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SU0013268
Environmental Health - Public
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2600 - Land Use Program
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SU0013268
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Entry Properties
Last modified
5/14/2020 4:55:08 PM
Creation date
5/14/2020 4:17:12 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0013268
PE
2600
FACILITY_NAME
GP-91-6
STREET_NUMBER
26414
STREET_NAME
LOWER SACRAMENTO
STREET_TYPE
RD
City
ACAMPO
Zip
95220-
APN
00503003
ENTERED_DATE
5/11/2020 12:00:00 AM
SITE_LOCATION
26414 LOWER SACRAMENTO RD
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
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SJGOV\gmartinez
Tags
EHD - Public
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APPLICATION CONTROL SHEET <br /> To be completed by Development Service start <br /> Pr.ApP Only:>%(Yes ❑ No Fee -Ree rpt Nvmber: Oa�D I Date:6-x{'9( <br /> File Number•. Fee: Rauiol Number: Data: <br /> File Number-. Fee: R...rot Numb.,: Data: <br /> File Number. Fee. R.—ol Number. Date: <br /> Des—ot,on of Project P, I C,n <br /> AG 2l C.UC- Ll10--- r-"tc-A— f-!�t�� At_ <br /> D S Ate , <br /> Project Lo-bon: tE.-AY S I p E Of= e7-K- �JP.c(z/atA e�A `�,sa1J <br /> Z-t/6-OaF- 1-F Or L1 PSE12 <br /> Adtlreas: 4 <br /> ZZp I APN(s(:COS- 030-0 5 <br /> General Plan C.mmunMGenoral Plan Deaicrnstion:A e-fr-t L-t i L, g <br /> Zoning Me.: _ [Q Pro.enr Zon,ncAt—- ffv Overlay Zone(s): <br /> Adjacent I General Plan I Z <br /> Northl GU L--T,{ZE c- — 40 <br /> Soon: u t_ �ES t 0"�-(. A L_ - 1 DO <br /> f��' 1z-t eta !moo /�G.- <br /> wes:: I PSG R-s GU L K-E I G _ <br /> I 06Year Flood N\ Williamson Act Yes ❑ No Supervisorial Distad: <br /> Airport Area: LO C>t C'/ Specific Plan(s) 0 Yes )!Z_No: <br /> History: 4 8S� <br /> CHECKLIST <br /> All Applications <br /> Completed APpimtlllon Forma 0—ir.,Signature <br /> Copy of Deed or Preliminary Till.F.Pon• O Copia of Plan or Map <br /> E•/s•r 11'Red...d Plan a,Mao O HU.,doua Material.D'acl.—tr Survey ❑ <br /> D-1—menl Impacl Moigatien Fee Form 0 All—sor and Nistory Pages ,C <br /> Names List• ❑ S-01M.Iar Will Serve'Lane,• ❑ <br /> General Plan Mao' 0 I Zoning Mao• ❑ <br /> Soils Report' ❑ Soils Suitability Study• ❑ <br /> These materials may net be required for penin applications. Check the apolmabon type I.,detail.. <br /> Tentative Maps <br /> Map Signed by Owner O Traci Number and Name(Major Subs only) O <br /> S.Pia 0 All Lou Numbered O <br /> Contour Lines O Location of Well and Seplic System O <br /> Agricultural Nemeane Form 0 Adjoining Property Owners Names on Map O <br /> Reclamation Plan and Schedule 0 Financial Guarenl.. O <br /> Typical Cross-actions 0 Elevation Catculalipn Schedule 0 <br /> Engme.,'a Sam. 0 1 <br /> Completed By: A r)C(A �O Dale'lJ4 J",IE s�l <br /> a ppcmn.um te- I <br />
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