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SU0000958
Environmental Health - Public
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KETTLEMAN
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15572
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2600 - Land Use Program
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MS-92-210
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SU0000958
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Entry Properties
Last modified
12/28/2021 5:06:32 PM
Creation date
12/28/2021 1:30:10 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0000958
PE
2622
FACILITY_NAME
MS-92-210
STREET_NUMBER
15572
Direction
E
STREET_NAME
KETTLEMAN
STREET_TYPE
LN
City
LODI
Zip
95240
ENTERED_DATE
10/9/2001 12:00:00 AM
SITE_LOCATION
15572 E KETTLEMAN LN
QC Status
Approved
Scanner
SJGOV\sballwahn
Tags
EHD - Public
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APPLICATION CONTROL SHEET <br /> .To,be omplelad by Dovoloprimunl.serGice stoic <br /> 777 <br /> ProApp Only: ❑Yes ❑ No Fee: Receipt Number: Data: <br /> Filo Number: - �- Fee: /,/3,/) <br /> Ca Receipt Number: 22 polo; J•3' Z <br /> File Number: Fee: Receipt Number: Dale: <br /> [tile Number: Fee: Receipt Number: Dale): <br /> Djescription of Project r r q 3 J'G4e arc <br /> i Cv <br /> 30 <br /> Project <br /> Location: s r <br /> l <br /> Address: 16'6-72- E ke l' <br /> APN(s):Ol 3-09Q-1 4 <br /> General Plan CommunityG`ti, / General Plan Designation: / <br /> Zoning Mop: 2 Property Zoning: 14 <br /> Overlay Zone(s): <br /> Adjacent General Plan Zoning <br /> North: <br /> South: K <br /> East: <br /> West: <br /> 100-Year Flood ❑ Yes N."I L Williamson Act Yes ❑ No Supervisorial District: <br /> Airport Arca: Ab Specific Plan(s) ❑ Yes tp:No: <br /> History: <br /> 01 <br /> CHECKLIST- , <br /> All Applications <br /> Completed Application Forms is Owners'Signature <br /> Copy of Deed or Preliminary Title Report• Copies of Plan or Map <br /> 8'/.'x i I'Reduced Plan or Mop Hazardous Materials Disclosure Survey ❑ <br /> Development Impact Mitigation Fee Form ❑ Assessor and History Pages <br /> Names List• Sewer/Walor*Will Serve'Loiter• ❑ <br /> General Plan Map' - ❑ Zoning Map• ❑ <br /> Solis Report• ❑ Solis Suitability Study• ❑ <br /> ' These materiels may not be required for certain applications. Check the application type for details. <br /> Tentative Maps <br /> Map Signed by Owner EY Tract Number and Name(Major Subs only) ❑ <br /> Sepia ❑ All Lots Numbered <br /> Contour Lines Location of Well and Septic System ❑ <br /> Agricultural Homesile Form ❑ Adjoining Property Owners Names on Map <br /> Excavations <br /> Reclamation Plan and Schedule ❑ Financial Guarantee p <br /> L <br /> Cross-sectlens ❑ Elevation Calculation Schedule ❑r's Stamped By: C1 _/L- <br /> Dole: J `� j 9 <br /> appcntr.rm3-18-91 <br />
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