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SU0011908 SSNL
Environmental Health - Public
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SU0011908 SSNL
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Last modified
5/7/2020 11:35:31 AM
Creation date
9/6/2019 10:16:24 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSNL
RECORD_ID
SU0011908
PE
2666
FACILITY_NAME
PA-1800150
STREET_NUMBER
800
Direction
W
STREET_NAME
MOSSDALE
STREET_TYPE
RD
City
LATHROP
Zip
95330-
APN
23903008, 23903014
ENTERED_DATE
8/22/2018 12:00:00 AM
SITE_LOCATION
800 W MOSSDALE RD
RECEIVED_DATE
8/20/2018 12:00:00 AM
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\M\MOSSDALE\800\PA-1800150\SU0011908\SS_NL STUDY.PDF
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EHD - Public
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APPLICATION - ZONE RECLASSIFICATION <br /> aq,A• I h:;�, <br /> wr `' SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NO: ZR- <br /> Other <br /> Describe any items of historical or archaeological interest on-site e. .cemeteries or structures): <br /> None <br /> Describe any on-site or off-site sources of noise or vibration e. .freeway noise heavy equipment. etc. : <br /> Interstate 5 heavy equipment from quarry excavation <br /> Describe any on-site or olf-sde sources of light of glare e. .parking lot lighting,or reflective materials used <br /> Traffic lights from Interstate 5, equipment sales yard lighting <br /> Describe any on-site or off-slle source of odor(e.g.agricultural wastes): <br /> None <br /> Describe any displacement of Pao a that will be caused by the pro,'act e. . numbers of people,housing units <br /> None <br /> AUTHORIZATION SIGNATURES <br /> ONLY THE OWNER OF THE PROPERTY OR AN AUTHORIZED AGENT MAY FILE AN APPLICATION. <br /> I,the OwnerlAgent agree,to defend,indemnify,and hold harmless the County and its agents,officers and employees from any claim, <br /> action or proceeding against the County arising from the Owner/Agent's project. <br /> I further certify,under penalty of perjury,that I am(check one): <br /> Legal property owner(owner includes partner,trustee,grantor,or corporate officer)of the property(s)involved In this <br /> application,or <br /> ❑ Legal agent(attach proof of the owners consent to the application of the property's involved in this application and have been <br /> authorized to file on their behalf.,and that the foregoing application statements are true and correct. <br /> Print Name, ROhf l't BI'OR'n. Jr. signature: Date: <br /> Print Name: Signature: Date: <br /> Print Name. Signature. Date: <br /> Print Name: Signature: Date'. <br /> Print Name: Signature: Date: <br /> FZEVSVSRIarnirg Appli¢armn FarmsV.ONE RECLASSIFICATION Page 5 of 5 <br /> (RN.Wil-09) <br />
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