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SU0013807
Environmental Health - Public
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2600 - Land Use Program
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PA-2000205
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SU0013807
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Last modified
7/27/2023 4:33:41 PM
Creation date
3/8/2021 4:26:32 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0013807
PE
2631
FACILITY_NAME
PA-2000205
STREET_NUMBER
21399
Direction
S
STREET_NAME
CARROLTON
STREET_TYPE
RD
City
RIPON
Zip
95366-
APN
24522002
ENTERED_DATE
12/1/2020 12:00:00 AM
SITE_LOCATION
21399 S CARROLTON RD
RECEIVED_DATE
10/21/2022 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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SAN 10AQUIN COMMUNITY DEVELOPMENT DEPARTMENT <br /> SITE APPROVAL <br /> COU NTY....._...._........ <br /> FILE NUMBER: <br /> On-Site Parking <br /> Full-size Parking Compact Parking ADA Parking Total Parking <br /> Spaces(Number) Spaces(Number) (Number) Spaces(Number) <br /> Existing Proposed Existing Proposed Existing Proposed Existing Proposed <br /> I <br /> SERVICES <br /> Water. <br /> Public Service Provider: Will Serve Letter Provided Distance to Public Water: <br /> ❑ ❑ <br /> Private Existing Well New Well Well Replacement <br /> ❑ ❑ <br /> Wastewater Disposal <br /> Public Service Provider: Will Serve Letter Provided Distance to Public Sewer: <br /> ❑ ❑ <br /> Private Existing Septic System New Septic System Septic System Replacement <br /> ¢d' ❑ ❑ <br /> If the project will result in process Description of process Volume of process wastewater: Method of disposal: <br /> wastewater; <br /> wastewater provide the following <br /> information: <br /> e �. <br /> Storm Drainage <br /> Public Service Provider: Will Serve Letter Provided Distance to Public Storm Drain: <br /> ❑ ❑ <br /> Private Existing On-site Retention Pond New On-site Retention Pond Natural Drainage <br /> ❑ ❑ <br /> OTHER PUBLIC SERVICES <br /> School Service Fire Protection Service <br /> Service Provider Distance to School Service Provider Distance to Fire Station <br /> (1A FI <br /> Page 3 of 6 <br /> Updated 05/27/2020 <br />
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