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SU0006412
Environmental Health - Public
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EHD Program Facility Records by Street Name
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T
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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-0700021
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SU0006412
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Last modified
11/19/2024 3:48:14 PM
Creation date
9/9/2019 10:26:09 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0006412
PE
2626
FACILITY_NAME
PA-0700021
STREET_NUMBER
5184
Direction
W
STREET_NAME
STATE ROUTE 12
City
LODI
Zip
95240
APN
05516072
ENTERED_DATE
1/30/2007 12:00:00 AM
SITE_LOCATION
5184 W HWY 12
RECEIVED_DATE
1/30/2007 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\T\HWY 12\5184\PA-0700021\SU0006412\APPL.PDF \MIGRATIONS\T\HWY 12\5184\PA-0700021\SU0006412\CDD OK.PDF \MIGRATIONS\T\HWY 12\5184\PA-0700021\SU0006412\EH COND.PDF \MIGRATIONS\T\HWY 12\5184\PA-0700021\SU0006412\EH PERM.PDF
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EHD - Public
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APPLICATIN — USE PERMIT <br /> y / { SAN.JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT I <br /> FILE NUMBER: UPP A " 0 7 a �+ <br /> QLfFORi� I <br /> TO i3E,_COMPi t"TED$Y..THE'APPLICANT PRIOR TO FILING TH'C.APPLICATION <br /> ......Owneninforrridtign �/► /Applicant Information <br /> Name: PA ar)h n Name: <br /> Address: C) ri Address: ] .. � <br /> Phone: <br /> PROJECT DESCRIPTION, 4 <br /> Proposal <br /> Description of the proposed project: {) ',� �Ui �� (' <br /> h►C s an <br /> se6e-- bulgy ty)ACvi011 S F CI% 1 r4- <br /> Win AYAnSCK-L6 AD . 100Abbos. <br />'I Business name (DBA): LCC <br /> Employees/Customers per Work Shift <br /> Shift Hours Days of the week Employees(Number) Customers per Shift Vehicle Trips per Shift <br /> Materials/Equipment Used <br /> Describe equipment used in the project(include the number of automobiles and trucks): <br /> lsz '�i�tJ Yl 1 ir5 <br /> Describe materials produced,stored or used (all hazardous materials should be identified): <br /> � <br /> PROPERTY AND VICINITY DESCRIPTION <br /> Property Information <br /> -.ASSPSRnr.Parcel Number(s) Property Size Number of Parcels Project Size Williamson Act Contract <br /> j - v <br /> - -- - - —I-fir c - � z-A 0 ❑ Yes <No <br /> Property Address: <br /> I` Existing Land Uses <br /> On-Site Uses(Include Ag Crops): COY 1, inq <br /> I Uses to the North: - <br /> Uses to the East: VA WCT <br /> j Uses to the South:}` <br /> Uses to the West: c' - r'.. <br /> F:IDEVSVC\PIanning Application Forms\Use Permit.(Revised 1-2-03) Page 2 of 9 <br />
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