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SU0001756
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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2600 - Land Use Program
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LA-93-31
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SU0001756
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Entry Properties
Last modified
11/9/2022 4:15:51 PM
Creation date
7/7/2022 9:50:12 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0001756
PE
2690
FACILITY_NAME
LA-93-31
STREET_NUMBER
12620
Direction
W
STREET_NAME
MIDDLE
STREET_TYPE
RD
City
TRACY
Zip
95376
ENTERED_DATE
10/22/2001 12:00:00 AM
SITE_LOCATION
12620 W MIDDLE RD
QC Status
Approved
Scanner
SJGOV\sballwahn
Tags
EHD - Public
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t <br /> APPLICATION CONTROL SHEET <br /> To be completed by Development Service staff <br /> PreAPP On C]Yes ❑ No Fee: Receipt Number: Date: <br /> N� <br /> File Numb.,. Lis-- Q--3— 7 ( Fee: 4�� Receipt Number: 7 r.,Tq Date:(D I U `1 <br /> File Number. Fee: Receipt Number: Date: <br /> File Number: Fee: Receipt Number: Date: <br /> Description of Project Lc,—, —TwU � <br /> P1�LG«`t S 1�Vl�L 1 Ca,s►�. l.l 3 kr 2z5 A^'Y7 <br /> f]WLG�L- Z 'T`o LcuL'P�rJ ,U� 1rCIL�S <br /> Project Location: (� —�ct{c � T r2 <br /> fJ ATL t—E ��J WET � <br /> Address: ?A j/.j• M f)l�l ��� <br /> -2-17 I� �7. �!prtrT`cX u'Vl'�7 T)tft" APN(s): ZIZ' U`{u-U(e 0-7,6 FS <br /> General Plan Community: ��� General Pian Designation: <br /> Zoning Map: Property Zoning: Iq (i - y 0 Overlay Zone(s): <br /> Adjacent General Plan Zoning <br /> North: <br /> !kms <br /> South: <br /> East: <br /> West: !' 4-0 <br /> 100-Year Flood Yes ❑ No Williamson Act ❑ Yes No Supervisorial District: S <br /> Airport Area: N a K* Specific Plan(s) ❑ Yes No: <br /> History: I03 <br /> CHECKLIST <br /> All Applications <br /> Completed Application Forms Owners'Signature <br /> Copy of Deed or Preliminary Title Report` Copies of Plan or Map <br /> 8'/i x 11'Reduced Plan or Map Hazardous Materials Disclosure Survey ❑ <br /> Development Impact Mitigation Fee Form ❑ Assessor and History Pages <br /> Names List. Sewer/Water'Will Serve'Letter• ❑ <br /> General Plan Map ❑ Zoning Map' ❑ <br /> Soils Report` ❑ Soils Suitability Study• ❑ <br /> Subsidence Area ❑ Yes ❑ No Expansive Soil Area Cl Yes ❑ No <br /> • These materials may not be required for certain applications. Check the application type for details. <br /> Tentative Maps <br /> Map Signed by Owner Tract Number and Name(Major Subs only) ❑ <br /> Adjoining Property Owners Names on Map All Lots Numbered <br /> Contour Lines ❑ Location of Well and Septic System <br /> Excavations <br /> Reclamation Plan and Schedule ❑ Financial Guarantee ❑ <br /> Typical Cross-sections ❑ Elevation Calculation Schedule O <br /> Engineer's Stamp ❑ c, <br /> Completed By: D—, - <br /> L-t —7a� Date: b <br />
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