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SR0083415_SSNL ADDENDUM
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SR0083415_SSNL ADDENDUM
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Last modified
2/24/2022 1:21:10 PM
Creation date
2/23/2022 5:06:40 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSNL ADDENDUM
RECORD_ID
SR0083415
PE
2602
FACILITY_NAME
88 MARKET & GRILL
STREET_NUMBER
21850
Direction
E
STREET_NAME
LIBERTY
STREET_TYPE
RD
City
CLEMENTS
Zip
95227
APN
02120024
ENTERED_DATE
3/16/2021 12:00:00 AM
SITE_LOCATION
21850 E LIBERTY RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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SJGOV\tsok
Tags
EHD - Public
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P y�F SAN JOAQUIN COUNTY <br /> _ ' ^ COMMUNITY DEVELOPMENT DEPARTMENT <br /> 7.4 <br /> Aialo E N LToN AVE.STOCKRN{CA 95206$ZiY <br /> 4. F- PHONE 20BMWE 121 W:208/IBB IW <br /> May 15,2020 <br /> I <br /> OWNER <br /> KEN KAESTNER KHANSBALI,YASIR ECAL <br /> PO BOX 1777 PO BOX 250 <br /> EMPIRE,CA 95319 CLEMENTS CA 95227- <br /> RE: PERMIT NO.: BP-1905731 APPLICATION DATE: December 11,2019 <br /> 70B-SITE ADDRESS: 21850 E LIBERTY RD CLEM <br /> SCOPE OF WORK: INSTALL ABOVE GROUND FUEL TANK#1 <br /> We are still holding the above-mentioned permit application for one or more of the following reasons: <br /> Fee Amount Due: %fl�+rr2AIVt f/'(_)/j'1ti� �( - 7�64yl✓ l <br /> Signature of Owner or Licensed Contractor <br /> - Flar+N; �,trsra,� p�r/l4t CSA-17bo�q I) <br /> Contractor License Number and Expiration Date J <br /> Owner-Builder Form (�• U. <br /> Signed Special Inspection Agreement <br /> Will Serve Letter or Receipt from <br /> School Certificate from: <br /> Proof of Property Ownership(Recorded Deed) <br /> _ Floor Plan for Assessor's Office <br /> Public Works Release Form <br /> _ Mountain House Release Form <br /> _ edCorrected or Additional Plans <br /> Other.T�a2, 'R e-i etc. <br /> 51L- <br /> We are only required to hold your permit application for 180 days from the date of application. If,at the expiration of that time you <br /> have not met all the requirements for issuance of the permit,we will expire the permit application. <br /> The California Building Code states that an extension of time for 180 days may be considered if circumstances beyond the control of <br /> the permittee have prevented action from being taken. If you feel an extension of time is warranted,you must submit a written request <br /> to our Building Official prior to expiration of this permit. <br /> Your permit will expire on 06/08/2020. Please contact our Permit Tracking Section at 468-3021 prior to this date. If you wish to <br /> come into our office,please note that our public counter is open from 8:00 a.m,to 12:00 p.m.and 1:00 p.m. to 5:00 p.m.If we do not <br /> receive a response from you by this date,your permit will become expired and your plans destroyed- <br /> Sincerely, <br /> estroyedSincerely, <br /> PERMIT TRACKING SECTION <br />
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