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SU0012861
Environmental Health - Public
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2600 - Land Use Program
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MS-87-42
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SU0012861
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Last modified
2/10/2020 12:04:15 PM
Creation date
2/10/2020 11:22:43 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0012861
PE
2600
FACILITY_NAME
MS-87-42
STREET_NUMBER
20155
Direction
N
STREET_NAME
APPLE
STREET_TYPE
DR
City
LOCKEFORD
Zip
95237-
APN
01937021
ENTERED_DATE
1/13/2020 12:00:00 AM
SITE_LOCATION
20155 N APPLE DR
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
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SJGOV\gmartinez
Tags
EHD - Public
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5 . Will the project: <br /> a • generate objectionaI odors : No <br /> b. generate any discharge into surface waters : o <br /> C . generate or store hazardous materials : o <br /> d. expose people <br /> e . displace people: No hazardous materials or situations : No <br /> f • use significant amounts of energy <br /> 9 • cause congestion on roadways oratoir natura nterchangessorrinters— eC- <br /> tions : No <br /> SIGNATURE <br /> I certify under penalty of perjury that I am (check one ) : <br /> QLegal Property Owner (owner includes partner, trustee, trustor, or <br /> corporate officer . ) <br /> Owner 's legal agent (attach proof of the ow <br /> the application ) , ner 's consent to file <br /> and th the f .rego-Ing is true and correct . <br /> ( ignature ) <br /> (Date ) <br /> (Signature) <br /> ( � n t re) <br /> r <br /> ( a Legal agent for Bonaire Motors <br /> (S ' na u e) Legal agent for Juarez Holdings <br /> (Signature) <br />
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