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SU0015055
Environmental Health - Public
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EHD Program Facility Records by Street Name
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2600 - Land Use Program
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PA-2200136
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SU0015055
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Last modified
12/18/2023 10:12:52 AM
Creation date
7/22/2022 9:25:26 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0015055
PE
2632
FACILITY_NAME
PA-2200136
STREET_NUMBER
12887
Direction
E
STREET_NAME
BLOSSOM
STREET_TYPE
CT
City
LOCKEFORD
Zip
95237-
APN
05131049, -50
ENTERED_DATE
7/21/2022 12:00:00 AM
SITE_LOCATION
12887 E BLOSSOM CT
RECEIVED_DATE
11/3/2023 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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SJGOV\gmartinez
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EHD - Public
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SAN JOAQUIN COMMUNITY DEVELOPMENT DEPARTMENT <br /> ADMINISTRATIVE <br /> - COUNTY - /C ONDITI N L <br /> O A USE PERMIT <br /> FILE NUMBER : <br /> SERVICES <br /> Water <br /> Service Provider : Will Serve Letter Provided <br /> Public 0 Distance to <br /> Lockeford CSD 0 Public Water : ( E ) Stub on site <br /> Private <br /> ❑ Existing Well New Well Well Replacement <br /> ❑ ❑ ❑ <br /> Wastewater Disposal <br /> Service Provider : Will Serve Letter Provided <br /> Public � Distance to <br /> Lockeford CSD 0 Public Sewer: ( E ) Stub on site <br /> ❑ Existing Septic System New Septic System Septic System Replacement <br /> Private <br /> ❑ ❑ ❑ <br /> Description of process wastewater : Volume of process Method of disposal : <br /> If the project will result in wastewater : <br /> process wastewater provide <br /> the following information : <br /> Storm Drainage <br /> Service Provider : Will Serve Letter Provided Distance to <br /> Public CSA52 <br /> 52 Public Storm ( E ) Stub on site <br /> /`1 Drain : <br /> ElExisting On -site Retention Pond New On -site Retention Pond Natural Drainage <br /> Private <br /> ❑ ❑ ❑ <br /> Other Public Services <br /> School Service Fire Protection Service <br /> Service Provider Distance to Service Provider Distance to <br /> Lodi Unified School District School : 1 . 1 Miles Mokelumne Fire District Fire Station : 0 . 6 Miles <br /> Page 3 of 6 <br /> 03/28/2023 <br />
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