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SU0010912
EnvironmentalHealth
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2600 - Land Use Program
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PA-1600119
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SU0010912
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Entry Properties
Last modified
5/7/2020 11:34:50 AM
Creation date
9/6/2019 10:09:49 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0010912
PE
2622
FACILITY_NAME
PA-1600119
STREET_NUMBER
19099
Direction
E
STREET_NAME
MEHRTEN
STREET_TYPE
RD
City
CLEMENTS
Zip
95227-
APN
02302005
ENTERED_DATE
5/16/2016 12:00:00 AM
SITE_LOCATION
19099 E MEHRTEN RD
RECEIVED_DATE
5/16/2016 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\M\MEHRTEN\19099\PA-1600119\SU0010912\APPL.PDF \MIGRATIONS\M\MEHRTEN\19099\PA-1600119\SU0010912\EHD COND.PDF \MIGRATIONS\M\MEHRTEN\19099\PA-1600119\SU0010912\CVRWQCB COMMENTS.PDF \MIGRATIONS\M\MEHRTEN\19099\PA-1600119\SU0010912\EHD PERM.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: SU0010912 <br /> DATE RECEIVED by EUD: May 16,2016 APPL#: PA-1600119 <br /> Referral Agency STAFF CONTACT: MEGAN E AGUIRRE PE : 2622 <br /> SUBDIVISON-MINOR(MS) <br /> COMPLETE& SUBMIT BY: Tue, June 7, 2016 <br /> Assigned to : EE0005944 ESCOTTO <br /> SITE ADDRESS: 19099 E MEHRTEN RD, CLEMENTS APN : 02302005 <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: <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: _FcE/dE>�lc3c�: LE�1G1d LZG , "�1� <br /> c�Ilsr1� ��.1 L�4-< fiZ) <br /> Z sus <br /> �Lr�—�Z- COt/�9J.us A-IlF�i!�7t/G'c /.�s7sr'�A-�3'7G..S`t57c3�J ' mil oil E3Z�c.d�zc. /s <br /> A1cr'iti.�.�dLZ�Ys � ,�/�D225'C�zZHc=/�,42t.�z-�cr�CszS/a— �,r/�r�ryl, <br /> 6F*S 4d/ z At-x--'A -4-Rore�A4AD m 7 !�T <br /> I recommend: Approval12 <br /> Denial Continuance In' or: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> 1 <br /> / <br /> V\-C° <br /> k 1\ Ll'. 1 Cad r� .w 11 1 �L(r�+�U� 04'" 5-1 -3116 k i � (n 5 (Xevv c C rtzucl <br /> (3 1 It ° u�o - fi59 - _ �t�r c�toc��c�+� E `er <br /> Z'.>Z. 4,1A CZ ' <br /> Ll (or) Sail 2—"JP�j Siff�vI <br /> til M 1 lb <br /> S 0Nom— Y.i SF W`l C-C-S L O K <br /> SUPERVISOR/LEAD SENIOR Approval: ILYDate: <br /> OA 11 Check Off List: Proofread Report'? qmwCorrect LAND USE <br /> Correct CONDITIONS)7Logged in LAND USE Book? <br /> EH 06 06 Report#7201 May 16.2016 <br />
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