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SU0005259 SSCRPT
Environmental Health - Public
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SU0005259 SSCRPT
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Last modified
5/7/2020 11:31:35 AM
Creation date
9/6/2019 10:00:46 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSCRPT
RECORD_ID
SU0005259
PE
2611
FACILITY_NAME
PA-0500469
STREET_NUMBER
5055
Direction
E
STREET_NAME
MAIN
STREET_TYPE
ST
City
STOCKTON
APN
15910007, 08, &
ENTERED_DATE
8/2/2005 12:00:00 AM
SITE_LOCATION
5055 E MAIN ST
RECEIVED_DATE
8/1/2005 12:00:00 AM
P_LOCATION
99
P_DISTRICT
002
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\M\MAIN\5055\PA-0500469\SU0005259\SSC RPT.PDF
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EHD - Public
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VOA JOB NUMBER, P05250 <br /> PROPERTY LOCATION Main & Del Mar Ave., Stockton, CA 95204 <br /> Page 5 <br /> NOA ENVIRONMENTAL <br /> ENVIRONMENTAL QUESTIONNAIRE AND DISCLOSURE STATEMENT <br /> PART 2: OWNER INFORMATION <br /> (To be completed by Owner or Owner's representative) <br /> I. GENERAL INFORMATION <br /> 1. Current owner of property and contact information: year purchased: <br /> Reben't CAC'se- £44( :) OOS <br /> 2 Previous owner(s) and contact information (if available): years owned: <br /> AA� e,l-b cq -Rcse LJ5- tears <br /> 3 Please describe current use(s) of property: <br /> 60,c•e_ %1-%*J 4AJ F4- 110 LO <br /> 4. Please describe any other known past use(s) of property, <br /> and approximate dates of each use: <br /> CO W GrepS ) 19 EQb <br /> 5. Are there any businesses using any portion of the property ❑ Yes "0 <br /> which are operated by an entity other than the property <br /> owner (including a tenant farming operation)? <br /> If yes, please provide a contact name and phone number for <br /> each. <br /> 6. What is the current zoning and/or general plan designation of the subject property? <br /> \\ �� Lew Qt-v,6s+ e6; dcn4 a. l <br /> /jyou have any questions obout thLv questionnaire,please contact.Abby Racco at(209)367-3701 exY 238 <br />
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