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SU0013221
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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2600 - Land Use Program
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PA-1900055
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SU0013221
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Entry Properties
Last modified
3/21/2022 8:07:34 AM
Creation date
5/7/2020 3:30:16 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0013221
PE
2625
FACILITY_NAME
PA-1900055
STREET_NUMBER
11757
Direction
N
STREET_NAME
DAVIS
STREET_TYPE
RD
City
LODI
Zip
95242-
APN
05522016
ENTERED_DATE
5/4/2020 12:00:00 AM
SITE_LOCATION
11757 N DAVIS RD
RECEIVED_DATE
10/15/2021 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\tsok
Tags
EHD - Public
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1 <br /> S A N 10 A Q U IN COMMUNITY DEVELOPMENT DEPARTMENT <br /> —COUNTY TIME EXTENSION <br /> cq�,Foaa��" hreatness c• , PQQnn`��i+ <br /> 5 <br /> FILE NUMBER 0 <br /> Applicant Information <br /> Name: ` �� C 2 V <br /> Mailing Address: /175-7 N N X1,2 <br /> Phone: 2-®r <br /> Email: jT� CSl �//ti <br /> Time Extension Request <br /> Attach additional sheets as necessary) <br /> Permit Number: P q 06)Q <br /> Time extension requested: Z yYli�s <br /> Reason for the Time Extension request(include circumstances that have prevented the project from proceeding on schedule): <br /> Pw —11v Aef CrVIO Iq We a4-,e ivy,) f dt,� <br /> Staff Use Only <br /> Remarks: Expiration date: <br /> Date extension filed: Li130 uj Application accepted by: Receipt No: R,;2 q (o <br /> Page 1 of 2 <br /> Updated 02/02/2021 <br />
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