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SU0004856
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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5184
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2600 - Land Use Program
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PA-0400025
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SU0004856
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Last modified
11/19/2024 3:48:12 PM
Creation date
9/9/2019 10:25:54 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0004856
PE
2666
FACILITY_NAME
PA-0400025
STREET_NUMBER
5184
Direction
W
STREET_NAME
STATE ROUTE 12
City
LODI
APN
05516044
ENTERED_DATE
2/22/2005 12:00:00 AM
SITE_LOCATION
5184 W HWY 12
RECEIVED_DATE
2/22/2005 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\sballwahn
Supplemental fields
FilePath
\MIGRATIONS\T\HWY 12\5184\PA-0400025\SU0004856\CDD OK.PDF
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EHD - Public
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PLAN APPLICATION/AMENDMENT <br /> w :< SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> •�'�.•-F......•�P.. FILE NUMBER: ,4 - 04 U 06 2 U <br /> �I ORa <br /> TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION <br /> PLAN: t0 General Plan <br /> (Check only one) <br /> (Separate application needed for each document.) ❑ Master Plan for <br /> ❑ Public Financing Plan for <br /> ❑Specific Plan No. (if any) for <br /> ❑Special Purpose Plan for <br /> ❑ Other <br /> TYPE OF AMENDMENT: (ad MAP ❑ TEXT ❑ BOTH <br /> ❑ COMMUNITY <br /> ❑ OTHER LOCATION <br /> ❑ NOT A MAP CHANGE <br /> OTHER APPLICATIONS BEING SUBMITTED CONCURRENTLY <br /> Type Application Number(to be completed by staff) <br /> 1. 1. <br /> 2. 2. <br /> 3. 3. <br /> APPLICANTOWNER <br /> Name: <br /> Name:_ /�/Clc i�/_/ [�•�( ��Ci�CE Name: <br /> Address: 7 D �Q-fC l�D Address: oz e,06 <br /> City: State:eef-- Zip: City: State:el& Zip: z <br /> [!lephone #-.c,W �� �lO y Telephone#-. Ao g jld^.(1410y <br /> F:\DEVSVC\Planning Application Forms\ Page 2 of 7 <br /> Plan Application Amendment.doc-(Revised 6-03-04) <br />
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