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SU0011809
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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2600 - Land Use Program
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PA-1800134
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SU0011809
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Entry Properties
Last modified
5/7/2020 11:35:27 AM
Creation date
9/5/2019 10:41:24 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0011809
PE
2690
FACILITY_NAME
PA-1800134
STREET_NUMBER
7600
Direction
N
STREET_NAME
GILMORE
STREET_TYPE
RD
City
LINDEN
Zip
95236-
APN
09320006
ENTERED_DATE
6/5/2018 12:00:00 AM
SITE_LOCATION
7600 N GILMORE RD
RECEIVED_DATE
6/4/2018 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\G\GILMORE\7600\PA-1800134\SU0011809\APPL.PDF \MIGRATIONS\G\GILMORE\7600\PA-1800134\SU0011809\CDD OK.PDF \MIGRATIONS\G\GILMORE\7600\PA-1800134\SU0011809\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: SUOOIIS09 <br /> DATE RECEIVED by EHD: June 04,2018 APPL#: PA-1800134 <br /> Referral Agency STAFF CONTACT RICK GRIFFIN PE : 2690 <br /> LOT LINE ADJUSTMENT(LA) <br /> COMPLETE&SUBMIT BY: Fri, June 8, 2018 <br /> Assigned to : EE0009488 WONG <br /> SITE ADDRESS: 7600 N GILMORE RD, LINDEN APN : 09320006 <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 Irection, etc.... <br /> Public Water: Public Sewer: <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: f--e(/ \j <br /> a <br /> l'ks -t re,cet <br /> 2 DL( S ar-�' . 11C4- <br /> 1 a WS <br /> t 01 S a1r ✓ I,u 'C <br /> -(br nO�CY�ery �'o <br /> I recommend: Approval ❑ Denial ❑ Continuance Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: a <br /> 0" <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> h k ff List., Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report 97201 June 05,2018 <br />
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