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SU0004228
Environmental Health - Public
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EHD Program Facility Records by Street Name
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HANSEN
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2600 - Land Use Program
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PA-0300476
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SU0004228
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Entry Properties
Last modified
6/14/2022 7:06:23 PM
Creation date
6/7/2022 9:46:03 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0004228
PE
2632
FACILITY_NAME
PA-0300476
STREET_NUMBER
26820
Direction
S
STREET_NAME
HANSEN
STREET_TYPE
RD
City
TRACY
ENTERED_DATE
5/14/2004 12:00:00 AM
SITE_LOCATION
26820 S HANSEN RD
RECEIVED_DATE
9/15/2003 12:00:00 AM
QC Status
Approved
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SJGOV\sballwahn
Tags
EHD - Public
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APPLICATION CONTROL SHEET <br /> 7a ba completed by bnveltipmenl Snrv(ce slnlf _ x ::. 4: <br /> £S s f <br /> ProApp Only ❑Yes V-5-- <br /> Foo: Receipt Number: Dole: <br /> TT <br /> File Number: cl,3•—�U Fee: °� nocolpt Number: Dole: 24O <br /> Filo Nuntbar: <br /> Foo: nocolpt Number: Dale: <br /> Filo Number. <br /> Fee: nocclpl Number: Delo: <br /> Doscrlptiott of Prolact S1t4P A Form- d4)�Ca.4/t[i <br /> Lunge) pc. )){7 �e-rly c-t <br /> Project Location CDN f'l.a e, c, S'/,�k. x9^I' N1'�✓1 R Y`LOo <br /> Addross: 2 Co'6C <br /> APN(s): e)c(—23c, .2 <br /> General Plan Community: rte. General Plan Designation: <br /> Zoning Map: Pto ettY Zoning: Overlay Zono(s): <br /> nd)ocanl <br /> General Pian Zoning <br /> South: G-YD <br /> East: L �_ <br /> West: G• — S <br /> 100-Your Flood ❑ yes eNo Williamson Act ❑ Yas No Suparvlsorinl District: 5� <br /> Airport Arco: Specific Plon(s) ❑ yes ❑ No: <br /> ill tory /yf )(o Zw <br /> ....:.......... a s. . .: <br /> �`�•`` �yk:�� �? �•t;f�•,<ax , . :> :• � CHECKLIST <br /> All Applications <br /> Completed Application Forms /'f Owners'Signature/ <br /> Copy of Deed or Preliminary Title nepott• Copies of Plan or Map tl <br /> 8%'x 11'noducod Plan or Map jY Hazardous Materials Disclosure Survey/ <br /> Development Impact Mitigation Fee Form ❑ Assessor and History Pages L� <br /> Nomas List• fY Sawor/Waler'Will Servo'Letter• ❑ <br /> General Plan Map <br /> ❑ Zoning Map• ❑ <br /> Sells flaport• <br /> ❑ Soils Suitability Study• C3/ <br /> Subsidence Area ❑ Ycs 6.No Expensive Soil Aran �Yos ❑ No <br /> • These mritc Pals mny not be required for corinln nppllcntions. Chock the application type for details. <br /> Tentative Maps <br /> Map Signed by Owner ❑ Tract Number and Name(Mnjor Subs only) ❑ <br /> Adjoining Property Owners Names on Mnp ❑ <br /> All Lots Numbered ❑ <br /> Contour Lincs ❑ Location of Wall and Septic System ❑ <br /> Excavations <br /> floclmmntton Plan and Schedule <br /> ❑ Financial Guarantee ❑ <br /> Typical Cross-sections ❑ Elevation Calculation Schedule ❑ <br /> Enginocr's Stamp ❑ <br /> 777 f I Dnle: �.�9�T <br />
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