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SU0013225
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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SU0013225
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Last modified
3/10/2021 2:24:26 PM
Creation date
5/7/2020 3:41:25 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0013225
PE
2632
FACILITY_NAME
PA-2000016
STREET_NUMBER
865
Direction
E
STREET_NAME
ROTH
STREET_TYPE
RD
City
FRENCH CAMP
Zip
95231-
APN
19332026
ENTERED_DATE
5/4/2020 12:00:00 AM
SITE_LOCATION
865 E ROTH RD
RECEIVED_DATE
5/1/2020 12:00:00 AM
P_LOCATION
99
P_DISTRICT
001
QC Status
Approved
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SJGOV\sballwahn
Tags
EHD - Public
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P4u ` APPLICATION — SITE APPROVAL <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENZ <br /> p&- 13000U ! <br /> FILE NUMBER: <br /> \FORA <br /> (— TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION —� <br /> I <br /> Owner Information Applicant Information <br /> Name: CKA w GILL Name: SLAIC h C-PfA-(N 61L-L <br /> Address: 3q l O W I L O f';}< DRI V E Address: 8 6 5 e- o"f'H (Z 0 A (D <br /> C_ E'2CS C-A 953097 L_ ATK2oP C-A 3 <br /> Phone: LZ c Ct) L(Gt 5 _ o 5 3 Phone: �2 Oct) 4 C7 5— O <br /> fPROJECT DESCRIPTION _ 1 <br /> Proposal <br /> Description of the proposed project: <br /> T+-ACToQ T2AILGt2 PAieICIN6 PA CIL I ?y <br /> - - -- - <br /> T° _ 2E EJF1r0(7EP frJ 'r«io Gfi6SES <br /> E A c)F Fa G7Lo Pm EN-LtNDFQ St PA PATE FuTk PLIcgTf ►� <br /> ALSo A[PPLfED Face /2 CV1 SION oP APPAV"D ACM-N 120 o (-1c. R Foe V fNc <br /> Business name(DBA): rl��} �s a/ F\J D ciTu✓Z C v'—' 479 1n1 iNy <br /> I-- Employees/Customers/Deliveries per Work Shift' <br /> '(attach additional breakdown/explanation for each phase of development, seasonal production, etc. if applicable) <br /> NOTE. if the proposed development is an addition to an existin lity, only list the additional increases below <br /> Shift Hours Days of the week Number of Employees Customers per Shift Deliveries/Other per Shift <br /> it— -- <br /> Materials/Equipment Used <br /> Describe equipment used in the project(include the number of automobiles, trucks, forklifts, etc.): <br /> G�DtN 6e A-V1NC, u&tAl,ipmLN--r —m el; USc- D I)IAIaING CONS7N . <br /> Describe materials produced,stored or used (all hazardous materials should be included): <br /> CA-K- G 6 F To7�, OF II T2AfLEf2--C 4 32 _ �Y IN <br /> ry G e F -T-76--L ff 4 B 3 2 t4 <br /> PROPERTY AND VICINITY DESCRIPTION <br /> Property Information <br /> Assessor Parcel Number(s) Property Size Number of Parcels Project Size Williamson Act Contract <br /> ( G1 3 - 3 2 v - 1 7 n &-• o he 6- c, A-c ve r 1 ❑ Yes ( No <br /> Property Address: r,5 2 o-rh A L_ A-rqi2012 CA 2 <br /> Existing Land Uses <br /> On-Site Uses(Include Ag Crops): V C <br /> Uses to the North: >4&4( LL L -r,c 2 ES (D �(— <br /> �. <br /> } Uses to the East: CDv`kc.V-erc. Mix <br /> Uses to the South: /2a T H g V M.) Z S N A r��i�C- Ai m y IJ fro 7 <br /> r Uses to the West: t T (1V DK S-f,'2t A0_ 1,IJ u• 2 C 141 N <br /> IF\DEVSVC\Planning Application FormsNSite Approval (Revised 02-03-10) Page 2 of 9 <br /> s� <br /> P' <br />
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