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SU0003168
EnvironmentalHealth
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2600 - Land Use Program
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SU0003168
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Entry Properties
Last modified
4/29/2020 2:08:01 PM
Creation date
4/29/2020 10:37:41 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0003168
PE
2633
FACILITY_NAME
SA-92-55
STREET_NUMBER
22991
Direction
S
STREET_NAME
CHRISMAN
STREET_TYPE
RD
City
TRACY
Zip
95376
ENTERED_DATE
11/6/2001 12:00:00 AM
SITE_LOCATION
22991 S CHRISMAN RD
QC Status
Approved
Scanner
SJGOV\gmartinez
Tags
EHD - Public
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APPLICATION CONTROL SHEET <br /> :.Tobecompleted by Development Service staff <br /> ProApp Only: ❑Yos ItKNo FFoo: <br /> Receipt Number: Dote: <br /> Filo Number: -C 2 5� .°� Receipt Number: Z Boma} Dole: 10-1--J <br /> File Number: Receipt Number: Date: <br /> File Number: Rocelpt Number: Date: <br /> Description of Project A Po IA,I— A 0� 2FA <br /> t�IA� v12AL GrstS kf=r L <br /> Project Location: Hr- v1qE5S ( )—v�°cT] <br /> 1400 1 Sou-n-t c, = <br /> o A-c <br /> Address: ;Z,Zg9 1 S G1-trl7,- e- <br /> General Plan Community: Tl2s�� General Plan Designation: - <br /> Zoning Mop:T�.. �' Property Zoning: Overlay Zone(s); <br /> Adjacent General Plan Zoning <br /> North: 1 G1 U- Z0 <br /> South: <br /> East: A6, <br /> West: C I"( j T-( (0 <br /> 100-Yoor Flood ❑ Yes g�/No Wllliomson Act ❑ Yos 8 No Supervlsorlal District: <br /> Airport Aron: y,l o Specific Plan(s) ❑ Yos d No: <br /> History: <br /> x s CHECKIf$T <br /> All Applications <br /> Completed Application Forms B- Owners'Signature <br /> Copy of Deed or Preliminary Title Report Copies of Plan or Map <br /> 8'/.'x 11'Reduced Plan or Map Hazardous Materials Disclosure Survey C}� <br /> Development Impact Mitigation Fee Form ❑ Assessor and History Pages <br /> Names List• Sower/Walor'Will Servo'Letter• ❑ <br /> General Plan Map• ❑ Zoning Mop• ❑ <br /> Soils Report• ❑ Solis Suitability Study• ❑ <br /> • These materials may not be required for certain applications. Check the application typo lot dolalls. <br /> Tentative Maps <br /> Map Signed by Owner ❑ Tract Number and Name(Major Subs only) ❑ <br /> Sopla ❑ All Lots Numbered ❑ <br /> Contour Lines ❑ Location of Well and Septic System ❑ <br /> Agricultural Homesite Form ❑ Adjoining Property Owners Names on Map ❑ <br /> Excavations <br /> Reclamation Plan and Schedule ❑ Financial Guarantee ❑ <br /> L <br /> Cross-secllons ❑ Elevation Calculation Schedule ❑ <br /> r's Stomp ❑ <br /> ted By: I � Date: - Z- �7— <br /> rm - - <br /> t <br />
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