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SU0001305
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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2600 - Land Use Program
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LA-00-07
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SU0001305
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Entry Properties
Last modified
5/7/2020 11:28:37 AM
Creation date
9/4/2019 6:39:25 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0001305
PE
2690
FACILITY_NAME
LA-00-07
STREET_NUMBER
22889
Direction
S
STREET_NAME
FREDERICK
STREET_TYPE
AVE
City
RIPON
ENTERED_DATE
10/18/2001 12:00:00 AM
SITE_LOCATION
22889 S FREDERICK AVE
RECEIVED_DATE
2/7/2000 12:00:00 AM
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\F\FREDERICK\22889\LA-00-07\SU0001305\APPL.PDF \MIGRATIONS\F\FREDERICK\22889\LA-00-07\SU0001305\CDD OK.PDF \MIGRATIONS\F\FREDERICK\22889\LA-00-07\SU0001305\EH COND.PDF \MIGRATIONS\F\FREDERICK\22889\LA-00-07\SU0001305\EH PERM.PDF
Tags
EHD - Public
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NOTE: PULL ALL PERMi fS {SEPTIC, WELL, ETC...} NrAKE COPIES FOR FILE/ <br /> ,: r <br /> w _LAND USE REPORT APP# f <br /> __ pOr? f <br /> EHD RECEIVED APP.REFERRAL: I 'OO COMPLETE & SUBMIT B -OCD <br /> DATE DATE <br /> ATTN: e,k+rnve i s4-r 0 <br /> SITE ADDRESS: a X a S ip ��i C� t1��1 vim_ _ k id2o^ <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.... 9 <br /> Public water: ^T Public sewage: w <br /> SUMMARY OR COMMENTS: <br /> I �- O / <br /> ;. 2Z,, . " hp ,��q,� ter► <br /> M Silo _-Ma,4-f h-e <br /> I recommend: Approval Denial Continuance Inspector's Signature <br /> ek��irk*ak�Fk*akkxx$ra4x*elrk�eelr�Y ek:F�F�ek�r�e9e�Fdea�e�rakde*deie$e�rie�e�ceY�r�ritir�cdr�r3eak$rix�r�r�r�¢�e�e�ci��'r�cieokit�e�'r4c�'r�F�c�'r�r�c3rfck�c �Fdedc�Eic <br /> Supervisor/Lead Senior Comments: <br /> k <br /> SUPERVISOR/LEAD SENIOR APPROVAL:, <br /> 4A 11 CHECK OF LIS 1" ,`, Pra`vfread cepa1 Garrett LFtND USE# <br /> EH 06 06 Rev 1/99 CONDITIC?N(S 7 Logged in LAND USE BUUK?g <br />
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