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SU0009456
EnvironmentalHealth
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2600 - Land Use Program
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PA-1200250
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SU0009456
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Entry Properties
Last modified
11/2/2020 2:41:57 PM
Creation date
9/6/2019 10:16:53 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0009456
PE
2690
FACILITY_NAME
PA-1200250
STREET_NUMBER
0
STREET_NAME
MOUNTAIN HOUSE
STREET_TYPE
PKWY
City
MOUNTAIN HOUSE
ENTERED_DATE
12/26/2012 12:00:00 AM
SITE_LOCATION
MOUNTAIN HOUSE PKWY
RECEIVED_DATE
12/21/2012 12:00:00 AM
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
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SJGOV\wng
Supplemental fields
FilePath
\MIGRATIONS\M\MOUNTAIN HOUSE PKWY\0\PA-1200250\SU0009456\CDD OK.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: SU0009456 <br /> DATE RECEIVED by ERD: December 21,2012 APPL#: PA-1200250 <br /> Referral Agency STAFF CONTACT: CORINNE E KING PE : 2690 <br /> p LOT LINE ADJUSTMENT(LA) <br /> COMPLETE&SUBMIT BY <br /> �_RY' <br /> �1"t Assigned to: EE0004045 TASIOPOULOS <br /> SITE ADDRESS: MOUNTAIN HOUSE PKWY,MOUNTAIN HOUSE APN: 25637005 07 08 091013 14 15 <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: 71 <br /> ale <br /> Name of Purveyor / Name of System <br /> SUMMARY OR COMMENTS: ��y <br /> r <br /> v <br /> [ recommend: Approval Denial Continuance Inspector: <br /> ature <br /> Supervisor/Lead Senior COMMENTS412 : <br /> -oto <br /> SUPERVISOR/LEAD SENIOR Approval: Date: 1 Z /L <br /> OA 11 Check OH List: Proofread Report? s Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book'? <br /> :1106 00 R,["'!I•I" U7 <br /> December 26,2012 <br />
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