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SU0001043
Environmental Health - Public
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EHD Program Facility Records by Street Name
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KENNEFICK
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21706
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2600 - Land Use Program
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MS-92-131
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SU0001043
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Entry Properties
Last modified
5/7/2020 11:28:15 AM
Creation date
9/6/2019 10:37:22 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0001043
PE
2622
FACILITY_NAME
MS-92-131
STREET_NUMBER
21706
Direction
N
STREET_NAME
KENNEFICK
STREET_TYPE
RD
City
ACAMPO
ENTERED_DATE
10/10/2001 12:00:00 AM
SITE_LOCATION
21706 N KENNEFICK RD
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\K\KENNEFICK\21706\MS-92-131\SU0001043\EH COND.PDF \MIGRATIONS\K\KENNEFICK\21706\MS-92-131\SU0001043\APPL.PDF \MIGRATIONS\K\KENNEFICK\21706\MS-92-131\SU0001043\CDD COND.PDF \MIGRATIONS\K\KENNEFICK\21706\MS-92-131\SU0001043\EH PERM.PDF
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EHD - Public
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APPLICATION CONTROL SHEET <br /> To b^completer)by pnve(aprpent Scrvlcu staff <br /> PraApp Only: ❑Y a s 7-*No Foo: necolpt Number: <br /> Delo: <br /> Filo Number. Z_�3 Foa: (o — Receipt Number. / <br /> 7�l Dole:/o Z/ ,Z <br /> Filo Number: Fen: Receipt Number: <br /> Data: <br /> Filo Numbor: Foo: "acolpl Number: <br /> Dole: <br /> Description of Pro)ocl 67 I .,0 2 .0 r t7 r7 u r c•.tv -- <br /> 7r� <br /> !R.,_ rfi ,F SCT, 41id ---- <br /> - �9 i <br /> Project Location: o 7ffE F,LAST S/Or Oc- KFNFc�lcic -- <br /> .c n <br /> I�f M i r,u T Fe" Ncrrt'rE+ e)F ra e f c r - -- <br /> JU G C r u- T FF_S i 0 r r ro <br /> Address: 2 j 7 p G N lC <br /> G C <br /> APN(s)• O f •� /SO 2 '/ Z <br /> General Plan Community: General Plan Designation:g )41G-l2lC4n� k <br /> Zoning Mop: C_ Property Zoning: _�(j) Overlay Zono(s): <br /> Adjacent Goncraf Plan Zoning <br /> Norlh: O Ar <br /> Soulh; <br /> II <br /> East: —yn r <br /> West: 6-_ <br /> 100-Your Flood ❑ Yes $No Williamson Acl ❑ Yes 1KNo Supa"Nodal District: <br /> Airport Area: !_y r Specific Plan(s) ❑ Yes ❑ No: <br /> Iilstory: i16 —Q0-J 6 !YI $ — S 0 <br /> x rm5g :tA` <br /> All Appllcallons <br /> Completed Application Forms _ Owners'Signature ` <br /> Copy of Dead or Proliminory Tllle Report• Copies of Plan or Mop D� <br /> 8'/.'x I V Reduced Plan or Mop Hazardous Materials Disclosure Survoy ❑ <br /> Dovolopmenl Impact Mitigation Fee Form ❑ Assessor and I Ilstory Pr gas Ll--- <br /> Names List• SOworANOlaf Will Sorvu'Lollar• ❑ <br /> General Plan Map• p Zoning Map• ❑ <br /> Soils Report• Cl Soils Suitability Study' ❑ <br /> ' Those materials may not be required for certain applications. Check Ilre application typo for dololls. <br /> Tentative Maps <br /> Map Signed by Owner Traci Number and Name(Major Subs only) ❑ <br /> Sopla ❑ All Lots Numberod <br /> Contour Linos 1Q Location of Well and Septic System <br /> Agricultural Homosile Form _ Adjoining Property Owners Names on Mop , <br /> Excavations <br /> Reclamation Plan and Schedule ❑ Financial Guarnnloo ❑ <br /> Typical Cross-seclions ❑ Eluvnllon Calculation Schedule <br /> ❑ <br /> Englnoor's Stomp C3 <br /> Completed By: <br /> Arm <br /> appcnlr <br />
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