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SU0012931
EnvironmentalHealth
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2600 - Land Use Program
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MS-87-49
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SU0012931
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Last modified
2/3/2020 9:46:22 PM
Creation date
2/3/2020 9:18:30 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0012931
PE
2622
FACILITY_NAME
MS-87-49
STREET_NUMBER
14332
Direction
N
STREET_NAME
BECKMAN
STREET_TYPE
RD
City
LODI
Zip
95240-
APN
06103048
ENTERED_DATE
1/16/2020 12:00:00 AM
SITE_LOCATION
14332 N BECKMAN RD
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\gmartinez
Tags
EHD - Public
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5 . Will the project: <br /> a . generate objectional odors : No <br /> b. generate any discharge into surface waters : AJa <br /> c . generate or store hazardous materials: A)a <br /> d. expose people to any hazardous materials or situations : AJo <br /> e . displace people: No <br /> f . use significant amounts of energy or natural resources : Alo <br /> g. cause congestion on roadways or at interchanges or intersec- <br /> tions: AJo <br /> ❑ SIGNATURE <br /> I certify under penalty of perjury that I am (check one ) : <br /> Legal Property Owner (owner includes partner, trustee, trustor , or <br /> corporate officer . ) <br /> LJ Owner ' s legal agent (attach proof of the owner 's consent to file <br /> the application ) , <br /> a d h the f rego' g is true and correct. <br /> (Signature ) (Date ) <br /> Minor Subdivision - 10 - ( 6/86 ) <br />
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