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SU0012941
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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21449
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2600 - Land Use Program
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SD-92-233
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SU0012941
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Last modified
11/19/2024 3:48:18 PM
Creation date
2/3/2020 8:20:09 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0012941
PE
2680
FACILITY_NAME
SD-92-233
STREET_NUMBER
21449
Direction
E
STREET_NAME
STATE ROUTE 12
City
CLEMENTS
Zip
95227-
APN
02311014
ENTERED_DATE
1/16/2020 12:00:00 AM
SITE_LOCATION
21449 E HWY 12
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\gmartinez
Tags
EHD - Public
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APPLICATION CONTROL SHEET <br /> T01"` < 'compieted by,DwelopmeM Service <br /> PreApp Only: ❑Yes [Y1 Fee: Receipt Number: Date: <br /> File Number: S D—({2-23 Fee: v Receipt Number: 3S Date: 2 3 <br /> File Number: Fee: Receipt Number: Date: <br /> File Number: Fee: Receipt Number: Date: <br /> Description of Project SC c { Q <br /> Project Location: Z u v / M u Y CY4 S /Z T <br /> t'c,5 T dfS t B acxs+ O't< C <br /> Address: F S7 2 / <br /> APN(s): 0 <br /> General Plan Community: General Plan Designation: �- <br /> Zoning Map: Property Zoning: 46 V Overlay Zone(s): <br /> Adjacent General Plan Zoning <br /> North: <br /> South: <br /> East: <br /> West: <br /> 100-Year Flood ❑ Yes No Williamson Act es ❑ No T Supervisorial District: <br /> Airport Area: Specific Plan(s) ❑ Yes ❑ No: <br /> History: <br /> All Applications <br /> Completed Application Forms ©--- Owners'Signature 0' <br /> Copy of Deed or Preliminary Title Report• ❑ Copies of Plan or Map p/ <br /> 8'/�x 11' Reduced Plan or Map ❑ Hazardous Materials Disclosure Survey ❑ <br /> Development Impact Mitigation Fee Form ❑ Assessor and History Pages l� <br /> Names List* ❑ Sewer/Water'Will Serve' Letter* ❑ <br /> General Plan Map* ❑ Zoning Map* ❑ <br /> Soils Report* ❑ Soils Suitability Study* ❑ <br /> Subsidence Area ❑ Yes ❑ No Expansive Soil Area ❑ Yes ❑ No <br /> ' These materials may not be required for certain applications. Check the application type for details. <br /> Tentative Maps <br /> Map Signed by Owncr ❑ Tract Number and Namo (Majcr Subs enly) ❑ <br /> Adjoining Property Owners Names on Map ❑ All Lots Numbered ❑ <br /> Contour Lines ❑ Location of Well and Septic System O <br /> Excavations <br /> Reclamation Plan and Schedule ❑ Financial Guarantee ❑ <br /> Typical Cross-sections ❑ Elevation Calculation Schedule ❑ <br /> Engineer's Stamp ❑ <br /> -------------- <br /> Completed By: Date: 'Lc� <br /> appcntr. rm <br />
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