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SU0013422
EnvironmentalHealth
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2600 - Land Use Program
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GP-93-0004
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SU0013422
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Entry Properties
Last modified
6/15/2020 8:39:56 AM
Creation date
6/12/2020 8:20:29 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0013422
PE
2600
FACILITY_NAME
GP-93-0004
STREET_NUMBER
0
STREET_NAME
COUNTYWIDE
ENTERED_DATE
6/10/2020 12:00:00 AM
SITE_LOCATION
0 COUNTYWIDE
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
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SJGOV\gmartinez
Tags
EHD - Public
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APPLICATION CONTROL SHEET <br /> bayuinpleled <br /> ProApp Only: ❑Yee No �Foe: Rocelpt Number: Delo: <br /> File Number; �f{ 3- Z sO Rocelpt Number: 6 Z Z Date: y� <br /> File Number: Fee: Receipt Number: Date: <br /> File Number: ' Fee: Receipt Number: Data: <br /> Description of Project GCA IM Az Oe, Au 7 E % /,9,-h fP <br /> TD !)�cvu' Th+ts l3Grl�Ori✓� F vCFT <br /> f-Tc� v c rte• / NOuIT -1 A/�G �1'Ct�/� E d ti.k�Giec <br /> PrfI V�T7eNl <br /> Project Location: 'COV 7 w )0 C <br /> Address: <br /> APN(s): <br /> General Plan Community: L[., General Plan Designation: <br /> Zoning Map: Property Zoning: Overlay Zono(s): <br /> Adjacent General Plan Zoning <br /> North: <br /> South: <br /> East: <br /> West: <br /> 100-Year Flood ❑ Yes ❑ No Williamson Act ❑ Yes ❑ No Superv(sorlol District: fJ LG <br /> Airport Area: Specific Plan(s) ❑ Yes ❑ No: <br /> History: <br /> ti z <br /> CHECK A T r <br /> All Applications <br /> Comploled Application Forms .21' Owners'Signature ❑ <br /> Copy of Deed or Preliminary Title Report' ❑ Copies of Plan or Map ❑ <br /> 6%'x 11'Reduced Plan or Map ❑ Hazardous Materiels Disclosure Survey ❑ <br /> Development Impact Mitigation Fee Form ❑ Assessor and History Pages ❑ <br /> Names List• - ❑ Sewer/Water"III Serve'Letter' ❑ <br /> General Plan Map• ❑ Zoning Map• ❑ <br /> Soils Report• ❑ Soils Suitability Study' ❑ <br /> Subsidence Area ❑ Yes ❑ No Expansive Soil Area ❑ Yes ❑ No <br /> ' These materials may not be required for certain applications. Chock the application type for details. <br /> Tentative Maps <br /> Map Signed by Owner ❑ Tract Number and Name(Major Subs only) ❑ <br /> Adjoining Property Owners Names on Map ❑ All Lots Numbored ❑ <br /> Contour Lines Cl Location of Well and Septic Syslom ❑ <br /> Excavations <br /> Reclamation Plan end Schedule Cl Financial Guarantee ❑ <br /> Typical Cross-sections ❑ Elevation Calculation!chedule ❑ <br /> Engineer's Stamp ❑ <br /> Completed Qy: Dale: <br /> appcntr.rm 3.1 <br />
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