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SU0006062
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-0600294
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SU0006062
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Entry Properties
Last modified
5/7/2020 11:32:04 AM
Creation date
9/6/2019 10:38:41 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0006062
PE
2690
FACILITY_NAME
PA-0600294
STREET_NUMBER
17519
Direction
N
STREET_NAME
KENNISON
STREET_TYPE
LN
City
LODI
APN
04913024
ENTERED_DATE
5/31/2006 12:00:00 AM
SITE_LOCATION
17519 N KENNISON LN
RECEIVED_DATE
5/30/2006 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\K\KENNISON\17519\PA-0600294\SU0006062\APPL.PDF \MIGRATIONS\K\KENNISON\17519\PA-0600294\SU0006062\CDD OK.PDF \MIGRATIONS\K\KENNISON\17519\PA-0600294\SU0006062\EH COND.PDF \MIGRATIONS\K\KENNISON\17519\PA-0600294\SU0006062\EH PERM.PDF
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EHD - Public
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s. <br /> NOTE; PULL ALL-P-RMITS (Septic, Well, etc.) MAKE PIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0006062 <br /> w <br /> DATE RECEIVED by EHD: May 30,2006 APPL#: PA-0600294 <br /> Referral Agency STAFF CONTACT: KARLA KUHL PE: 2690 <br /> LOT LINE ADJUS'T'MENT(LA) <br /> COMPLETE&SUBMIT BY: PV— A !Q Assigned to. EE0005366 MEDINA <br /> E SITE ADDRESS: 17519 N KENNISON LN, LODI APN: 04913024 <br /> k <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.... _r <br /> Public Water: � Public Sewer: <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: �� � �r ✓i �lL <br /> 1 <br /> I recommend: Approval Denial Continuance ❑ Inspe tor; <br /> 9 Signat re <br /> Supervisor/Lead Senior COMMENTS: <br /> ozo <br /> f <br /> i <br /> i <br /> s <br /> s <br /> 3 <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> A <br /> Y , T <br /> �t7;4"�'l�C•�`�r�#feL � .�� , e���` <br /> . ,xE C�irreetC] >1 .1� Pa °E ed a <br /> ` 11 <br /> 4 EH 06 06 Report#7201 May 31,2006 <br />
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