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SU0014543
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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12 (STATE ROUTE 12)
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9296
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2600 - Land Use Program
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PA-2100280
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SU0014543
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Last modified
11/19/2024 3:48:19 PM
Creation date
1/3/2022 11:14:08 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0014543
PE
2611
FACILITY_NAME
PA-2100280
STREET_NUMBER
9296
Direction
E
STREET_NAME
STATE ROUTE 12
City
LODI
Zip
95240-
APN
05112056
ENTERED_DATE
12/7/2021 12:00:00 AM
SITE_LOCATION
9296 E HWY 12
RECEIVED_DATE
12/29/2021 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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SJGOV\lsauers
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EHD - Public
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SAN ,]OAQ U I N COMMUNITY DEVELOPMENT DEPARTMENT <br /> C OU N TY SUBDIVISION <br /> FILE NUMBER: <br /> Airport Land Use Commission <br /> Within an Airport Area of <br /> Influence? Yes: E] No: X] ALUC fees paid? Yes: E] No: <br /> SERVICES <br /> Water <br /> Service Provider: Will Sere Letter Provided Distance to <br /> Public ❑ VWWD2 El Public <br /> Adjacent <br /> Public Water: <br /> Private ElExisting Well New Well Well Replacement <br /> ❑ ❑ ❑ <br /> Wastewater Disposal <br /> Service Provider: Will Sere Letter Provided <br /> Public ❑ Distance to <br /> ❑ Public Sewer: <br /> Private Existing Septic System New Septic System Septic System Replacement <br /> ® ❑ ❑ <br /> Storm Drainage <br /> ❑ Service Provider: Will Sere Letter Provided Distance to <br /> Public Public Storm <br /> ❑ Drain: <br /> Private <br /> ❑ Existing On-site Retention Pond New On-site Retention Pond Natural Drainage <br /> ❑ ❑ <br /> Other Public Services <br /> School Service Fire Protection Service <br /> Service Provider Distance to Service Provider Distance to <br /> Lodi Unified School: .4 Miles Mokelumne Fire Station: 2.8 Miles <br /> Page 2 of 4 <br /> 08/1312021 <br />
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