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SU0011955
EnvironmentalHealth
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PA-1800209
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SU0011955
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Last modified
7/1/2020 1:01:18 PM
Creation date
9/6/2019 9:58:17 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0011955
PE
2690
FACILITY_NAME
PA-1800209
STREET_NUMBER
32402
Direction
N
STREET_NAME
MACKVILLE
STREET_TYPE
RD
City
CLEMENTS
Zip
95227-
APN
00916004, 00916007
ENTERED_DATE
9/19/2018 12:00:00 AM
SITE_LOCATION
32402 N MACKVILLE RD
RECEIVED_DATE
9/17/2018 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
TSok
Supplemental fields
FilePath
\MIGRATIONS\M\MACKVILLE\32402\PA-1800209\SU0011955\APPL.PDF \MIGRATIONS\M\MACKVILLE\32402\PA-1800209\SU0011955\CDD OK.PDF \MIGRATIONS\M\MACKVILLE\32402\PA-1800209\SU0011955\EH COND.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: SU0011955 <br /> DATE RECEIVED by EHD: September 17,2018 APPL#: PA-1800209 <br /> Referral Agency STAFF CONTACT FRANK GIRARDI PE : 2690 <br /> LOT LINE ADJUSTMENT(LA) <br /> COMPLETE&SUBMIT BY: Fri, September 21, 2018 <br /> Assig d to : EE0009488 WONG <br /> SITE ADDRESS: 32402 N MACKVILLE RD, CLEMENTS ' (? APN : 00916004, 0916007 <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 sho<"i� p ulation <br /> density, location of house, wind directi n, etc.... ,�" , ma cw, <br /> Public Water: j-1 Public Sewer: <br /> Name of Purveyor e of S em O �� (r <br /> SUMMARY OR COMMENTS-.X ® 5 <br /> L �- t � >�✓ r✓rr r- �- � i � wu <br /> i1 G <br /> I recommend: ApprovalP— Denial ❑ Continuance El Inspector: <br /> Signatur <br /> Supervisor/Lead Senior COMMENTS: <br /> 7 <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> OA 11 Check Off List: Proofread Report? v Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 September 19,2018 <br />
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