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SU0012080
Environmental Health - Public
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EHD Program Facility Records by Street Name
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PATTERSON PASS
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2600 - Land Use Program
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PA-1800305
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SU0012080
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Entry Properties
Last modified
5/7/2020 11:35:38 AM
Creation date
9/8/2019 12:39:19 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0012080
PE
2631
FACILITY_NAME
PA-1800305
STREET_NUMBER
26106
Direction
S
STREET_NAME
PATTERSON PASS
STREET_TYPE
RD
City
TRACY
Zip
95377-
APN
20910024
ENTERED_DATE
11/27/2018 12:00:00 AM
SITE_LOCATION
26106 S PATTERSON PASS RD
RECEIVED_DATE
12/4/2018 12:00:00 AM
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\P\PATTERSON PASS\26106\PA-1800305\SU0012080\APPL.PDF \MIGRATIONS\P\PATTERSON PASS\26106\PA-1800305\SU0012080\EH PERM.PDF \MIGRATIONS\P\PATTERSON PASS\26106\PA-1800305\SU0012080\EHD COND.PDF
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EHD - Public
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APPLICATION - SITE APPROVAL <br /> ' •�A SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NO: UP-_ <br /> Other <br /> Describe any items of historical or archaeological interest on-site(e.gcemeteries or structures): <br /> Noneknown <br /> Describe any on-site or off-site sources of noise or vibration(e.g.freeway noise,heavy equipment,etc.): <br /> Interstate Highway Route No.5801 Union Pacific Railroad <br /> Describe any on-site or off-site sources of light or glare(e.gparking lot lighting,or reflective materials used). <br /> Security lighting <br /> Describe any on-site or off-site source of odor(e.g.agricultural wastes): <br /> None <br /> Describe any displacement of people that will be caused by the project(e.g,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 Owner/Agent agree, to defend, indemnify, and hold harmless the County and its agents, officers and <br /> employees from any claim, 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) <br /> involved in this application, or <br /> ❑ Legal agent(attach proof of the owner's consent to the application of the property's involved in this <br /> application and have been authorized to file on their behalf., and that the foregoing application <br /> statements are true and correct. <br /> Property Owners: h <br /> PANKAJ KALRA AND TANU KALRA,TRUSTEES OF THE KALRA FAMILY R CABLE TRUST TEP FEBRUARY 13,2013; (y <br /> Pant Name: Pankal Kalra.Trustee Signature: 1 x� Date. 1 ( 2�e I O <br /> Print Name: Tang Kalra,Trustee Slgnaiure: Date: 1 1 <br /> KANWAR RAJ SINGH AND PRIYA AGGARWAL,TRUSTEES OF THE KP TRUST; <br /> Print Name: Kanwar Rai Slnah.Trustee Signature: Date: <br /> Pant Name: Prlya AOnarwal.Trustee Signature. Date: <br /> SMILE DHIR AND ANTIMA GHAT,TRUSTEES OF THE SMILE DHIR AND ANTIMA GHAI REVOCABLE TRUST; <br /> Print Name: Smile Dhh,Trustee Signature: Date: <br /> Print Name: Antima Ghal,Trustee Signature: Date: <br /> ATUL ARORA; <br /> Pant Name: Atul Arora Signature: Date: <br /> TALBIR SINGH DHILLON <br /> Prinl Name: Talbir Slnch0hilion Signature: Date: <br /> Protect Proponent: <br /> Jethlulch,Inc. <br /> Print Name,�G r��C"--G�'✓I I�XR%t Signature N7kLpa Date. <br /> F 1DEVSVSPIann1n9 App;.IW femleWle Panna(Revised 02-0at0) Page 4 of 5 l 2018-243 Site Approval <br />
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