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SU0013203
Environmental Health - Public
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SU0013203
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Last modified
5/4/2020 12:16:51 PM
Creation date
5/4/2020 11:02:30 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0013203
PE
2600
FACILITY_NAME
GP-88-15
STREET_NUMBER
23695
Direction
S
STREET_NAME
CORRAL HOLLOW
STREET_TYPE
RD
City
TRACY
Zip
95376-
APN
23717013
ENTERED_DATE
4/30/2020 12:00:00 AM
SITE_LOCATION
23695 S CORRAL HOLLOW 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 Inforrrnation Form <br /> Part B <br /> DATE: September 14, 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 Bruce E. Harrinaton <br /> Address 18818 Teller Avenue Suite 140 <br /> City Irvine <br /> State/Zip California 92715 <br /> Phone (714) 752-6000 <br /> A. PROJECT DESCRIPTION <br /> 1 . Type of application: [] Use Permit , �] Major Subdivision, <br /> Q Zone Reclassification, [D Minor Subdivision, u Site Approval , <br /> Zone variance , 0 Other : I-205 Corridor Study/Tracy annPxatinn <br /> 2 . Project location: See attachment <br /> Describe the project; i .e . , request being made and nature of use . <br /> Identify specific project components : <br /> 3 . Total acreage of project: app-60 # of existing parcels : 1 <br /> Assessor Parcel # (s ) : 237-170-13 <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 /> Citv Annexation and Zoninc City of Tracy <br /> General Plan Amendment and Zonina San Joaquin County <br /> Contract Cancellation -7- <br />
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