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SU0005947_SSCRPT
Environmental Health - Public
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EHD Program Facility Records by Street Name
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2600 - Land Use Program
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PA-0600098
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SU0005947_SSCRPT
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Last modified
11/19/2024 3:46:25 PM
Creation date
9/9/2019 10:24:19 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSCRPT
RECORD_ID
SU0005947
PE
2622
FACILITY_NAME
PA-0600098
STREET_NUMBER
20899
Direction
E
STREET_NAME
STATE ROUTE 12
City
CLEMENTS
APN
02311024
ENTERED_DATE
3/7/2006 12:00:00 AM
SITE_LOCATION
20899 E HWY 12
RECEIVED_DATE
3/7/2006 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\T\HWY 12\20899\PA-0600098\SU0005947\SSC RPT.PDF
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EHD - Public
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4 <br /> NOA JOB NUMBER: E05144A <br /> PROPERTY LOCATION: 20913 E. St. Rt. 12,Clements,CA <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 /> eRPki cFPfAbI Iy—T')Lw -t— � <br /> -gam S I C—A.4[n <br /> C T &ZAf(, - eA---5�,� <br /> _ 2. Previo owner s� and contact information (if available): years owned: <br /> 1 ►�Qt¢e,ri"i' GZO�� 4 <br /> a <br /> 3. Please describe current use(s) of property: I <br /> I I A! ARG t me– �Y` <br /> Ab ntL">•!� ia (e- . <br /> 4. Please describe any other known past use(s) of property, and <br /> approximate dates of each use: <br /> `ri�t.�tN. M i�tuk Sov1+2 13 �` �Ropan -16. Sa-6,1 4,1 rC <br /> SDKt,, a� #f�,, �n,W , was <br /> S bwkel o'F n�T,. ttkku �►ttm 1u�.lKwfs - ptPPe�s �SPA.t� 4 <br /> 5. Are there any businesses using any portion of the property which are ❑ Yes XNo <br /> operated by an entity other than the property owner (including a <br /> tenant farming operation)? <br /> If yes, please provide a contact name and phone number for each: <br /> 6. What is the current zoning and/or general plan designation of the subject property? <br /> 4 0 <br /> Ifyou have any questions about this questionnaire,please contact James Robinson at(209)367-3701 ext 222 <br /> — v <br />
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