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SU0012455
EnvironmentalHealth
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2600 - Land Use Program
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PA-1900160
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SU0012455
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Entry Properties
Last modified
5/7/2020 11:35:46 AM
Creation date
9/6/2019 10:06:29 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0012455
PE
2690
FACILITY_NAME
PA-1900160
STREET_NUMBER
9335
Direction
S
STREET_NAME
MANTHEY
STREET_TYPE
RD
City
FRENCH CAMP
Zip
95231-
APN
19323012, 19323013
ENTERED_DATE
7/23/2019 12:00:00 AM
SITE_LOCATION
9335 S MANTHEY RD
RECEIVED_DATE
8/12/2019 12:00:00 AM
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
Scanner
TSok
Supplemental fields
FilePath
\MIGRATIONS\M\MANTHEY\9335\PA-1900160\SU0012455\APPL.PDF
Tags
EHD - Public
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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0012455 <br /> DATE RECEIVED by EHD: August 12,2019 APPL#: PA-1900160 <br /> Referral Agency STAFF CONTACT. TEDDIE HERNANDEZ PE : 2690 <br /> LOT LINE ADJUSTMENT(LA) <br /> COMPLETE&SUBMIT BY: Fri, August 16, 2019 <br /> Assigned to : EE0007380 SHIN <br /> SITE ADDRESS: 9335 S MANTHEY RD, FRENCH CAMP APN : 19323012, 19323013 <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: yo, Public Sewer: <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: .,S y e pP otN EHD Z <br /> 40V Pard( t4i - Z1- 013-. p4e,tl j4 OJ 193- 2-3-oiz '—dMds <br /> for "Jti"? 4 Q✓` �(a,<i� 64 is Aa i 2 rel/lh r (5r Q- ?L11 1, <br /> J�ui�tl N /y3- 25-a/3 .G�r ..�lz� .ga�,/^�✓f arlsouk�c+l� W,;"i- <br /> �Au ✓nG 6/� �a'�C ,,,.� q.y�Nf <br /> lj�p//�`�LK.. t ♦•a/.+il- /,bAopc n„nn ber Iv1 6/e `60 icl� -y�+J►Yb. h�. d td <br /> I recommend: Approval Denial Continuance Inspector:. <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> A II h k Off List: Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 August 13,2019 <br />
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