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SU0016198
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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12 (STATE ROUTE 12)
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5646
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2600 - Land Use Program
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PA-2400083
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SU0016198
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Entry Properties
Last modified
11/19/2024 3:48:22 PM
Creation date
3/29/2024 4:29:03 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0016198
PE
2635
FACILITY_NAME
PA-2400083
STREET_NUMBER
5646
Direction
W
STREET_NAME
STATE ROUTE 12
City
LODI
Zip
95242-
APN
05516021, -45
ENTERED_DATE
3/29/2024 12:00:00 AM
SITE_LOCATION
5646 W HWY 12
RECEIVED_DATE
3/29/2024 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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',. SAN:;>JOAgUIN COMMUNITY DEVELI.Ir'MENT DEPARTMENT <br /> ,. ____.C O lJ N T V'_._.._. <br /> ADMINISTRATIVE/CON�ITIONAI-. USE PERMIT <br /> G or-e/.v � - .v n�.�._ FILE NUMBER: <br /> SERVICES <br /> '"wat¢r <br /> � Publ c � Service Provitlec Will Serve Letter Provid etl D stance[o <br /> 0 Public Water <br /> Existing Well New Wall W¢II Replacement <br /> Private �� �i Q Q <br /> Wastewater Disposal ' <br /> Publ c � Service Provider. Will Se N¢ Letter Provided D's<ance to <br /> Q Public Sewac <br /> Existing Septic System New Sepfic Syst� S¢p<ic System Replacement <br /> Private O Til— Q <br /> pescriptlon of process wastewater: / Volume of process M¢thotl of tlisposal: <br /> If the. proj¢ctw II result in wastewater <br /> pro as[ew t proV�de �/� <br /> -th ( 11 wngiinformabon': <br /> 5form Dralnage- <br /> S rvice Provider: Wii Serve Letter Providetl � Distance to <br /> Public � O Public Storm <br /> Drain <br /> P Existing On-site Retention Pond New On-site Retention Pond Natural Drainag¢ <br /> Private � � Q <br /> ':i "° OfM1Cr;Public Services <br /> Sobool Service Frre Protection Service <br /> / Serviq eProVlder pinta nc¢to Service Provider Dista nca to / y <br /> LD / G/ af/ sonnol: TS-Zv herr/ Geo <��.PF/vf . Fire station. Z- sw v <br /> Pa9¢ 3 of 6 <br /> 03/26/2023 <br />
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