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SU0012843
Environmental Health - Public
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SU0012843
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Entry Properties
Last modified
2/7/2020 9:32:17 AM
Creation date
2/5/2020 8:30:27 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0012843
PE
2600
FACILITY_NAME
MS-87-74
STREET_NUMBER
900
Direction
N
STREET_NAME
SHAW
STREET_TYPE
RD
City
STOCKTON
Zip
95205-
APN
14327051
ENTERED_DATE
1/13/2020 12:00:00 AM
SITE_LOCATION
900 N SHAW RD
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
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SJGOV\gmartinez
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EHD - Public
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Environmental Information Form <br /> Part B <br /> DATE: November 21, 1986 <br /> (To be Completed By Applicant ) <br /> NOTE: In completing this form, use additional sheets if necessary. <br /> Answer all questions to the best of your ability. If a question <br /> is not applicable to your project, write NA (not applicable ) . <br /> Please do not leave blanks. Incomplete forms cannot be accepted. <br /> PERSON COMPLETING FORM PROPERTY OWNER X AGENT OF OWNER <br /> Name Nolte and Associates <br /> Address 1730 I Street <br /> City Sacramento <br /> State/Zip California 95814 <br /> Phone (916) 446-5020 <br /> A. PROJECT DESCRIPTION <br /> 1. Type of application: Q Use Permit, 0 Major Subdivision, <br /> Q Zone Reclassification, Q Minor Subdivision, Q Site Approval, <br /> Zone Variance, Q Other : <br /> 2 . Project location: 900 N. Shaw Road <br /> Describe the project; i .e. , request being made and nature of use . <br /> Identify specific project components : A regugsr has hPPn f;1 Pei <br /> to split the parcel so that each of the two businesses on the site will <br /> occupy a distinct parcel. The use of the land will not change. <br /> 3 . Total acreage of project: 7.236 Ac. # of existing parcels: 1 <br /> Assessor Parcel Us ) :: 143-270-32 <br /> 4 . If there is an existing EIR assessing any aspect of your project <br /> site, provide title and date: N/A <br /> 5. Other permits and approvals (County, Regional, State and Federal) <br /> required for this project : <br /> PERMIT AGENCY <br /> N/A <br /> Minor Subdivision - 7 - ( 6/86 ) <br />
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