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SU0009688
Environmental Health - Public
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EHD Program Facility Records by Street Name
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12 (STATE ROUTE 12)
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5136
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2600 - Land Use Program
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PA-1300091
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SU0009688
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Last modified
11/19/2024 3:48:15 PM
Creation date
9/9/2019 10:25:44 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0009688
PE
2625
FACILITY_NAME
PA-1300091
STREET_NUMBER
5136
Direction
W
STREET_NAME
STATE ROUTE 12
City
LODI
Zip
95242-
APN
05516024, 43, 44 & 73
ENTERED_DATE
7/9/2013 12:00:00 AM
SITE_LOCATION
5136 W HWY 12
RECEIVED_DATE
7/8/2013 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\T\HWY 12\5136\PA-1300091\SU0009688\APPL.PDF \MIGRATIONS\T\HWY 12\5136\PA-1300091\SU0009688\EH COND.PDF \MIGRATIONS\T\HWY 12\5136\PA-1300091\SU0009688\EH PERM.PDF
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EHD - Public
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ip <br /> APPLICATION - USE PERMIT <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NUMBER: UP- <br /> BUILDINGS AND STRUCTURES <br /> (This Information may be shown on the Site Plan <br /> Structure <br /> Number' Proposed Use - Ground Floor Area Highest Floor Overall Height(in feet) <br /> / jposu� o rr�cE REs r41 AV <br /> The"structure number"should be used in identifying the structure on the Site Plan. <br /> If there are two or more proposed uses in a building, make separate listings for each use. For residential projects, state the <br /> number of units in each structure. <br /> SITE IMPROVEMENTS AND SERVICES <br /> Off-Street Parking <br /> Full-size Parking Compact Parking Handicap Parking Covered Parking Total Parking Parking Lot Trees <br /> S aces Number Spaces Number Spaces Number Spaces Number Spaces Number Number <br /> 36) 1 014 1 3o I N 9 <br /> Landscaping <br /> Landscaping Area Percent of Project Street Trees Street Trees Method of Irrigation <br /> (Square Feet Area Landsca ed a Number <br /> NA tJA Nf� I PA n//A <br /> Water <br /> Annex-Formation Distance to Public <br /> Public Water Service Provider Required Water Feet <br /> Proposed ❑ <br /> Existing❑ S rL F _VSA N/4 <br /> Private Water J<] Existing Well New Well $ Well Replacement ❑ <br /> Sewage Disposal <br /> Public Sewage Annex-Formation Distance to Public <br /> Disposal Service Provider Required Sewer Facility <br /> Proposed ❑ <br /> Existing❑ 5c-e-F <br /> On-site Sewage <br /> Disposal❑ Existing Septic System 0 New Septic System ,& Other ❑ <br /> Storm Drainage <br /> Public Storm <br /> Drainage Service Provider(if Public) Annex-Formation Terminal Drainage Detention-Retention <br /> Proposed ❑ Required to: Ponds <br /> Existing❑ /V// /k A.) <br /> Private Storm <br /> Drainage❑ On-site Retention Ponds OI Natural Drainage/No Chane ❑ Other ❑ <br /> Electricity Telephone Service <br /> Distance to <br /> Service Provider Service Service Provider Distance to Service <br /> ,v ,v/if N f1 <br /> School Service Fire Protection Service <br /> Distance to Elem <br /> Service Provider School Service Provider Distance to Fire Station <br /> N A - rc <br /> f rT IC-r- <br /> F:\DEVSVOPlanning Application Fonns\Use Permit.(Revised 0243-70) Page 3 of 9 <br />
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