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COMPLIANCE INFO
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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P
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PIEDMONT
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438
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1600 - Food Program
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PR0544941
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COMPLIANCE INFO
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Entry Properties
Last modified
2/28/2020 4:01:12 PM
Creation date
1/10/2020 3:49:09 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0544941
PE
1609
FACILITY_ID
FA0025550
FACILITY_NAME
SIMPLY BREAD & MORE
STREET_NUMBER
438
Direction
W
STREET_NAME
PIEDMONT
STREET_TYPE
DR
City
TRACY
Zip
95391
CURRENT_STATUS
01
SITE_LOCATION
438 W PIEDMONT DR
P_LOCATION
03
QC Status
Approved
Scanner
JCastaneda
Tags
EHD - Public
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u • <br /> °Pa�IN• APPLICATION — HOME OCCUPATION <br /> �¢ SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> • i�.. ._.. v BL APPL. NO: BIL <br /> TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION <br /> Owner Information Applicant Information <br /> Name: I Name: Y)'(.i? t <br /> Address: ZZ1� Situs Address: W 1 CC L <br /> Phone: Phone: <br /> Email: d m a. 0 Ct <br /> PROJECT DESCRIPTION <br /> Proposal <br /> Description of the proposed project: b r a,(\ (D <br /> t10 Sfi t\ S <br /> Business name(DBA): usiness Mailing Ad ress: Cross Street: <br /> mRwL& 3g U> W. Ung <br /> Name the person(s)who will be involved in the Home Occupation Family Member <br /> Name Home Address Yes No <br /> MkA -tp(1 <br /> What type of product,if any,will be produced,serviced or repaired in the conduct of your Home Occupation(e.g., repair of clocks or <br /> watches,making jewelry,etc.): <br /> Describe any alterations to the home or premises that will be required for your Home Occupation. <br /> Will people come to your home to obtain any product or utilize any service connected with the proposed Home <br /> Occupation? (Circle appropriate answer.) Yes No <br /> If yes,please explain in detail. <br /> Will automobiles or other vehicles be involved in the conduct of your Home Occupation? (Circle appropriate <br /> answer.) Note:Vehicle CAN NOT exceed 11,000 pounds gross vehicle weight rating(GVWR) Yes No <br /> If yes,please explain in detail I UNC e cSo oed <br /> mc)f <br /> (Revised <br /> 9-1 and handouUplanning formslhome occupation Page 3 of 4 ^ /'� 9 y <br /> (Revised 9-12-13) �1J Q1L U_1 <br />
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