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SU0016198
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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5646
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2600 - Land Use Program
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PA-2400083
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SU0016198
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Last modified
11/19/2024 3:48:22 PM
Creation date
3/29/2024 4:29:03 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0016198
PE
2635
FACILITY_NAME
PA-2400083
STREET_NUMBER
5646
Direction
W
STREET_NAME
STATE ROUTE 12
City
LODI
Zip
95242-
APN
05516021, -45
ENTERED_DATE
3/29/2024 12:00:00 AM
SITE_LOCATION
5646 W HWY 12
RECEIVED_DATE
3/29/2024 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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tit It S A ,. <br /> COMMUNITY DEVELOPMENT DEPARTMENT <br /> JA <br /> QUIN <br /> C � ,� __ _ _ . ZONING COMPLIANCE REVIEW <br /> ::i <= r7C ;.. 01 -- PRIVATE RIGHT OF WAY <br /> FILE NUMBER : <br /> SERVICES <br /> Water <br /> Public Service Provider: Will Serve Letter Provided Distance to Public Water: <br /> Private Existing Well New Well Well Replacement <br /> ❑ ❑ <br /> Wastewater Disposal <br /> IF <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 /> If the project will result in Description of process Volume of process wastewater : Method of disposal : <br /> process wastewater proVi L e wastewater: <br /> 69 the following information : <br /> 4 IF 4r J <br /> Storm DrainageI IF <br /> Public Service Provider : Will Serve Letter Provided Distance to Public Storm Drain : <br /> F"""'I ❑ <br /> Private Existing On -site Retention Pond New On - site Retention Pond Natural Drainage <br /> o ❑ a ❑ <br /> OTHER PUBLIC SERVICES <br /> School Service : i= ire, Protection ' SerVice <br /> Service Provider Distance to School Service Provider Distance to Fire Station <br /> LODI UNIFIED 15 - 20 MILES WOODBRIDGE 1 /2 MILE <br /> Existing Roads <br /> Road Name Right- of-Way Width Pavement Width <br /> Debroggi Rd 80 feet 80 feet <br /> Page 2 of 4 <br />
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