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SU0009415
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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N
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99 (STATE ROUTE 99)
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18621
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2600 - Land Use Program
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PA-1200221
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SU0009415
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Entry Properties
Last modified
11/19/2024 1:59:03 PM
Creation date
9/8/2019 12:53:58 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0009415
PE
2631
FACILITY_NAME
PA-1200221
STREET_NUMBER
18621
Direction
N
STREET_NAME
STATE ROUTE 99
City
ACAMPO
APN
01322035
ENTERED_DATE
11/13/2012 12:00:00 AM
SITE_LOCATION
18621 N HWY 99
RECEIVED_DATE
11/13/2012 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\N\HWY 99\18621\PA-1200221\SU0009415\APPL.PDF \MIGRATIONS\N\HWY 99\18621\PA-1200221\SU0009415\CDD OK.PDF \MIGRATIONS\N\HWY 99\18621\PA-1200221\SU0009415\EH COND.PDF \MIGRATIONS\N\HWY 99\18621\PA-1200221\SU0009415\EH PERM.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: SU0009415 <br /> DATE RECEIVED by EHD: November 13,2012 APPL#: PA-1200221 <br /> Referral Agency STAFF CONTACT: MO HATEF PE : 2631 <br /> SITE APPROVAL-MINOR(SA) <br /> COMPLETE & SUBMIT BY: Wed, November 28, 2012 Assigned to : EE0005944 ESCOTTO <br /> SITE ADDRESS: 18621 N HWY 99 , ACAMPO APN : 01322035 <br /> [n 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: �j�yJ`��Pr Gze(t 'j �A ` Yfr2m <br /> Z,—ME 6-7,-- < � I�6 /'J/1.[d/l�/i>1lff frc�7lli fir�f Y1'/fr/�� e'aJ6 sI/�iV 41- <br /> t��t E7>1�3Ll� 7 1�- /arl ter= 7,115 SCl�1G l5 ZOi7iYY/b94�X�r�t`/J ZY1/ <br /> �e.4CJ �•✓� '�->��. 7�.1�•GF�r7 P�indi _ Q'.Y.f/>l1B07��, � ! GYL1�i . <br /> I recommend: Approval Denial Continuance ❑ Inspecto <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> /1-1 A71Uzulo/lroe22 72127 --;etc- A//724� Za,40;,;f. SZi,.JA/iL97t�J ��; <br /> /436 2{ sno n�7�r� 72n T�E d?i) =!Z� <br /> 1Jl/'clyF�r4r] .-�'t%d/f.F7i�� �J4�i 7�.s=�2{±'t-r3 fsc.vzfi��.7Z�/L ST�Ii��YsZ�7/�A�c�. <br /> TERVISOR/ LEAD SENIOR Approval: Date: <br /> OA II Check Off List: Proofread Report? Correct LAND'USE#? <br /> Correct CONDITIONS)? ` Logged in LAND USE Book? <br /> EH 06 06 Report 47201 <br /> November 13,20K <br />
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