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SU0001285
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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2600 - Land Use Program
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LA-00-23
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SU0001285
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Entry Properties
Last modified
11/26/2019 2:54:11 PM
Creation date
9/8/2019 12:38:06 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0001285
PE
2690
FACILITY_NAME
LA-00-23
STREET_NUMBER
8909
Direction
W
STREET_NAME
PALMQUIST
STREET_TYPE
AVE
City
TRACY
ENTERED_DATE
10/18/2001 12:00:00 AM
SITE_LOCATION
8909 W PALMQUIST AVE
RECEIVED_DATE
4/11/2000 12:00:00 AM
QC Status
Approved
Scanner
SJGOV\wng
Supplemental fields
FilePath
\MIGRATIONS\P\PALMQUIST\8909\LA-00-23\SU0001285\EH PERM.PDF
Tags
EHD - Public
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Jy <br /> OTE: PULL ALL PERMITS (SEPTIC, WELL, ETC...) MAKE COPIES FOR FILE <br /> LAND USE REPORT APP# L oo a_3 <br /> EtiDRECEIVED APP.REFERRAL: Y—/I'O( COMPLETE & SUBMIT BY_/7�'S�" <br /> DATE DATE <br /> ATTN: A <br /> SITE ADDRESS: vo , cl �`* r <br /> In completing the Land Use investigation, draw all Public Health factors on the exhibit(i.e.: se ge disposal, <br /> water supplies, etc...). Where necessary, on an attached piece of plain paper, draw completed reap of area <br /> showing population density, location of house,wind direction, etc.... <br /> Public water: Public sewage: <br /> SUMMARY OR COMMENTS: <br /> I recommend: Approval Denial Continuance Inspector's Signature <br /> Supervisor/Lead Senior Comments: <br /> 4 <br /> ... tU,-- <br /> EH 06 06 Rev 11999 ` orrect <br />
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