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SU0009457
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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2600 - Land Use Program
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PA-1200251
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SU0009457
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Entry Properties
Last modified
11/2/2020 2:24:21 PM
Creation date
9/6/2019 10:16:55 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0009457
PE
2690
FACILITY_NAME
PA-1200251
STREET_NUMBER
0
STREET_NAME
MOUNTAIN HOUSE
STREET_TYPE
PKWY
City
TRACY
ENTERED_DATE
12/26/2012 12:00:00 AM
SITE_LOCATION
MOUNTAIN HOUSE PKWY
RECEIVED_DATE
12/21/2012 12:00:00 AM
QC Status
Approved
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SJGOV\wng
Supplemental fields
FilePath
\MIGRATIONS\M\MOUNTAIN HOUSE PKWY\0\PA-1200251\SU0009457\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: SU0009457 <br /> DATE RECEIVED by EHD: December 21,2012 APPL#: PA-1200251 <br /> Referral Agency STAFF CONTACT: CORINNE E KING PE : 2690 <br /> 'b mss. <br /> COMPLETE & SUBMIT BY: LOT LINE ADJUSTMENT(LA) <br /> 0. y ° <br /> R Assigned to : EE0004045 TASIOPOULOS <br /> SITE ADDRESS: MOUNTAIN HOUSE PKWY, TRACY APN : 25637005 07 08 09 10 13 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 /> 3ensity, location of house, wind direction, etc.... <br /> Public Water: yu Public Sewer: <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> it/7_ /LDS Y Arm <br /> I recommend: Approval11N El <br /> Denial Continuance Inspector• <br /> ry nature <br /> Supervisor/Lead Senior COMMENTS, <br /> PERV'ISOR I LEAD SENIOR .Approral: Date: <br /> OA 11 Check ON List: Proofread Report? f', Correct LAND USE#? ' <br /> Correct CONDI'FION(S)? _ Logged it)LAND USE Book'? <br /> 9H 06 06 Repon t- I December 26,2012 <br />
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