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SU0013451
Environmental Health - Public
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SU0013451
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Entry Properties
Last modified
5/17/2021 4:00:53 PM
Creation date
6/23/2020 11:17:55 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0013451
PE
2600
FACILITY_NAME
WC-90-1
STREET_NUMBER
2248
Direction
W
STREET_NAME
LAKE FOREST
STREET_TYPE
RD
City
ACAMPO
APN
00306001
ENTERED_DATE
6/17/2020 12:00:00 AM
SITE_LOCATION
2248 W LAKE FOREST RD
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
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SJGOV\dsedra
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EHD - Public
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-1 Information Fo-m, <br /> �rgr ^r.. ."�trc-.^-=""'_�,,..-.�f«w-r-_.ram..a'^.y-S:S''.-Tv--..+....�r..•,ar^n.�'-mcr-��wnx^"�"5...^"",�'�. �.-..... •-=+,;a+c,.rt:�:r�G`_'�v='LtS..i:e:.�' <br /> Part B <br /> DATE : <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 x- PROPERTY OWNER AGENT OF OWNER <br /> Name Catwil Corporation <br /> Address 6653 Embarcadero Drive <br /> City Stockton <br /> State/Zip California 95209 <br /> Phone 209/957-5981 <br /> A. PROJECT DESCRIPTION <br /> 1. Type of application: Q Use Permit, Major Subdivision, <br /> Q Zone Reclassification, Q Minor Subdivision, Site Approval , <br /> Zone Variance, Nx Other : PD <br /> between Forest Lake Road and Jahant Road, <br /> 2 . Project location: 9 mileg wpgt- of rower Sa entn <br /> Describe the project; i .e . , request being made and nature of use . <br /> Identify specific project components : See accompanying letters . <br /> 3 . Total acreage of project: 870 # of existing parcels : 4 <br /> Assessor Parcel Us ) : 003-060-01 . 003-060-02 : 003-100-01 ; 003-100-05 <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 /> Rrirlg� Coa9t_G_ur7rS1, Calif ,�1S�Z�+_ �► � , C of E <br /> Excavation/Levelling/Flood Control San Joactuin Co. <br /> Williamson Act Cancellation San Joaquin Co. <br /> Forest Lake Road Abandonment San Joaquin Co . <br /> Major Subdivision - 7 - (6/86 ) <br />
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