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SU0003175
EnvironmentalHealth
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2600 - Land Use Program
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SA-92-09
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SU0003175
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Entry Properties
Last modified
6/14/2022 6:55:35 PM
Creation date
6/7/2022 9:34:10 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0003175
PE
2633
FACILITY_NAME
SA-92-09
STREET_NUMBER
889
Direction
E
STREET_NAME
ROTH
STREET_TYPE
RD
City
FRENCH CAMP
ENTERED_DATE
11/6/2001 12:00:00 AM
SITE_LOCATION
889 E ROTH RD
QC Status
Approved
Scanner
SJGOV\sballwahn
Tags
EHD - Public
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APS LICATION CONTROL SHEET <br /> To ba completed by Uovelopment Servlco stall.: <br /> [Filo <br /> raApp Only: ❑Yos ❑ No Foo: <br /> F a� flocalpl Number: �QOf?b Data: /j)•1-9/ <br /> Number:5� <br /> -CJa q fao: QD floceipl Number: ;20 Dole: /o,a-y/ <br /> Filo Numbm: <br /> Foo: /0 ,00 flocelplNumber: .9O9/� Dale: /0-7-91 <br /> 'TiM rL ¢.KiL�N5.0� 0 L-r 5-93 <br /> Fila ilumbcr. FE -+' <br /> Foo- 2151 JJ llecalpl Number, '7753 Unl°: <br /> u - r2 -,zo V r> <br /> Description of Project <br /> Project Location: a �� <br /> G <br /> Address: <br /> /, Sa APN(s):/9 -/�� <br /> General Plan Community: 5� t Genornl Plan Deslgnallon:4 6 <br /> Zoning Mop: Properly Zoning: Ovcriny Zone($): <br /> Adjacent <br /> General Plan Zoning <br /> South: <br /> East: <br /> West: <br /> otiE / <br /> 100•Yoor flood ❑ Yas §i( No Williamson Act ❑ Yas 19 No Supervisorial District: <br /> Airport Area:--04!!/ Specific Plan(s) ❑ Yes t 140: <br /> I listory DP FL9 T7 — 20 F/n $'3-/a— <br /> _.;:.CHECKLIST : . <br /> All Applications <br /> Completed Application Forms Owners'Signature <br /> Copy of Deed or Proliminary Tillo lleporl' QJ Copies of Plan or Map <br /> Or/'x I V Roducod Plan at Mop $[ I lazordous Materials Disclosure Survey <br /> Dovelopmenl Impact Miligalion Foe Form ❑ Assessor and I lislory Pages (� <br /> Names Us[' ❑ SewetlWaler'Will Serve'Letter ' ❑ <br /> Genoral Plan Mop' ❑ Zoning Map• ❑ <br /> Soils flaporl• ❑ Soils Suitability Study' ❑ <br /> Those materials may not be required for certain applicalions. Check Ilia application typo for details. <br /> Tentative 1.12ps <br /> Map Signed by Owner ❑ Trncl Number and Name (Major Subs only) ❑ <br /> Sepia ❑ All Lots Numborad ❑ <br /> Contour Llnos ❑ Location of Wall and Septic Syslmn ❑ <br /> Agricultural Ilomoslto Folin O Adjoining Properly Ownors Narnos on Mop ❑ <br /> Excavations <br /> flocirimallon Plan and Schodula ❑ Financial Gunranloa ❑ <br /> Typlcal Cross•socllons ❑ Elovallon Calculnilon Schodulo ❑ <br /> Englnoar's Slnmp ❑ <br /> Coarplolod By: onto: <br /> — <br /> nppcnt 777 <br />
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