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SU0003101
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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CARROLTON
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21602
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2600 - Land Use Program
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SA-93-05
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SU0003101
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Entry Properties
Last modified
4/24/2020 8:48:20 AM
Creation date
4/15/2020 4:14:48 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0003101
PE
2633
FACILITY_NAME
SA-93-05
STREET_NUMBER
21602
Direction
S
STREET_NAME
CARROLTON
STREET_TYPE
RD
City
RIPON
ENTERED_DATE
11/6/2001 12:00:00 AM
SITE_LOCATION
21602 S CARROLTON RD
QC Status
Approved
Scanner
SJGOV\gmartinez
Tags
EHD - Public
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' r 1 <br /> APPLICATION CONTROL SHEET <br /> » sM f S <br /> ;Yo ba campioled by;boveloptnegtSarvica+lett % �b.�r•' <br /> i <br /> PreApp Only: ❑Yos EQ40 ' <br /> Fee: Receipt Number. Date: <br /> File Nuber. _ 3'""�. Fee:j2.0S Receipt Number: r-{°}3 Date: <br /> m (-27-c1'3 <br /> File Number: <br /> Fee: Receipt Number: Date: <br /> File Number: <br /> Fee: Recelpt Number: Dale: <br /> Description of Project SrYC r ( o r -� vevl �•• <br /> Project Location: UdJ 16' <br /> OF G w* <br /> Address: 2( C,02. <br /> APN(a):Z, 5'—Z30 <br /> General Plan Community' General Plan Designation: _ G-- <br /> Zoning Map: Property Zoning: Overlay Zone(s): <br /> Adjacent General Plan Zoning <br /> North: lY' -YD <br /> South: <br /> East: <br /> West: <br /> 100-Year Flood C1 Yes 1KNo <br /> Williamson Act Yes ❑ No Supervisorial District: <br /> Airport Area: Specific Plan(s) ❑ Yes ❑ No: <br /> History <br /> rCHECK LIST <br /> All Applications <br /> Completed Application Forms <br /> g' Owners'Signature <br /> Copy of Deed or Preliminary Title Report• @' Copies of Plan or Map <br /> B%'x 11'Reduced Pian or Map 1?1 Hazardous Materials Disclosure Survey t� <br /> Development Impact Mitigation Fee Form ❑ Assessor and History Pages <br /> Sewer/Water Vill Serve'Letter• ❑ <br /> Names List• <br /> General Plan Map <br /> ❑ Zoning Map• ❑ <br /> Soils Report• <br /> ❑ Soils Suitability Study• ❑ <br /> Subsidence Area Cl Yes ❑ No Expansive Soll Area ❑ Yee ❑ No <br /> • These materials may not be required for certain applications. Check the application type for details. <br /> Tentative Maps <br /> Map Signed by Owner ❑ Tract Number and Name(Major Subs only) ❑ <br /> Adjoining Property Owners Names on Map ❑ <br /> All Lots Numbered ❑ <br /> Contour Lines ❑ Location of Well and Septic System ❑ <br /> Excavations <br /> Reclamation Plan and Schedule <br /> ❑ Financial Guarantee ❑ <br /> Typical Cross-sections <br /> ❑ Elevation Calculation Schedule ❑ <br /> Engineer's Stamp ❑ <br /> Date: _ 3 <br /> Completed By: <br /> appcntr.rm <br />
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