /> ENVIRONMENTAL QUESTIONNAIRE AND DISCLOSURE STATEMENT <br /> PART 2: OWNER INFORMATION <br /> (To be completed by Owner or Owner's representative) <br /> I. GENERAL INFORMATION <br /> 1. Current owner of property and contact information: year purchased: <br /> t-)&� tl !�— LL11 [0")6—7-�' S L'.1-4. /e� /S <br /> 2. Previous owner(s) and contact information (if available): years owned: <br /> D/� FTs <br /> 1/3 <br /> 3. Please describe current use(s) of property: <br /> 4. Please describe any other known past use(s) of property, <br /> and approximate dates of each use: <br /> -fit %/ 6- <br /> 5. Are there any businesses using any portion of the property ❑Yes No <br /> which are operated by an entity other than the property <br /> owner (including a tenant farming operation)? <br /> If yes, please provide a contact name and phone number for <br /> each: <br /> 6. What is the current zoning and/or general plan designation of the subject property? <br /> qC A C-t <- s <br /> If you have any questions about this questionnaire,please contact Abby Racco at(209) 367-3701 ext 228 `� <br />
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