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SU0004161
Environmental Health - Public
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2600 - Land Use Program
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GX-87-01
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SU0004161
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Entry Properties
Last modified
5/28/2020 2:02:21 PM
Creation date
5/20/2020 3:04:44 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0004161
FACILITY_NAME
GX-87-01
STREET_NUMBER
22563
Direction
S
STREET_NAME
HIGHLAND
STREET_TYPE
AVE
City
RIPON
ENTERED_DATE
5/12/2004 12:00:00 AM
SITE_LOCATION
22563 S HIGHLAND AVE
RECEIVED_DATE
6/29/1992 12:00:00 AM
QC Status
Approved
Scanner
SJGOV\gmartinez
Tags
EHD - Public
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APPLICATION CONTROL SHEET <br /> 1u o Ni s ei v elt 5 € €at(5 5�y a115".111,' ,r t s31£se€ <br /> !lp.,.i �,.Y,f?avo�,pptenl.:saFrv�golnli ��� t�3 � :� <br /> ProApp Only: ❑Yes R{No Fee: Receipt Number: Delo; <br /> Filo Number. - / Foo: Receipt Number: Dal-: �7 <br /> Filo Number: Foo; nocolpl Number: Dole: <br /> Filo Number: Fo n colpl um r; A Dale: <br /> Description of Project - 11 <br /> 09 aA <br /> I� IVAIIAA,111,� 4,9 <br /> � r <br /> Project Location: z, <br /> Address: <br /> APN(s): —v <br /> General Plan Community: General Plan Designation: <br /> Zoning Mop: Property Zoning: Ovedny Zono(s): <br /> Adjacent General Plan Zoning <br /> Norlb: d <br /> South: n/ <br /> East: <br /> West: <br /> 100-Your Flood ❑ Yes NoWilliamson Act D Yes No Suporvisodal District: <br /> Airport Area: SPacific Plans) ❑ Yes No: <br /> I iislory: <br /> to <br /> All Applications <br /> Completed Application Forms Owners'Signature <br /> Copy of Dead or Preliminary Title neport' D Copies of Finn or Mop <br /> 0'/.'x i i'Reduced Plan or Map Hazardous Materials Disclosure Survey <br /> Dovaloprnonl Impact Mitigation Foe Form ❑ Assessor and I Ilslory Pages <br /> Names Us[• ❑ Sowor/Walor'Will Servo'Letter' p <br /> General Plan Map• ❑ Zoning Map• ❑ <br /> Solis noporl• ❑ Soils Suitability Study" ❑ <br /> . Thoso materials may not be required for certain applications. Chock the application typo for details. <br /> Tentalivo Maps <br /> Mop Signed by Owner D Tract Number and Name(Mnjor Subs only) ❑ <br /> Sopla ❑ All Lots Numbered D <br /> Contour Linos ❑ Location oI Wall and Septic System ❑ <br /> Agricultural I lomosllo Foran ❑ Adjoining Properly Owners Nines on Mop ❑ <br /> Excavations <br /> nociarnallon Plan and Schodulo ❑ Financial Guarantee D <br /> Typical Cross•soclions ❑ Elevation Calculation Schedule ❑ <br /> Engineer's Stamp ❑ <br /> Completed By: G Dale: <br /> appcnu.nn - <br />
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