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SU0014999
EnvironmentalHealth
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2600 - Land Use Program
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PA-2200115
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SU0014999
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Entry Properties
Last modified
10/5/2022 11:23:37 AM
Creation date
6/16/2022 8:24:06 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0014999
PE
2622
FACILITY_NAME
PA-2200115
STREET_NUMBER
955
STREET_NAME
ADELBERT
STREET_TYPE
AVE
City
STOCKTON
Zip
95215-
APN
15728105
ENTERED_DATE
6/13/2022 12:00:00 AM
SITE_LOCATION
955 ADELBERT AVE
RECEIVED_DATE
6/9/2022 12:00:00 AM
P_LOCATION
99
P_DISTRICT
001
QC Status
Approved
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EHD - Public
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a� }N COMMUNITY DEVELOPMENT DEPARTMENT <br /> SAN= - M2 Z a 0 <br /> SUBDIVISION <br /> ---C O U N T Y-- 1 1 <br /> 1';r00i:ness grows were. <br /> FILE NUMBER: <br /> PRE-APPLICATION: ❑ <br /> Owner Information Applicant Information <br /> Name: t sk Q LG)S T.. $A p C'7A V^ 14 Name: 1-AmoMailingAddress: JS1, C. O Q p Mailing Address: 'ty-t- -jp tr.,, &40 <br /> Phone: zo y qy -- QjCt (j Phone: ZoS 29 9.0 3S <br /> Email: .r--- Email: <br /> Applicant's Representative Information Design Professional Information <br /> Name: Jai EaR\ ucZ Name: S7Jk-T tt�-> r�'FS1djrJ <br /> Mailing Address: e4m Ft r- t p IL,p A%l V Mailing Address: 2 4 s-S- 1=1 ry o p.y.,A A v <br /> Phone: Phone: <br /> Email: Email: G)C'Mt V1 Od 42 ctwoll-cew'% <br /> Project Details <br /> (Attach additional sheets as necessary) <br /> Type of Subdivision(check only <br /> Minor Subdivision For Minor Subdivisions, is a Parcel Map <br /> Waiver Proposed? <br /> one, separate applications required or Yes: ❑ No: ❑ <br /> for each): If yes, please submit the Parcel Map <br /> ❑ Major Subdivision Waiver application with this application. <br /> Project Description: it E 2U GOD S +- <br /> &Z 0 -,L f Ag_C •%-Z r -1 YU FT <br /> P*C-C" c� s` .� qpe-( x Iia -5 1=i <br /> Does the proposed subdivision include a Homesite Parcel or <br /> a Homesite Parcel for Financing Purposes Only? (See F-1 Homesite Parcel <br /> Section 9-610.3 of the Development Title for Homesite <br /> Regulations) ❑ Homesite Parcel for Financing Purposes Only <br /> Related Planning Application(PA) number(s): <br /> Is this application tied to <br /> another discretionary Yes: ❑ No: <br /> application? <br /> Property Information <br /> Assessor Parcel Number Property Address Property Size Williamson Act Contract <br /> iS-9—— _Z� 9s10 S G 2G w,UDU 54'Y Yes: ❑ No: <br /> Yes: ❑ No: ❑ <br /> Yes: ❑ No: ❑ <br /> Page 1 of 4 <br /> 0 811 3120 21 <br />
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