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SU0010699
EnvironmentalHealth
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SU0010699
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Last modified
5/7/2020 11:34:41 AM
Creation date
9/6/2019 10:08:19 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0010699
PE
2622
FACILITY_NAME
PA-1500230
STREET_NUMBER
4851
Direction
S
STREET_NAME
MAYBECK
STREET_TYPE
RD
City
STOCKTON
Zip
95206-
APN
13135001
ENTERED_DATE
11/25/2015 12:00:00 AM
SITE_LOCATION
4851 S MAYBECK RD
RECEIVED_DATE
11/25/2015 12:00:00 AM
P_LOCATION
99
P_DISTRICT
003
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\M\MAYBECK\4851\PA-1500230\SU0010699\APPL.PDF \MIGRATIONS\M\MAYBECK\4851\PA-1500230\SU0010699\EHD COND.PDF \MIGRATIONS\M\MAYBECK\4851\PA-1500230\SU0010699\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: SU0010699 <br /> DATE RECEIVED by EHD: November 25,2015 APPL#: PA-1500230 <br /> Referral Agency STAFF CONTACT: STEPHANIE STOWERS PE : 2622 <br /> SUBDIVISON-MINOR(MS) <br /> COMPLETE&SUBMIT BY: Wed, December 16, 2015 <br /> Assigned to: EE0004045 TASIOPOULOS <br /> SITE ADDRESS: 4851 S MAYBECK RD, STOCKTON APN: 13135001 <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 Sewed <br /> Name of Pujveyor Namnoem <br /> SUMMARY OR COMMENTS: <br /> b <br /> uwxha <br /> 11'Dh <br /> 5Dw sl., O 2— <br /> D1 D1 <br /> I recommend: Approval� Denial Continuance El Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: / <br /> (( '• I ( r�`or o �o.rba.�t� L(rt.,.� t-i'- Zvb :v <br /> 0(' o a arts I' <br /> L <br /> -f;Z% vl <br /> SUPERVISOR/LEAD SENIOR Approval: Y Date: I Z L c C <br /> OA 11 Check Off List, Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> Ell 06 06 Report 47201 November 25,2015 <br />
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