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SU0012763
Environmental Health - Public
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SU0012763
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Last modified
2/7/2020 9:30:33 AM
Creation date
2/7/2020 8:56:11 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0012763
PE
2622
FACILITY_NAME
MS-87-77
STREET_NUMBER
28222
STREET_NAME
VINE
STREET_TYPE
AVE
City
ESCALON
Zip
95320-
APN
24903012
ENTERED_DATE
1/2/2020 12:00:00 AM
SITE_LOCATION
28222 VINE AVE
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: May 13 , 1987 <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 RohPrt M Snuder - River Mountain Land Surveyors & Engineers <br /> Address 598 S_ sierra Avenue p O Box 207 <br /> City_ nakdale <br /> State/Zip California 95361 <br /> Phone ( 209 ) 847-9174 <br /> A. PROJECT DESCRIPTION <br /> 1 . Type of application : I___a Use Permit, Q Major Subdivision, <br /> Zone Reclassification, Q Minor Subdivision, F1 Site Approval , <br /> Zone Variance, DX Other : 1 - 3 Homesite <br /> 2 . Project location: 28222 Vine Avenue Escalon, CA 95320 <br /> Describe the project; i .e . , request being made and nature of use . <br /> Identify specific project components : to parcel off a 3 acre <br /> homesite from a 28 . 8 acre grape ranch <br /> 3 - Total acreage of project: 28 . 83 Ac # of existing parcels : 28 . 83 acres <br /> Assessor Parcel # (s ) : 244-03-12 <br /> 4 . If there is an existing EIR assessing any aspect of your project <br /> site , provide title and date : NO <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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