My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
SU0004371
EnvironmentalHealth
>
EHD Program Facility Records by Street Name
>
B
>
BETHANY
>
12105
>
2600 - Land Use Program
>
PA-0200081
>
SU0004371
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
5/7/2020 11:30:44 AM
Creation date
9/4/2019 10:20:59 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0004371
PE
2632
FACILITY_NAME
PA-0200081
STREET_NUMBER
12105
Direction
W
STREET_NAME
BETHANY
STREET_TYPE
RD
City
TRACY
ENTERED_DATE
5/17/2004 12:00:00 AM
SITE_LOCATION
12105 W BETHANY RD
RECEIVED_DATE
3/12/2002 12:00:00 AM
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\B\BETHANY\12105\PA-0200081\SU0004371\APPL.PDF \MIGRATIONS\B\BETHANY\12105\PA-0200081\SU0004371\CDD OK.PDF \MIGRATIONS\B\BETHANY\12105\PA-0200081\SU0004371\EH COND.PDF \MIGRATIONS\B\BETHANY\12105\PA-0200081\SU0004371\EH PERM.PDF
Tags
EHD - Public
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
20
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
NOTE: PULL ALL PERIL S (SEPTIC, WELL, ETC...) KE COPIES FOR FILE <br /> LAND USE REPORT APP# P�-- r�• - ?S [_� ,�_ <br /> EHD RECEIVED APP_REFERRAL. �J 2 COMPLETE & SUBMIT BY_ <br /> DATE �} DATE <br /> ATTN: rr <br /> SITE ADDRESS: O S <br /> 01 <br /> In completing the Land Use investigation,draw all Public Health factors on the exhibit(i.e.: sewage disposal, <br /> water supplies, etc...). Where necessary, on an attached piece of plain paper, draw completed map of area <br /> showing population density, location of house, wind direction, etc.... <br /> Public water: Public sewage: <br /> SUMMARY OR COMMENTS: <br /> Jv- <br /> I recommend: Approval Denial Continuance Inspector's Signature <br /> 9c*�c$cic*k�'cds:E aF kik�k�E�kxit it it�c 9e�r�e xde de kie 3c�c�F*�c:Eic*�F do do 9c�9r 9c�'c$t9:��c 4t��:*�e9:�F�e�c aF�e ae ie ie is it 9c is is�c kik�c do aF�c��r�'t 9t�e�e 4e ie�exxdr�c is�r <br /> Supervisor/Lead Senior Comments: <br /> � y <br /> P <br /> SUPERVISORILEAD SENIOR APPROVAL: <br /> OAYI CHEek OFFLIST� ����P +`Proofread report? Correct LAND USE#9 <br /> EH 06 06 Rev 1199 q ' � � .Correet CONDITION{S) Logged in`LAND USE BOOM <br /> " <br />
The URL can be used to link to this page
Your browser does not support the video tag.