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SU0006254
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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2600 - Land Use Program
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SU0006254
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Last modified
1/16/2020 3:43:59 PM
Creation date
9/5/2019 10:46:51 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0006254
PE
2691
FACILITY_NAME
PA-0600364
STREET_NUMBER
20058
Direction
W
STREET_NAME
GRANT LINE
STREET_TYPE
RD
City
MOUNTAIN HOUSE
APN
20907026
ENTERED_DATE
9/15/2006 12:00:00 AM
SITE_LOCATION
20058 W GRANT LINE RD
RECEIVED_DATE
9/12/2006 12:00:00 AM
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
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SJGOV\wng
Supplemental fields
FilePath
\MIGRATIONS\G\GRANT LINE\20058\PA-0600364\SU0006254\CDD OK.PDF
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EHD - Public
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NOTE. PULL ALL�,,,;WTS (Septic, Well, etc.) MAKE a7PIE3 FOR FILE <br /> LAND USE REPORT RECORD ID: SU0006254 <br /> DATE RECEIVED by EHD: September 12,2006 APPL#: PA-0600364 <br /> Referral Agency STAFF CONTACT: CHANDLER MARTIN PE : 2691 <br /> -IGXAMENDMENT 10+acres(GP) <br /> COMPLETE& SUBMIT BY: Fri, September 22, 2006 <br /> Assigned to : EE0000321 OLIVEIRA <br /> SITE ADDRESS: 20058 W GRANTLINE RD, MOUNTAIN HOUSE APN : 20907026 <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 /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> I recommend: Approval z Denial Continuance F-1 Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> �.:,, <br /> fit IF, Off L1st arrest 1 QNB USE# <br /> 4 Gt1A1TIO ' Lo ed'tn L=t� 1SE3 01:1 �" <br /> EH 06 06 Report 87201 September 15,2006 <br />
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