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SU0005181
Environmental Health - Public
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EHD Program Facility Records by Street Name
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N
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99 (STATE ROUTE 99)
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12203
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2600 - Land Use Program
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PA-0500367
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SU0005181
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Last modified
11/19/2024 1:58:55 PM
Creation date
9/8/2019 12:52:01 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0005181
PE
2689
FACILITY_NAME
PA-0500367
STREET_NUMBER
12203
Direction
N
STREET_NAME
STATE ROUTE 99
City
LODI
APN
05811048 & 50
ENTERED_DATE
7/6/2005 12:00:00 AM
SITE_LOCATION
12203 N HWY 99
RECEIVED_DATE
7/6/2005 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\sballwahn
Supplemental fields
FilePath
\MIGRATIONS\N\HWY 99\12203\PA-0500367\SU0005181\EH PERM.PDF
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EHD - Public
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APPLICATION - ZOO RECLASSIFICATION <br /> Via '•p <br /> L' <br /> SAN.JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT . <br /> FIE NO:16R <br /> �•�,�z, � gr�r ;dor � e r4 �y,��e`s�: li 0��'�. �y`g ,•te�i 3� 'C4i�wr� <br /> Describe an Items'of historical orardhaeolo Ical`interest:onslte;'e. .oerietenes'orstructures <br /> 71. <br /> :,D+3scribe ari :on site or off site sources,of�nbise or vibration e: :-freewa noise,,hea e'ui ment .etc: :.:- ' . _i.1 . <br /> Describe any ori-site or off=site sources of li ht of glare e: :Oarkin. g lot lighting,or reflective materials used <br /> Describe any on-site or off-site source of odor(e.g.agricultural wastes): ptj <br /> Describe any displacement of people that will be caused by the ro'ect(e.g.numbers of people, housing units): <br /> ;: Ia►UTWORI�'A !©N'$1 NATURES <br /> dN. <br /> LYTHE OWNERPF.'THE;,PIOPERTY OR AN`Al1THORIiED AGENT MAY FILE AN APPLICATION. <br /> I,the Owner/Agent agree,to defend, indemnify;Eind hold harmless the County and its agents,officers and employees from any claim, <br /> action or proceeding against 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 /ments <br /> r)of the property(s)involved in this <br /> application,or <br /> ❑ Legal agent(attach proof of the owner's consent to the application 's involved in this application and have been <br /> authorized to file on their behalf.,and that the foregoing applicatiore true and correct. <br /> Print Name: frLE110 Signature: Date: <br /> Print Name: Signature: Date: .. <br /> Print Name: Signature: __ Date: <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> F:IDEVSVS1PIanning Application Formsl'LON£RECLASSIFICATION Page 5 of 5 <br /> (Rev,6-02-04) <br />
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