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SU0005781 SSCRPT
Environmental Health - Public
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SU0005781 SSCRPT
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Last modified
5/7/2020 11:31:46 AM
Creation date
9/9/2019 10:12:45 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSCRPT
RECORD_ID
SU0005781
PE
2622
FACILITY_NAME
PA-0500761
STREET_NUMBER
17201
Direction
S
STREET_NAME
SEIDNER
STREET_TYPE
AVE
City
ESCALON
APN
22916015
ENTERED_DATE
11/21/2005 12:00:00 AM
SITE_LOCATION
17201 S SEIDNER AVE
RECEIVED_DATE
11/21/2005 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\S\SEIDNER\17201\PA-0500761\SU0005781\SSC RPT.PDF
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EHD - Public
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— `i Now \I V <br /> NOA JOB NUMBER: P05243 <br /> PROPERTY LOCATION: 17201 S. Seidner Rd., Escalon, CA <br /> Page 5 <br /> ` NOA ENVIRONMENTAL <br /> ENVIRONMENTAL QUESTIONNAIRE AND DISCLOSURE STATEMENT <br /> r <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 /> brad avid Kahle¢-r) K_�p �Ll� <br /> l 1 5ti ethP,r � <br /> �SCa l an,CJ4 q390 5 3�'$ I$` <br /> 2. Previous owner(s) and contact information (if available): years owned: <br /> _ EX pt T h^y6r+- A550C-i TIOC. o7�P <br /> l ,7 q q5- ,5,bJf er Ry-e- <br /> 3. <br /> y-e-3. Please describe current use(s) of property: <br /> /9 ri cu-/At r'0' <br /> 4. Please describe any other known past use(s) of property, <br /> and approximate dates of each use: <br /> - �Ir�-4-�-y 19'7© <br /> Prel�lb,�s a(+Ytehd -t4us yo Y4. "" <br /> 5. Are there any businesses using any portion of the property ❑ Yes 0 No <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 /> 6. What is the current zoning and/or general plan designation of the subject property? <br /> AL - ( 0 <br /> .. lfyou have any questions about this questionnaire,please contact Abby Racco at(209) 367-3701 ext 238 <br />
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