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SU0003584
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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O
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120 (STATE ROUTE 120)
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16636
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2600 - Land Use Program
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PA-0200137
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SU0003584
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Entry Properties
Last modified
11/19/2024 4:01:41 PM
Creation date
9/8/2019 12:33:17 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0003584
PE
2690
FACILITY_NAME
PA-0200137
STREET_NUMBER
16636
Direction
E
STREET_NAME
STATE ROUTE 120
City
RIPON
ENTERED_DATE
5/7/2004 12:00:00 AM
SITE_LOCATION
16636 E HWY 120
RECEIVED_DATE
4/12/2002 12:00:00 AM
QC Status
Approved
Scanner
SJGOV\sballwahn
Supplemental fields
FilePath
\MIGRATIONS\O\HWY 120\16636\PA-0200137\SU0003584\EH PERM.PDF
Tags
EHD - Public
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NOTE: PULL ALL PETS (SEPTIC, WELL, ETC...) AKE COPIES FOR FILE <br /> LAND USE REPORT APP# r� a - r 3 (`-t1-) <br /> "�a 4c7� COMPLETE & SUBMIT BY . r a -0 <br /> EHD RECEIVER APP.REFERRAL: <br /> DAVE E "Big <br /> ATTN: (U <br /> u <br /> SITE ADDRESS: 4 <br /> In completing the Land Use investigation, draw all Public Health factors on the exhibit (i.e.: sewage disposal, <br /> water supplies, etc...). Where necessary, on an attached piece of plain paper, draw completed map of area <br /> showing population density, location of house, wind direction, etc.... <br /> Public water: Public sewage: <br /> SUMMARY OR COMMENTS: <br /> i <br /> I recommend: Approval Denial Continuance Inspector's S' <br /> *****aE*$c�e�FaE�F9e�'t9e9t�e�r�'t*ac�r�e�r�e*�Ir*de ie ie*i�****�Ede�txxxieieirxx*ieek�r9e�kaFxe4ieicir*ic�c' 9r 9c$t 9e k�ededeirdrx*k�e�F�c$c*it�tx�Y <br /> Supervisor/Lead Senior Comments: <br /> SUPERVISOR/LEAD SENIOR APPROVAL: <br /> OA II CHECK OFF LIST: I i Pr,opfread repnrt� Correct�.4ND�T.SE# <br /> EH 06 06 Rev 1/99 , E Correct CONDITI0IV(S)? Lagged rn LAND USEBDOK' <br />
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