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SU0012891
Environmental Health - Public
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TWO RIVERS
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2600 - Land Use Program
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SA-92-0071
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SU0012891
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Last modified
2/3/2020 5:38:18 PM
Creation date
2/3/2020 2:06:53 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0012891
PE
2631
FACILITY_NAME
SA-92-0071
STREET_NUMBER
28128
Direction
S
STREET_NAME
TWO RIVERS
STREET_TYPE
RD
City
MANTECA
Zip
95336-
APN
25717025
ENTERED_DATE
1/15/2020 12:00:00 AM
SITE_LOCATION
28128 S TWO RIVERS RD
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\gmartinez
Tags
EHD - Public
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i <br /> F <br /> 1 01 <br /> f <br /> APPLICATION CONTROL SHEET <br /> To be completed by.Development Service stall f ' <br /> PreApp Only: ❑Yes ❑ No Fee: Receipt Number. Date: <br /> File Number: - / Fee: 0 r/ Receipt Number. 1/0 3 Date:/a <br /> File Number: Fee: Receipt Number. Dale: <br /> File Number: Fee: Receipt Number. Date: ' <br /> Description of Project <br /> Project Location: <br /> r P <br /> Address: �� <br /> General Plan Community: General Plan Designatlon: <br /> Zoning Me : Qy Property Zoning: R6-1/0 Overlay Zone(s): <br /> Adjacent General Plan Zoning <br /> North: <br /> South: <br /> /i <br /> u <br /> East: <br /> West: <br /> 100-Year Flood Yes ❑ No fj Williamson Act 9-Yes ❑ No Supervisorial District: <br /> Airport Area: Specific Plan(s) ❑ Yes ;(No: <br /> History: tc-4)-73 mr4Y-47 ht-8q-134 M1-87•�-/ <br /> CHECKLIST <br /> All Applications <br /> Completed Application Forms Owners'Signature P <br /> Copy of Deed or Preliminary Ttle Report` )if Copies of Plan or Map <br /> 81/,'x 11'Reduced Plan or Map Hazardous Materials Disclosure Survey ( <br /> Development Impact Mitigation Fee Form ❑ Assessor and History Pages f� <br /> Names List• Sewer/Water Vill Serve'Letter• ❑ <br /> General Plan Map• ❑ Zoning Map• ❑ <br /> i <br /> Soils Report• ❑ Soils Suitability Study• ❑ j <br /> t <br /> Subsidence Area ❑ Yes No Expensive Soil Area ❑ Yes No t <br /> • These materials may not be required for certain applications. Check the application type for details. <br /> Tentative Maps <br /> r - <br /> Map Signed by Owner ❑ Tract Number and Name(Major Subs only) ❑ <br /> Adjoining Property Owners Names on Map ❑ All Lots Numbered ❑ <br /> Contour Lines ❑ Location of Well and Septic System ❑ <br /> i <br /> Excavations <br /> Reclamation Plan and Schedule ❑ Financial Guarantee ❑ <br /> Typical Cross-sections ❑ Elevation Calculation Schedule ❑ <br /> Engineer's Stamp ❑ <br /> Completed By: - �. Date: Z <br /> appcntr.rm 3-18-91 <br />
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