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SU0014701
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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FOREST LAKE
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2600 - Land Use Program
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PA-2100292
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SU0014701
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Entry Properties
Last modified
10/10/2022 11:35:58 AM
Creation date
1/19/2022 1:26:02 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0014701
PE
2690
FACILITY_NAME
PA-2100292
STREET_NUMBER
751
Direction
E
STREET_NAME
FOREST LAKE
STREET_TYPE
RD
City
ACAMPO
Zip
95220-
APN
00313033, -34, & -35
ENTERED_DATE
12/28/2021 12:00:00 AM
SITE_LOCATION
751 E FOREST LAKE RD
RECEIVED_DATE
1/19/2022 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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SJGOV\tsok
Tags
EHD - Public
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SAN J Q AQ U I N COMMUNITY DEVELOPMENT DEPARTMENT <br /> LOT <br /> OUNTY- <br /> A �T <br /> � <br /> FILE NUMBER: <br /> Owner Information Applicant Information <br /> Name: c J ea_e Name: Gll/ /'A l/�fi��//N6 <br /> Mailing Address: P40 go- -5355 Mailing Address: PO k2e�,x <br /> atii,en-i' c 9 5-2-2-7 <br /> Phone: -Zo 00/3 Phone: '2C) _3-?-- j 9-7 Z <br /> Email.' �/ W�fi12�,-� �,J v►Lc�,�( . C'iw� Email: p AA- . S to"?I ,_5 i Lc <br /> Applicant's Representative Information Design Professional Information <br /> Name: Name: <br /> Mailing Address: Mailing Address: sAfN&' 4T <br /> Phone.- Phone: <br /> Email: Email: <br /> Project Description <br /> (Attach additional sheets as necessary) 1 <br /> C�aL� CO{�1/YL I? �Gl/�1L �j Yi-Z C/L✓t G' �LJO <br /> Property Information <br /> Assessor Parcel Property Address Property General Zoning Williamson Act <br /> Number Size Plan Contract(Y or N) <br /> 3 i i1- -712cf V-,3I.;F, 4&-40 N <br /> Page 1 of 3 <br /> Updated 09/01/2020 <br />
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