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SU0011682
EnvironmentalHealth
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2600 - Land Use Program
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SU0011682
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Entry Properties
Last modified
5/7/2020 11:35:20 AM
Creation date
9/4/2019 9:57:59 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0011682
PE
2656
FACILITY_NAME
PA-0900094
STREET_NUMBER
18921
Direction
N
STREET_NAME
ATKINS
STREET_TYPE
RD
City
LODI
Zip
95240-
APN
01914040
ENTERED_DATE
2/27/2018 12:00:00 AM
SITE_LOCATION
18921 N ATKINS RD
RECEIVED_DATE
2/27/2018 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
TSok
Supplemental fields
FilePath
\MIGRATIONS\A\ATKINS\18921\PA-0900094\SU0011682\APPL.PDF \MIGRATIONS\A\ATKINS\18921\PA-0900094\SU0011682\EHD COND.PDF
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EHD - Public
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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0011682 <br /> DATE RECEIVED by EHD: February27,2018 APPL#: PA-0900094 <br /> Referral Agency STAFF CONTACT GIUSEPPE SANFILIPPO PE : 2656 <br /> REVISIONS TO ACTIONS (RA) <br /> COMPLETE& SUBMIT BY: Wed, March 14, 2018 <br /> Assigned to : EE0009488 WONG <br /> SITE ADDRESS: 18921 N ATKINS RD, LODI APN: 01914040 <br /> In completing the Land Use investigation, draw all Public Health factors on the exhibit (i.e., sewage disposal, water <br /> supplies, etc...). Where necessary, on an attached piece of plain paper, draw complete map of area showing population <br /> density, location of house, wind direction, etc.... <br /> Public Water: Public Sewer: <br /> Name of Purveyor /\l �/ Name of System <br /> SUMMARY OR COMMENTS: �y4 CSY! DO6Go(�(T�y/ 0"1 uN I AS S <br /> CZf n aAA I je � I " 10 C.vw�jL A ;l <br /> 1 !1Itki00 74 <br /> C2 I <br /> q� 9 <br /> � Z Zia 20 15 C tlo-1 (opV� 'olL00P " homw (PCFV-, <br /> :3/7;- /IQ HP r2SP0r\-dd fa 21101lq a S C to-., <br /> 1 i �t I -{ �C <br /> I recommend: Approval enial Li C ntinuance Inspector: <br /> t`J /� Al/ pal ) ( (j-4�('ti/� t C 5� /r� Snature <br /> uoervlsor/Lea Senior COMMENTS: V / <br /> 2 r 0-f Uce 1A coy <br /> Z 21 <br /> v� w w rM . <br /> 0. 0 4—' A5 -- ccC {—�� — i ✓� Z6 ? <br /> S fJ� 4✓� <br /> (2-F&— pro G YUP 1 t1 <br /> SUPERVISOR/ LEAD SENIOR Approval: Date: <br /> A 11 h ck ff Li : Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 February 27,2018 <br />
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