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SU0006150
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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SU0006150
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Last modified
5/7/2020 11:32:10 AM
Creation date
9/5/2019 11:17:00 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0006150
PE
2690
FACILITY_NAME
PA-0600423
STREET_NUMBER
12172
Direction
N
STREET_NAME
HIBBARD
STREET_TYPE
RD
City
LODI
Zip
95240
APN
06323014
ENTERED_DATE
8/1/2006 12:00:00 AM
SITE_LOCATION
12172 N HIBBARD RD
RECEIVED_DATE
8/1/2006 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\H\HIBBARD\12172\PA-0600423\SU0006150\APPL.PDF \MIGRATIONS\H\HIBBARD\12172\PA-0600423\SU0006150\CDD OK.PDF \MIGRATIONS\H\HIBBARD\12172\PA-0600423\SU0006150\EH COND.PDF
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EHD - Public
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NOTE: PULL ALL �-.AMITS (Septic, Well, etc.) MAKE G.J IES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0006150 <br /> DATE RECEIVED by EHD: August 01,2006 APPL#: PA-0600423 <br /> Referral Agency STAFF CONTACT: JOHN FUNDERBURG PE : 2690 <br /> LOT LINE ADJUSTMENT(LA) <br /> COMPLETE&SUBMIT BY: AbAP-BY, <br /> Assigned to : EE0005944 ESCOTTO <br /> SITE ADDRESS: 121.72 N HIBBARD RD, LODI APN : 06323014 <br /> 1 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 <br /> _ 4 <br /> I recommend: Approval Denial ❑ Continuance Inspector: <br /> el Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> I <br /> 3 <br /> r <br /> SUPERVISOR/LEAD SENIOR Approval: {( 7nDate: 2 f <br /> EH 06 06 Report#7201 August 0l,2006 <br />
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