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SU0004735 SSCRPT
Environmental Health - Public
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SU0004735 SSCRPT
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Entry Properties
Last modified
5/7/2020 11:31:09 AM
Creation date
9/6/2019 10:52:32 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSCRPT
RECORD_ID
SU0004735
PE
2622
FACILITY_NAME
PA-0400727
STREET_NUMBER
17559
Direction
E
STREET_NAME
LIBERTY
STREET_TYPE
RD
City
CLEMENTS
APN
00909008
ENTERED_DATE
12/10/2004 12:00:00 AM
SITE_LOCATION
17559 E LIBERTY RD
RECEIVED_DATE
12/7/2004 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\L\LIBERTY\17559\PA-0400727\SU0004735\SSC RPT.PDF
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EHD - Public
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_ U � <br /> NOA JOB NUMBER: E04130A <br /> PROPERTY LOCATION: 17667 East Libetty Road, Craft <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 /> CA , q:5 y 7 C� <br /> 2. Previous owner( a d c nta t information (if available): years owned: <br /> I�k7Pe41eIcXe,w x <br /> 9/2/o —'T F_zsW <br /> 3. Please describe current use(s) of roperty: / <br /> &re, � c�SSp�a cC�Gt c/-5 / <br /> V/ j4 'may c� 2 1 - = rk-C - <br /> 4. Please describe any other known past use(s) of property, <br /> and approximate dates of each use: <br /> 5. Are there any businesses using any portion of the property ❑Yes XNo <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 /> r <br /> 6. What n is the <br /> ) current zoning and/or general plan designation of the subject property? <br /> /`0-81" <br /> L <br /> Ifyou have any questions about this questionnaire,please contact Rebecca Haskett at(209)367-3701 <br /> V <br /> 6 <br />
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