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SU0012346
EnvironmentalHealth
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SU0012346
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Entry Properties
Last modified
5/7/2020 11:35:44 AM
Creation date
9/6/2019 11:11:26 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0012346
PE
2622
FACILITY_NAME
PA-1900092
STREET_NUMBER
3858
Direction
S
STREET_NAME
MOURFIELD
STREET_TYPE
AVE
City
STOCKTON
Zip
95206-
APN
17524027
ENTERED_DATE
5/30/2019 12:00:00 AM
SITE_LOCATION
3858 S MOURFIELD AVE
RECEIVED_DATE
5/28/2019 12:00:00 AM
P_LOCATION
99
P_DISTRICT
001
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\M\MOURFIELD\3858\PA-1900092\SU0012346\APPL.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: SU0012346 <br /> DATE RECEIVED by EHD: May 28,2019 APPL#: PA-1900092 <br /> Referral Agency STAFF CONTACT PE : 2622 <br /> SUBDIVISON-MINOR(MS) <br /> COMPLETE&SUBMIT BY: Thu, June 13, 2019 <br /> Assigned to : EE0009825 AFONSKAIA <br /> SITE ADDRESS: 3858 S MOURFIELD AVE, STOCKTON APN : 17524027 <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 /> Name of Purveyor Nameof System <br /> SUMMARY OR COMMENTS: <br /> I recommend: Approval Denial ❑ Continuance ❑ Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> OA 11 Check Off List: Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 May 30,2019 <br />
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