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SU0015055
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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2600 - Land Use Program
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PA-2200136
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SU0015055
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Last modified
12/18/2023 10:12:52 AM
Creation date
7/22/2022 9:25:26 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0015055
PE
2632
FACILITY_NAME
PA-2200136
STREET_NUMBER
12887
Direction
E
STREET_NAME
BLOSSOM
STREET_TYPE
CT
City
LOCKEFORD
Zip
95237-
APN
05131049, -50
ENTERED_DATE
7/21/2022 12:00:00 AM
SITE_LOCATION
12887 E BLOSSOM CT
RECEIVED_DATE
11/3/2023 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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SJGOV\gmartinez
Tags
EHD - Public
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S A N J Q A Q L I N COMMUNITY DEVELOPMENT DEPARTMENT <br /> cou �A rY SITE APPROVAL <br /> FILE NUMBER: <br /> On-Site Parking <br /> Full-size Parking Compact Parking ADA Parking Total Parking <br /> Spaces Number Spaces Number Number Spaces Number <br /> Existing Proposed Existing Proposed Existing Proposed Existing Proposed <br /> 5 1 6 <br /> SERVICES <br /> Water <br /> Public Service Provider: Will Serve Letter Provided Distance to Public Water: <br /> Lockeford CSD ° Existing stub on site <br /> Private Existing Well New Well Well Replacement <br /> ❑ ❑ ❑ ❑ <br /> Wastewater Disposal <br /> Public Service Provider: Will Serve Letter Provided Distance to Public Sewer: <br /> o Lockeford CSD o Existing stub on site <br /> Private Existing Septic System New Septic System Septic System Replacement <br /> ❑ ❑ ❑ IT <br /> If the project will result in process Description of process Volume of process wastewater: Method of disposal: <br /> wastewater provide the following wastewater: <br /> information: <br /> Storm Drainage <br /> Public Service Provider: Will Serve Letter Provided Distance to Public Storm Drain: <br /> R CSA52 o Existing stub on site <br /> Private Existing On-site Retention Pond New On-site Retention Pond Natural Drainage <br /> ❑ ❑ ❑ ❑ <br /> OTHER PUBLIC SERVICES <br /> School Service Fire Protection Service <br /> Service ProviderDistance to School Service Provider Distance to Fire Station <br /> Lodi Unified School District: 1.1 Miles Mokelumne Fire District 0.6 Miles <br /> Lockeford Elementary School Page 3 of 6 <br /> Updated 05/27/2020 <br />
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