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SU0015828
Environmental Health - Public
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EHD Program Facility Records by Street Name
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12 (STATE ROUTE 12)
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9211
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2600 - Land Use Program
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PA-2300201
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SU0015828
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Last modified
11/19/2024 3:48:21 PM
Creation date
11/27/2023 12:09:26 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0015828
PE
2632
FACILITY_NAME
PA-2300201
STREET_NUMBER
9211
Direction
E
STREET_NAME
STATE ROUTE 12
City
LODI
Zip
95240-
APN
05109015 & 05112089
ENTERED_DATE
9/19/2023 12:00:00 AM
SITE_LOCATION
9211 E HWY 12
RECEIVED_DATE
11/27/2023 12:00:00 AM
P_DISTRICT
004
QC Status
Approved
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SJGOV\sballwahn
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EHD - Public
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SAN JOAQUIN COMMUNITY DEVELOPMENT DEPARTMENT <br /> ADM INISTRATIVEXONDITIONAL USE PERMIT <br /> FILE NUMBER : <br /> SERVICES <br /> Water <br /> Service Provider: Will Serve Letter Provided <br /> Pubic FE Service to � <br /> San Joaquin Water Works District #2 Q Public Water: 5 <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 /> ❑ Public Sewer: <br /> Existing Septic System New Septic System Septic System Replacement <br /> Private � ❑ ❑ ❑ <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 ❑ ❑ Public Storm <br /> Drain : <br /> Existing On-site Retention Pond New Onsite Retention Pond Natural Drainage <br /> Private Q <br /> 0 501 ❑ <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 : 0 . 5 mile Mokelumne Fire District Fire Station : 3 . 3 miles <br /> Page 3 of 6 <br /> 03/2812023 <br />
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