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SU0013218
EnvironmentalHealth
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2600 - Land Use Program
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SD-91-76
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SU0013218
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Last modified
5/4/2020 12:02:29 PM
Creation date
5/4/2020 11:52:17 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0013218
PE
2600
FACILITY_NAME
SD-91-76
STREET_NUMBER
12895
Direction
N
STREET_NAME
EBERHARD
STREET_TYPE
RD
City
LODI
Zip
95240-
APN
06502019
ENTERED_DATE
5/1/2020 12:00:00 AM
SITE_LOCATION
12895 N EBERHARD RD
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\gmartinez
Tags
EHD - Public
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APPLICATION CONTROL SHEET <br /> To be completed by Development Service staff <br /> rFileNumber: <br /> ❑Yes ❑ No Fee: Receipt Number: Date: <br /> S j7` - F Fee: Receipt Number: �(� Date: �`( ctfl <br /> Fee: Receipt Number: Date: <br /> Fee: Receipt Number: Date: <br /> Project J�C e� .� i] �r D�� t-1-1 .—L C� <br /> Project Location: Gg— S 1]c or U C�) f <br /> Address: h <br /> CA '5 Z Lf 0 APN(s): D(< S � 0 2 0 <br /> General Plan Community: General Plan Designation: A,--.,I` �k 1 - <br /> Zoning Map: i Property Zoning: A L-10 <br /> Overlay Zone(s): <br /> Adjacent General Plan Zoning <br /> North: AC_-,�t <br /> South: ' <br /> East: i <br /> West: <br /> 100-Year Flood ❑ Yes No Williamson Act ❑ Yes No Supervisorial District: <br /> Airport Area: r,,�O hjt7-- Specific Pian(s) ❑ Yes �$( No: <br /> History: 9—L-E <br /> CHECKLIST <br /> All Applications <br /> Completed Application Forms Owners' Signature <br /> Copy of Deed or Preliminary Title Report• _)El� Copies of Plan or Map <br /> 8'/z x 11' Reduced Plan or Map Hazardous Materials Disclosure Survey ❑ <br /> Development Impact Mitigation Fee Form ❑ Assessor and History Pages <br /> Names List ' ❑ Sewer/Water'Will Serve' Lener • ❑ <br /> General Plan Map ' ❑ Zoning Map • ❑ <br /> Soils Report` ❑ Soils Suitability Study • ❑ <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 /> Sepia ❑ 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 /> Typical Cross-sections ❑ Elevation Calculation Schedule ❑ <br /> Engineer's Stamp ❑ <br /> Completed By: G(� Date: 4. 3o • 9� <br /> appcnr. rm <br />
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