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SU0008739
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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99 (STATE ROUTE 99)
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12165
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2600 - Land Use Program
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PA-1100069
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SU0008739
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Entry Properties
Last modified
11/19/2024 1:59:02 PM
Creation date
9/8/2019 12:51:52 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0008739
PE
2690
FACILITY_NAME
PA-1100069
STREET_NUMBER
12165
Direction
S
STREET_NAME
STATE ROUTE 99
City
MANTECA
APN
20405008 09
ENTERED_DATE
5/6/2011 12:00:00 AM
SITE_LOCATION
12165 S HWY 99
RECEIVED_DATE
5/5/2011 12:00:00 AM
P_LOCATION
99
P_DISTRICT
003
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\N\HWY 99\12165\PA-1100069\SU0008739\APPL.PDF \MIGRATIONS\N\HWY 99\12165\PA-1100069\SU0008739\CDD OK.PDF \MIGRATIONS\N\HWY 99\12165\PA-1100069\SU0008739\EH COND.PDF \MIGRATIONS\N\HWY 99\12165\PA-1100069\SU0008739\REV SP.PDF
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EHD - Public
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—(--,\ /11'1 <br /> NOTE <br /> --,\ /11'1NOTE: PULL ALL-PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0008739 <br /> DATE RECEIVED by EHD: May 05,2011 APPL#: PA-1100069 <br /> Referral Agency STAFF CONTACT: JOHN FUNDERBURG PE: 2690 <br /> LOT LINE ADJUSTMENT(LA) <br /> COMPLETE & SUBMIT BY: R <br /> NBYr- Assigned to: EE0004045 TASIOPOULOS <br /> SITE ADDRESS: 12165 S HWY 99 ,MANTECA APN : 20405008 09 <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 /> [ recommend: Approval Denial,_n.,=r'�r+��--- --- '� = r• <br /> .- i <br /> Supervisor/Lead Senior COMMENTS. Signature <br /> r h <br /> h <br /> l <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> zir <br /> 0,4 fl Check flff L-isf�� Proo�reacl�eport� � ," �`,' � a �o�`e�kI�I'3 SES�f ° � : • g:. <br /> .µ <br /> EH 06 06 Report 47201 <br /> May 06,2011 <br />
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