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SU0001289
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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HANSEN
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2600 - Land Use Program
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LA-00-27
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SU0001289
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Entry Properties
Last modified
5/7/2020 11:28:36 AM
Creation date
9/5/2019 10:55:59 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0001289
PE
2690
FACILITY_NAME
LA-00-27
STREET_NUMBER
21222
STREET_NAME
HANSEN
STREET_TYPE
RD
City
TRACY
ENTERED_DATE
10/18/2001 12:00:00 AM
SITE_LOCATION
21222 HANSEN RD
RECEIVED_DATE
4/11/2000 12:00:00 AM
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\H\HANSEN\21222\LA-00-27\SU0001289\APPL.PDF \MIGRATIONS\H\HANSEN\21222\LA-00-27\SU0001289\CDD OK.PDF \MIGRATIONS\H\HANSEN\21222\LA-00-27\SU0001289\EH COND.PDF \MIGRATIONS\H\HANSEN\21222\LA-00-27\SU0001289\EH TRACK LOG.PDF
Tags
EHD - Public
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NOTE: PULL ALL PERMITS (SEPTIC, WELL, ETC...) MAKE COPIES FOR FILE <br /> LAND USE REPORT APP# LA--(DQ—a13 e-100 <br /> 7 <br /> EHD RECEIVED APP.REFERRAL: i/" COMPLETE & SUBMIT BY�,4 6MP '4 <br /> DATE DATE <br /> ATTN: ?yr_[1Gt_- ��.�.h r I's l <br /> SITE ADDRESS: --- oZ 1 a a a /t Je 2 d 7—v-G c. j <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 /> D VZ <br /> I recommend: Approval Denial Continuance Inspector's Signature <br /> Supervisor/Lead Senior Comments: <br /> SUPERVISOR/LEAD SENIOR APPROVAL: <br /> EH 06 06 Rev 1199 � �m Co F CONDTTI01V�5')_P�F? Lngg I:.4ND C SEBOQK� <br />
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