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SU0003143
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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FOREST LAKE
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2600 - Land Use Program
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SA-92-75
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SU0003143
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Entry Properties
Last modified
5/11/2020 11:16:05 AM
Creation date
5/8/2020 10:15:24 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0003143
PE
2633
FACILITY_NAME
SA-92-75
STREET_NUMBER
3646
Direction
E
STREET_NAME
FOREST LAKE
STREET_TYPE
RD
City
ACAMPO
ENTERED_DATE
11/6/2001 12:00:00 AM
SITE_LOCATION
3646 E FOREST LAKE RD
QC Status
Approved
Scanner
SJGOV\gmartinez
Tags
EHD - Public
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APPLICATION- SITE APPROVAL <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION <br /> Owner Information Applicant Information / l <br /> r am©: <br /> Name: <br /> N <br /> Address: GJ 4 �. ��/^ f—�� dress: Z <br /> © 2 Z-0 /y <br /> Phone: — Z 7 Phone: <br /> PROJECT DESCRIPTION <br /> Proposal <br /> Description of the proposed project: <br /> ex <br /> Business name (DBA): <br /> Employees/Customers per Work Shift <br /> Shift Hours Days of the week Employees Customers per Vehicle Trips per <br /> (Number) Shift Shift <br /> i Z <br /> 1 z SST <br /> Materials/Equlpment Used <br /> Describe equipment used in the project (include the number of automobiles and trucks): <br /> Describe materials produced, stored or used (all hazardous materials should be identified): <br /> 07 <br /> C e _Su <br /> PROPERTY AND VICINITY DESCRIPTION <br /> Property Information <br /> P <br /> Assessor Parcel Number(s) Property Size Number of Parcels Projoct Size Williamson Act <br /> Contract <br /> ❑Yes No <br /> Property Address: <br /> Existing Lend Uses <br /> On-Situ Uses (Include Ag Crops): <br /> Uses to the North: e S <br /> Uses to the East: <br /> Uses tothe South: <br /> r - <br /> Uses to the West: ��S <br />
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