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SU0009027
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-1200001
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SU0009027
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Entry Properties
Last modified
5/7/2020 11:33:49 AM
Creation date
9/8/2019 12:47:17 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0009027
PE
2690
FACILITY_NAME
PA-1200001
STREET_NUMBER
14623
Direction
E
STREET_NAME
PROUTY
STREET_TYPE
RD
City
GALT
APN
00902003
ENTERED_DATE
1/17/2012 12:00:00 AM
SITE_LOCATION
14623 E PROUTY RD
RECEIVED_DATE
1/13/2012 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\P\PROUTY\14623\PA-1200001\SU0009027\APPL.PDF \MIGRATIONS\P\PROUTY\14623\PA-1200001\SU0009027\CDD OK.PDF \MIGRATIONS\P\PROUTY\14623\PA-1200001\SU0009027\EH COND.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: SU0009027 <br /> DATE RECEIVED by EHD: January 13,2012 APPL#: PA-1200001 <br /> Referral Agency STAFF CONTACT: RICK GRIFFIN PE : 2690 <br /> LOT LINE ADJUSTMENT(LA) <br /> COMPLETE&SUBMIT BY: r . <br /> ��h Assigned to : EE0005944 ESCOTTO <br /> SITE ADDRESS: 14623 E PROUTY RD, GALT APN : 00902003 <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 Name of System <br /> SUMMARY OR COMMENTS: <br /> egz*n4-'7i EZZw< <br /> �y, _J3 ' i/L-''/�71r-ft'11Z5�/Iz�lrf� 92Z�f �-.�•/s!<�.7��!_ ��—OA�i yr Gh n <br /> - /r1�f sa sff is i'SK�r�"l b"✓G///.E3 S�/� ��C/.(/�/' ir'�">� / � <br /> /�QLfi a <br /> 43 I&wnc37i--e / 5 <br /> rZYCIL L d 37,Y GaJS/57e�J Cx- �yT— <br /> ' <br /> - <br /> I recommend: Approval E2 Denial ❑ Continuance ❑ Inspect <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> r <br /> SUPERVISOR/LEAD SENIOR A oval: _ Date: <br /> OA 11 Check Of List: Proofread Report? Correct LAND USE.ti ') � <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report 47201 January 17 2012 <br />
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