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SU0004553
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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2600 - Land Use Program
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ZR-01-02
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SU0004553
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Entry Properties
Last modified
5/7/2020 11:30:54 AM
Creation date
9/5/2019 11:19:45 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0004553
PE
2665
FACILITY_NAME
ZR-01-02
STREET_NUMBER
37
Direction
W
STREET_NAME
HURD
STREET_TYPE
RD
City
FRENCH CAMP
APN
19317029
ENTERED_DATE
7/13/2004 12:00:00 AM
SITE_LOCATION
37 W HURD RD
RECEIVED_DATE
12/14/2001 12:00:00 AM
P_LOCATION
99
P_DISTRICT
001
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\H\HURD\37\ZR-01-02\SU0004553\APPL.PDF \MIGRATIONS\H\HURD\37\ZR-01-02\SU0004553\CDD OK.PDF \MIGRATIONS\H\HURD\37\ZR-01-02\SU0004553\EH COND.PDF
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EHD - Public
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NOTE: PULL ALL PERI<,..3 (SEPTIC, WELL, ETC...) YE COPIES FOR FILE `- p <br /> LAND USE REPORT APP# <br /> EIID RECEIVED APP.REFERRAL: <br /> 12-IqA COMPLETE & SUBMIT BY <br /> DATE DATE 1�3 <br /> ATTN: <br /> SITE ADDRESS: <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 /> /IQ.r� 0-4 Gi g <br /> I recommend: Approval `' Denial Continuance Inspector's Signature <br /> Supervisor/Lead Senior Comments: <br /> �nev� on <br /> SUPERVISOR/LEAD SENIOR APPROVAL: �- <br /> OA II CHECK OFF LIST., Proofread report? Correct LAND USE#? <br /> EH 06 00 Rev 1/99 Correct CONDITION(3)? Logged in LAND USE BOOK? <br />
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