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SU0013413
Environmental Health - Public
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SU0013413
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Entry Properties
Last modified
6/16/2020 12:09:02 PM
Creation date
6/16/2020 11:36:35 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0013413
PE
2600
FACILITY_NAME
SU-89-9
STREET_NUMBER
27555
Direction
S
STREET_NAME
FAIROAKS
STREET_TYPE
RD
City
TRACY
Zip
95304-
APN
24809006
ENTERED_DATE
6/9/2020 12:00:00 AM
SITE_LOCATION
27555 S FAIROAKS RD
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
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SJGOV\gmartinez
Tags
EHD - Public
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• Environmental Information Form <br /> Part B <br /> DATE• 11/30/88 <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 Dave Olmstead <br /> AddressP.O. Box 134 <br /> City Trac <br /> State/Zip CA 95378-0134 <br /> Phone 209/835-7284 <br /> A. PROJECT DESCRIPTION <br /> 1. Type of application: Q use Permit, M Major Subdivision, <br /> Q Zone Reclassification, Q Minor Subdivision, M Site Approval, <br /> Zone variance, Q Other: <br /> 2. Project location: S.E. Corner Bates and Fair Oaks <br /> Describe the project; i .e . , request being made and nature of use. <br /> Identify specific project components : <br /> 3 . Total acreage of project: 3s # of existing parcels: 2 <br /> Assessor Parcel Us ) : <br /> : <br /> 4 . If there is an existing EIR assessing any aspect of your project <br /> j site, provide title and date: Apricot Acres <br /> 5 . Other permits and approvals (County, Regional, State and Federal) <br /> required for this project : <br /> s PERMIT AGENCY <br /> T)Ont <br /> L <br /> i <br /> E <br /> i4 <br /> 4 <br /> ` <br /> (6/86 ) <br /> Major Subdivision - 7 - <br />
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