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SU0003289
Environmental Health - Public
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2600 - Land Use Program
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SA-90-09
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SU0003289
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Last modified
4/29/2020 2:01:58 PM
Creation date
4/29/2020 10:41:58 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0003289
PE
2633
FACILITY_NAME
SA-90-09
STREET_NUMBER
10027
STREET_NAME
COPPEROPOLIS
ENTERED_DATE
11/7/2001 12:00:00 AM
SITE_LOCATION
10027 COPPEROPOLIS
QC Status
Approved
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SJGOV\gmartinez
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EHD - Public
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5 . Will the project: <br /> a . generate objectiona 1 odors : t�-r0 <br /> b. generate any discharge into surface waters : <br /> C . generate or store hazardous materials : <br /> d. expose people to any hazardous materials or situations : p <br /> e . displace people:_ NO <br /> f . use significant amounts of energy or natural resources : ?Q <br /> g . cause congestion on roadways or at interchanges or intersec- <br /> tions : tJQ <br /> ❑ SIGNATURE <br /> I certify under 'penalty of perjury that I am (check one ) : <br /> Legal Property Owner (owner includes partner, trustee, trustor, or <br /> corporate officer . ) <br /> uOwner ' s legal agent (attach proof of the owner ' s consent to file <br /> the application ) , <br /> i <br /> and that the foregoing is true and correct . <br /> (Signature ) (Date ) <br /> Site Approval Application - 8 - ( 6/86 ) <br />
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