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SU0003195
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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4 (STATE ROUTE 4)
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21789
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2600 - Land Use Program
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SA-92-30
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SU0003195
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Entry Properties
Last modified
11/20/2024 9:09:38 AM
Creation date
5/15/2020 4:23:59 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0003195
PE
2633
FACILITY_NAME
SA-92-30
STREET_NUMBER
21789
Direction
E
STREET_NAME
STATE ROUTE 4
City
STOCKTON
ENTERED_DATE
11/6/2001 12:00:00 AM
SITE_LOCATION
21789 E HWY 4
QC Status
Approved
Scanner
SJGOV\gmartinez
Tags
EHD - Public
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i <br /> APPLICATION CONTROL SHEET <br /> To be completed by Development Service staff <br /> PreApp Only: ❑Yea ❑ No Fee: Recelpt Number: Del.: <br /> File Number:6; �Cja_ Fee://5' Recelpt Number. a_2 3 pale;L�_i7,9 <br /> i <br /> File Number: Fee: Receipt Number: Osla: <br /> Flta Number. Fee: Receipt Number: pale: <br /> Descrlptlon of Project <br /> Project Location: <br /> Address:�(/7y 9 /d. <br /> APN(s): <br /> General Plan Community: General Plan Designallon: <br /> Zoning Map: 1(/s Property Zoning: )A 0 Over Zones), <br /> Adjacent General Plan Zoning <br /> North: /O \ <br /> South: r 'r <br /> 1 <br /> East: n <br /> West: <br /> tOPYaer Flood ❑ Yes No Williamson Act ❑ Yes No Supervlsorlel District: <br /> Airport Area: Specific Plants) ❑ Yes pi No: <br /> History:/OM -/OEs <br /> `•CHECKIa§T <br /> All Applications <br /> Completed Application Forms P{ Owners'Signature <br /> Copy of Deed or Preliminary Title Report• Copies of Plan or Map <br /> 8'/s'x 11'Reduced Plan or Mop ❑ H"afdoua Materials Disclosure Survey <br /> Development Impact Mitigation Fee Form ❑ Assessor and History Pages <br /> Name.List• SewegWater'Wtil Serve'Lefler• ❑ <br /> General Plan Map• O Zoning Mop• ❑ <br /> Soils Report• ❑ Solis Suitability Study• ❑ <br /> • These matelots may not be required for certain applications. Chxk the application type for details. <br /> Tentative Maps <br /> Map Signed by Owner ❑ Tract Number and Nem.(Major Subs only) ❑ <br /> Sepia O All Lots Numbered ❑ <br /> Contour Una. ❑ Location of Well and Septic System ❑ <br /> Agricultural Homaslla Form' ❑ Adjoining Property Owners Names on Map ❑ <br /> Excavations <br /> Reclamation Plan and Schedule ❑ Fit.nclef Guarantee p <br /> Typical Cro—scllons ❑ Elevation Calculation Schedule ❑ , <br /> Engineer's Stamp ❑ <br /> Completed By: . Dole: 4/—Z(J—C'Z <br /> appcnlr.rm <br /> r ` I <br /> r ; <br /> l <br />
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