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SU0009458
EnvironmentalHealth
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2600 - Land Use Program
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PA-1200252
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SU0009458
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Entry Properties
Last modified
11/2/2020 2:39:22 PM
Creation date
9/6/2019 10:16:57 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0009458
PE
2690
FACILITY_NAME
PA-1200252
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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Supplemental fields
FilePath
\MIGRATIONS\M\MOUNTAIN HOUSE PKWY\0\PA-1200252\SU0009458\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: SU0009458 <br /> DATE RECEIVED by EHD: December 21,2012 APPL#: PA-1200252 <br /> Referral Agency STAFF CONTACT: CORINNE KING PE : 2690 <br /> COMPLETE&SUBMIT BY: LOT LINE ADJUSTMENT(LA) <br /> . Assigned to: EE0004045 TASIOPOULOS <br /> SITE ADDRESS: MOUNTAIN HOUSE PKWY,MOUNTAIN HOUSE APN: 25637005 07 08 09 10 13 14 15 <br /> 116 111F is 119 23 24 25 <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 /> ame of Purveyor Name of System <br /> SUMMARY ORCOMMEN S: �L 12,7 /1Z Z,;;,4 <br /> z�6 <br /> 1 recommend: Approval �_ Denial El Continuance El Inspector <br /> S' re <br /> Supervisor/Lead Senior COMMENTS: <br /> ISI <br /> z <br /> SUPERVISOR/LEAD SENIOR Approval: �� — - -_� �= Date: <br /> OA it Check Off List: Proofread Report? >.__. Correct LAND USE <br /> Correct CONDITION(S)? Lugged in LAND USE Book? <br /> EH 06 06 Report#7201 <br /> December 26,2012 <br />
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