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SU0005979
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-0600152
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SU0005979
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Entry Properties
Last modified
5/7/2020 11:31:58 AM
Creation date
9/6/2019 11:11:43 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0005979
PE
2690
FACILITY_NAME
PA-0600152
STREET_NUMBER
12112
Direction
N
STREET_NAME
MUNDY
STREET_TYPE
LN
City
LODI
APN
06112025 43
ENTERED_DATE
3/27/2006 12:00:00 AM
SITE_LOCATION
12112 N MUNDY LN
RECEIVED_DATE
3/27/2006 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\M\MUNDY\12112\PA-0600152\SU0005979\APPL.PDF \MIGRATIONS\M\MUNDY\12112\PA-0600152\SU0005979\CDD OK.PDF \MIGRATIONS\M\MUNDY\12112\PA-0600152\SU0005979\EH COND.PDF \MIGRATIONS\M\MUNDY\12112\PA-0600152\SU0005979\EH PERM.PDF
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EHD - Public
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NOTE: PULL ALL,.:RMITS (Septic, Well, etc.) MAKE,.)PIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0005979 <br /> DATE RECEIVED by EHD: March 27,2006 APPL#: PA-0600152 <br /> Referral Agency STAFF CONTACT: KEVIN SWANSON PE : 2690 <br /> /!� w LOT LINE ADJUSTMENT(LA) <br /> COMPLETE&SUBMIT BY: A- <br /> / An y <br /> ~1 If Assigned to : EE0007379 BOERTIEN <br /> SITE ADDRESS: 12112 N MUNDY LN,LODI ! APN : 06112025 43 <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: N 1} Public Sewer: to 1 R <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> /:/a - pr" ' �-p ; pt"'A DY ��vYG� U� Cil_WYJ..i A��l�ccey✓ Liu</ <br /> " Or �Z_ <br /> l �cnr:� �...:+ sz stZee46za 1 <br /> I recommend: Approval Denial F-1 Continuance ❑ Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> 3 , 4SLnG=rs✓, r7 0ee v� <br /> / • c <br /> 117 <br /> cif � <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> EH 06 06 Report#7201 March 27,2006 <br />
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