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SU0003522
EnvironmentalHealth
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2600 - Land Use Program
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PA-0300142
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SU0003522
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Entry Properties
Last modified
11/21/2019 4:35:08 PM
Creation date
9/4/2019 11:03:55 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0003522
PE
2690
FACILITY_NAME
PA-0300142
STREET_NUMBER
29201
Direction
E
STREET_NAME
CARTER
STREET_TYPE
RD
City
FARMINGTON
ENTERED_DATE
5/3/2004 12:00:00 AM
SITE_LOCATION
29201 E CARTER RD
RECEIVED_DATE
4/17/2003 12:00:00 AM
QC Status
Approved
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Supplemental fields
FilePath
\MIGRATIONS\C\CARTER\29201\PA-0300142\SU0003522\CDD OK.PDF
Tags
EHD - Public
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NOTE: PULL ALL PERKS (SEPTIC, WELL, ETC...) Ni-AKE COPIES FOR FILE <br /> LAND USE REPORT APP#_ - <br /> EHD RECEIVED APP.REFERRAL: 1-7/0.3 COMPLETE & SUBMIT BY ASA - Y, <br /> DAT DATE I <br /> ATTN: <br /> SITE ADDRESS: D- laz/ � 1, (2,6LT?,z <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 /> i <br /> All <br /> I <br /> I <br /> i <br /> I <br /> i <br /> i <br /> P <br /> I recommend: Approval Denial Continuance Inspector's Si <br /> �tx>rx�e�lc�k�rdciticic�'c:h�cic�cdcdc$e�k�F�9e�ekdr�e�c�cxkicicisdc�k$r�xxielcdeiedririricic�cx�cx�kd:�Edcdc>e9ex9ex�e�'cdc ic3ckic�c �c�eirirxicncir:c!rvE�rit�k�k <br /> Supervisor/Lead Senior Comments: <br /> I <br /> I <br /> SUPERVISOR/LEAD SENIN�,APPROVAL: <br /> 71A Il CHECK OFF LLYT: : Proofread report Correct LAND <br /> k K. <br /> EH 06 06 Rev 1199 <br /> Correct CONDITION(S)? we in LAND USE BOOK? <br />
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