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SU0011128
EnvironmentalHealth
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SU0011128
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Last modified
10/26/2020 6:23:01 PM
Creation date
9/5/2019 11:18:33 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0011128
PE
2690
FACILITY_NAME
PA-1600109
STREET_NUMBER
500
Direction
N
STREET_NAME
HOLT
STREET_TYPE
RD
City
STOCKTON
Zip
95206-
APN
13122018
ENTERED_DATE
11/21/2016 12:00:00 AM
SITE_LOCATION
500 N HOLT RD
RECEIVED_DATE
11/18/2016 12:00:00 AM
P_LOCATION
99
P_DISTRICT
003
QC Status
Approved
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SJGOV\wng
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FilePath
\MIGRATIONS\H\HOUSE\7867\PA-1600109 (1)\SU0011128\MISC.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: SU0011128 <br /> DATE RECEIVED by EHD: November I8,2016 APPL#: PA-1600109 <br /> Referral Age cy TAFF CONTACT: MEGAN E AGUIRRE PE : 2690 <br /> ^` / LOT LINE ADJUSTMENT(LA) <br /> COI L 1: Fri, November 25, 2016 <br /> u ' Assigned to : EE0005944 ESCOTTO <br /> SITE ADDRESS: 500 N HOLT RD, STOCKTON APN : 13122018 <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 /> /�``1� ,4 41f 2ecZ t<j inti✓L1 /7�3si]r3vcc`tr/i�H y �.��L t 7�L 5�1s7�Yj <br /> "I'Wae-zI//r Z-f7 t9 <br /> lit?i oL I-aL�137�l�5/rc� �/ •�s✓1� �] <br /> 22 ' <br /> I recommend: ApprovalDenial Continuance Inspector: <br /> Signature <br /> Su ervisor/Lead Senior COMMENTS: <br /> o6 . W <br /> Z i ZoG� <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> A 11 Check Off I i : Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 November 21,2016 <br />
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