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SU0001312
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-99-48
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SU0001312
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Entry Properties
Last modified
5/7/2020 11:28:37 AM
Creation date
9/5/2019 10:54:37 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0001312
PE
2690
FACILITY_NAME
LA-99-48
STREET_NUMBER
11243
Direction
N
STREET_NAME
HAM
STREET_TYPE
LN
City
LODI
Zip
95240
ENTERED_DATE
10/18/2001 12:00:00 AM
SITE_LOCATION
11243 N HAM LN
RECEIVED_DATE
8/13/1999 12:00:00 AM
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\H\HAM\11243\LA-99-48\SU0001312\APPL.PDF \MIGRATIONS\H\HAM\11243\LA-99-48\SU0001312\CDD OK.PDF \MIGRATIONS\H\HAM\11243\LA-99-48\SU0001312\EH COND.PDF \MIGRATIONS\H\HAM\11243\LA-99-48\SU0001312\EH PERM.PDF
Tags
EHD - Public
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NOTE: PULL ALL PERMITS (SEPTIC, WELL, ETC...) MAKE COPIES FOR FILE <br /> LAND USE REPORT APP-4 <br /> QQ SEHD RECEIVED APP.REFERRAL: v COMPLETE& SUBMIT BY 4SIJ 1 , el- <br /> DATE f <br /> DAT ,� ) f DATE <br /> ATTN: I !r1 A fN�.f 10 <br /> SITE ADDRESS: 1 a �1.� >� . 66th--L-Ade � <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 /> y ub <br /> I recommend: Approvaly Denial Continuance Inspector's Signa re &1' <br /> Supervisor/Lead Senior Comments: <br /> i <br /> SUPERVISOR/LEAD SENIOR APPROVAL: <br /> OA,11 CHECK O�'F LIST: Proofread report? Correct LAND USE#?':; <br /> Ell 06 06 Rev 1199 <br /> 1/ Correct CONDITIONM?'Fogged in LAND USE BOOK?. <br />
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