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SU0014061
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2600 - Land Use Program
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SU0014061
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Last modified
4/27/2021 8:01:19 AM
Creation date
4/22/2021 9:48:34 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0014061
PE
2635
FACILITY_NAME
PA-2100059
STREET_NUMBER
2750
Direction
E
STREET_NAME
ARCH
STREET_TYPE
RD
City
STOCKTON
APN
17726010, -14
ENTERED_DATE
4/12/2021 12:00:00 AM
SITE_LOCATION
2750 E ARCH RD
RECEIVED_DATE
4/19/2021 12:00:00 AM
P_LOCATION
99
P_DISTRICT
001
QC Status
Approved
Scanner
SJGOV\tsok
Tags
EHD - Public
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SITE IMPROVEMENT PLAN <br />STOCKTON METROPOLITAN AIRPORT <br />SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br />FILE NUMBER: PA-______ _ <br />AUTHORIZATION SIGNATURES <br />ONLY THE OWNER OF THE PROPERTY OR AN AUTHORIZED AGENT MAY FILE AN APPLICATION. <br />I, the Agent agree, to defend, indemnify, and hold harmless the County and its agents, officers and <br />employees from any claim, action or proceeding against the County arising from the Agent's project. <br />I, further, certify under penalty of perjury that I am the Legal agent and that the foregoing application statements are true and correct. <br />vs <br />Print Name: '-/ 0 �"' Wk�'s b""Signature: __..����'--1-.,.£-1,.-�-- <br />Print Name: _________ _ Signature: __________ _ <br />Print Name: _________ _ Signature: __________ _ <br />Print Name: _________ _ Signature: __________ _ <br />Print Name: _________ _ Signature: __________ _ <br />Date: 3-Z,3-'Z./ <br />Date:. ____ _ <br />Date:. ____ _ <br />Date: ____ _ <br />Date:. ____ _ <br />The applicant is a tenant at the Stockton Metropolitan Airport and has sufficient interest in the subject property to <br />file this application. I have reviewed the intended use and approve the operation subject to approval of the <br />design review committee. <br />Print Name:. ______________ _ Signature:. _____________ _ <br />Airport Director <br />Date: ______________ _ <br />F:\DEVSVC\Plannlng Application Forms\Slte Improvement Plan. <br />Stkn Airport.doc (Revised 08-26-09) <br />Page 4 of 8
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