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SU0001735
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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4 (STATE ROUTE 4)
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21299
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2600 - Land Use Program
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LA-93-10
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SU0001735
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Entry Properties
Last modified
11/20/2024 9:09:37 AM
Creation date
5/15/2020 3:57:24 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0001735
PE
2690
FACILITY_NAME
LA-93-10
STREET_NUMBER
21299
Direction
E
STREET_NAME
STATE ROUTE 4
City
FARMINGTON
ENTERED_DATE
10/19/2001 12:00:00 AM
SITE_LOCATION
21299 E HWY 4
QC Status
Approved
Scanner
SJGOV\gmartinez
Tags
EHD - Public
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APPLICATION CONTROL SHEET <br /> '; '� res r����;d r �..� 7o ba cdmpioted by.boveinprnent Snrvlco stat♦ <br /> ProA On 0Yes ❑ No Fee: Receipt Number: 7D ] <br /> PP b <br /> File Number. - -W/v Fee: C9 Receipt Numbor:�� <br /> File Number: <br /> Fee: Receipt Number; Dole: <br /> File Number: <br /> Fee: Receipt Number: Delo: <br /> Description of ProJocl L ' // KB/S <br /> C6 h/I,I I-7/ 9- an-res O cad z <br /> Project Location: �h6�- r <br /> e <br /> Address:2IZ99 ��T /r '/ <br /> APN(s): D <br /> General Plan Community: - General Plan Designation: <br /> Zoning Map& — <br /> eZoning: <br /> A ¢ Overlay Zone(s): <br /> � property rn'Zonln 9� f{� <br /> Adjacent <br /> General Plan Zoning <br /> North: <br /> South: <br /> East: <br /> West: <br /> 100-Year Flood ❑ Yes y7 No' '1e <br /> Williamson Act ❑ yes No Supervisorial District: <br /> Airport Area: p Specitic Plan(s) ❑ Yes P4 No: <br /> -6 _ <br /> ';CHECKLIST <br /> All Applications <br /> Completed Application Forms <br /> owners'Signature lsy <br /> Copy of Doed or Preliminary Title Report• ! Copies of Plan or Map <br /> SIA'x I t'Reddced Plan or Map Hazardous Materials Disclosure Survey ❑ <br /> Development Impact Mitigation Fee Form ❑ Assessor and History Pages <br /> Names List <br /> ❑ Sewer/Water'Will Serve'Letter• ❑ <br /> General Plan Mop <br /> ❑ Zoning Map' ❑ <br /> Soils Report <br /> ❑ Soils Suitability Study• ❑ <br /> Subsidence Area ❑ Yes No Expensive Soil Area �' Yes C1No <br /> • These materials may not be required for certain applications. Check the application type for details. <br /> Tentative Maps <br /> rAdiolning <br /> Signed by Owner ❑ Tract Number and Name(Major Subs only) ❑ <br /> Property Owners Names on Map ❑ All Lols Numberedour Lines ❑ Location of Well and Septic System 18 <br /> Excavations <br /> Reclamation Plan and Schedule ❑ <br /> Financial Guarantee ❑ <br /> TypEE <br /> ns Elevation Calculation Schedule ❑En ❑ <br /> Completed By: IgE <br /> Date: <br /> appcntr.rm <br />
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