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SU0011771
EnvironmentalHealth
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2600 - Land Use Program
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SU0011771
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Last modified
5/7/2020 11:35:25 AM
Creation date
9/6/2019 10:04:25 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0011771
PE
2691
FACILITY_NAME
PA-1800068
STREET_NUMBER
11293
Direction
S
STREET_NAME
MANTHEY
STREET_TYPE
RD
City
LATHROP
Zip
95330-
APN
19125014
ENTERED_DATE
4/25/2018 12:00:00 AM
SITE_LOCATION
11293 S MANTHEY RD
RECEIVED_DATE
4/20/2018 12:00:00 AM
P_LOCATION
99
P_DISTRICT
003
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\M\MANTHEY\11293\PA-1800068\SU0011771\APPL.PDF \MIGRATIONS\M\MANTHEY\11293\PA-1800068\SU0011771\EHD 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: SU0011771 <br /> DATE RECEIVED by EHD: April20,2018 APPL#: PA-1800068 <br /> Referral Agency STAFF CONTACT. MEGAN AGUIRRE PE : 2691 <br /> GP AMENDMENT 10+acres(GP) <br /> COMPLETE&SUBMIT BY: Wed, May 2, 2018 <br /> Assigned to : EE0000034 AHMED <br /> SITE ADDRESS: 11293 S MANTHEY RD,LATHROP APN : 19125014 <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: A" <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> 06 <br /> I recommend: Approval ElDenial Continuance 0 Inspector: <br /> Signature <br /> Sunervisor/Lead Senior COMMENTS: <br /> D <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> A II heck ff List" Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 April 25,2018 <br />
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