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SU0008248
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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ESCALON BELLOTA
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1921
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2600 - Land Use Program
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PA-1000094
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SU0008248
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Entry Properties
Last modified
5/7/2020 11:33:25 AM
Creation date
9/4/2019 6:08:36 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0008248
PE
2622
FACILITY_NAME
PA-1000094
STREET_NUMBER
1921
Direction
N
STREET_NAME
ESCALON BELLOTA
STREET_TYPE
RD
City
LINDEN
APN
09314006
ENTERED_DATE
5/10/2010 12:00:00 AM
SITE_LOCATION
1921 N ESCALON BELLOTA RD
RECEIVED_DATE
5/7/2010 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\E\ESCALON BELLOTA\1921\PA-1000094\SU0008248\APPL.PDF \MIGRATIONS\E\ESCALON BELLOTA\1921\PA-1000094\SU0008248\CDD OK.PDF \MIGRATIONS\E\ESCALON BELLOTA\1921\PA-1000094\SU0008248\EH COND.PDF
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EHD - Public
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NOTE: PULL ALL" <br /> ,,�,RMITS (Septic, Well, etc.) MAKE IES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0008248 <br /> DATE RECEIVED by EHD: May 07,2010 APPL#: PA-1000094 <br /> Referral Agency STAFF CONTACT: KEVIN SWANSON PE : 2622 <br /> COMPLETE&SUBMIT BY: Tue June 1, 2010 SUBDIVISON-MINOR(MS) <br /> Assigned to : EE0004045 TASIOPOULOS <br /> SITE ADDRESS: 1921 N ESCALON BELLOTA RD,LINDEN APN: 09314006 <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 /> SUMMARY OR COMMENTS:Name of Purveyor Name of System <br /> Zsa <br /> ' <br /> b 65_5'c-. i1�L f <br /> lJ� <br /> t recommend: Approval �' Denial Continuance ❑ Inspector - <br /> Supervisor/Lead Senior COMMENTS• Signature <br /> 1 z. <br /> C9 G n qA'U <br /> CJ t <br /> O 1 <br /> SUPERVISOR/LEAD SENIOR Approval: y Date: <br /> OA Il qt'VA CheckDtf LiSft'robfread ReporC� � „ ~'� <br /> e... • �3.,' s 3%`k. e.p .�y°. ..-,. .r g' "a;H;v ' , a-' t �`tS37'k,' U <br /> uz ,;'- .,CO,11;eC C©N3ITIt7N <br /> EH 06 06 Report#7201 <br /> May 10,20[0 <br />
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