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SU0003322
Environmental Health - Public
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EHD Program Facility Records by Street Name
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CLARK
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2600 - Land Use Program
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SA-89-35
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SU0003322
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Last modified
4/29/2020 11:12:51 AM
Creation date
4/29/2020 10:44:02 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0003322
PE
2633
FACILITY_NAME
SA-89-35
STREET_NUMBER
4421
Direction
E
STREET_NAME
CLARK
ENTERED_DATE
11/7/2001 12:00:00 AM
SITE_LOCATION
4421 E CLARK
QC Status
Approved
Scanner
SJGOV\gmartinez
Tags
EHD - Public
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5 . Will the project: <br /> a . generate objectional odors : no <br /> b. generate any discharge into surface waters : nC) <br /> C . generate or store hazardous materials.: nC) <br /> d. expose people to any hazardous materials or situations : no <br /> e . displace people:_ n, <br /> f . use significant amounts of energy or natural resources :no <br /> g. cause congestion on roadways or at interchanges or intersec- <br /> tions : �o <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 /> and that the foregoing is true and correct. <br /> (Signature ) (Date ) <br /> Site Approval Application - 8 - ( 6/86 ) <br />
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