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SU0013243
Environmental Health - Public
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EHD Program Facility Records by Street Name
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FOREST LAKE
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SU0013243
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Entry Properties
Last modified
5/8/2020 12:02:28 PM
Creation date
5/8/2020 10:51:05 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0013243
PE
2600
FACILITY_NAME
SD-93-82
STREET_NUMBER
3191
Direction
E
STREET_NAME
FOREST LAKE
STREET_TYPE
RD
City
ACAMPO
Zip
95220-
APN
00504069
ENTERED_DATE
5/6/2020 12:00:00 AM
SITE_LOCATION
3191 E FOREST LAKE RD
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
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SJGOV\gmartinez
Tags
EHD - Public
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APPLICATION - SECOND UNIT DWELLING <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NUMBER: SD- - <br /> 1i 1[1'its. iINAItI ::;:::::::;::::>::»::;•;::;.«;...::.>:: ::::;;.:; <br /> ..: <br /> HE <br /> l'�'>7';IVN11Y;�1tt!»I1N0.:, 'Pi�CA7'ttl��1..::: ;:::;;:<:>:;:;:::::;;>:::;::;>:::>:: <br /> SIGNATURE: I certify under penalty of perjury that I am (check one): <br /> L/ Legal property owner(owner Includes partner,trustee,trustor, or corporate officer) of the property(s) <br /> Involved in this application, or <br /> ❑ Legal agent (attach proof of the owner's consent to the application of the property's Involved in this <br /> application and have been ai.rthorizea to file on their behalf.,and <br /> that the foregoing application statements are true and correct <br /> SIGNATURE: I certify by my signature that I have read and understand the Second Unit Dwelling Standards: <br /> Signature: ` / Date: 7 71 <br /> J-3 <br /> Signature: D&W <br /> Signature: DKK <br /> Signature: Dam <br /> ............... <br /> 1. Zoning: PROPOSAL APPROVED SUBJECT TO: PROPOSAL APPROVED SUBJECT TO: ❑ <br /> 2. Project meets zoning requirements 1. Encroachment Permit ❑ 1. Sanitation Permit ❑ <br /> for both use and construction: 2. Traffic Mitigation Fees: 2. Well/pump Permit ❑ <br /> Yes❑ No❑ 3. Change Noted: ❑ <br /> 3. School District Fees ❑ <br /> 4. Fire Facility Fee ❑ PROPOSAL DENIED: ❑ <br /> 5. Flood Fringe ❑ <br /> 6. Subdivision History 3. Flood Control Conditions: 4. Remarks: <br /> 7. Remarks <br /> 4. Remarks: <br /> Date: By: Date: By: Date: By: <br /> Second Unit Dwelling Address: <br /> .3 <br />
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