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SU0009047
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-1200010
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SU0009047
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Entry Properties
Last modified
12/17/2019 8:42:19 AM
Creation date
9/6/2019 10:17:07 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0009047
PE
2690
FACILITY_NAME
PA-1200010
STREET_NUMBER
19629
Direction
S
STREET_NAME
MOUNTAIN HOUSE
STREET_TYPE
PKWY
City
MOUNTAIN HOUSE
APN
20900418
ENTERED_DATE
1/30/2012 12:00:00 AM
SITE_LOCATION
19629 S MOUNTAIN HOUSE PKWY
RECEIVED_DATE
1/27/2012 12:00:00 AM
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\sballwahn
Supplemental fields
FilePath
\MIGRATIONS\M\MOUNTAIN HOUSE PKWY\19629\PA-1200010\SU0009047\CDD OK.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: S00009047 <br /> DATE RECEIVED by EHD: January 27,2012 APPL#: PA-1200010 <br /> Referral Agency STAFF CONTACT: CORINNE E KING PE : 2690 <br /> LOT LINE ADJUSTMENT(LA) <br /> COMPLETE&SUBMIT BY: <br /> ' Assigned to : EE0004045 TASIOPOULOS <br /> SITE ADDRESS: 19629 S MOUNTAIN HOUSE PKWY, MOUNTAIN APN: 20900418 <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: J Public Sewer: <br /> Name of Purveyor Name of(System 1 <br /> SUMMARY OR COMMENTS: Cr �z O ✓ISS �,lAb a r 4M <br /> ��1r�.t7letttr: �J r-.s.a-!�E✓tns 9r�S``G <br /> 66 - <br /> I recommend: Approval Denial Continuance Inspector: <br /> Si re <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> t. <br /> EH 06 06 Report#7201 <br /> January 30,2012 <br />
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