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SU0011280
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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22420
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2600 - Land Use Program
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PA-1600194
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SU0011280
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Entry Properties
Last modified
11/19/2024 1:59:06 PM
Creation date
9/8/2019 12:55:47 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0011280
PE
2626
FACILITY_NAME
PA-1600194
STREET_NUMBER
22420
Direction
N
STREET_NAME
STATE ROUTE 99
City
ACAMPO
Zip
95220-
APN
01319005
ENTERED_DATE
3/23/2017 12:00:00 AM
SITE_LOCATION
22420 N HWY 99
RECEIVED_DATE
3/21/2017 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\sballwahn
Supplemental fields
FilePath
\MIGRATIONS\N\HWY 99\22420\PA-1600194\SU0011280\CDD OK.PDF
Tags
EHD - Public
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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0011280 <br /> DATE RECEIVED by EHD: March 21,2017 APPL#: PA-1600194 <br /> Referral Agency STAFF CONTACT: MEGAN E AGUIRRE PE : 2626 <br /> UAE PERMIT-GENERAL(UP) <br /> COMPLETE&SUBMIT BY: Tue, March 28, 2017 wlwk <br /> Assigned to : EE0005944 ESCOTTO <br /> SITE ADDRESS: 22420 N HWY 99/W FRONTAGE RD, ACAMPO APN: 01319005 <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 /> ill GLS— 7,�C C�a,b/'Z�ciS CCt .9��Y$ei�fi.<Sf�1ZL�E �77�srr u/i7(f A5..7�1U)/cq-G'En i.t/ ��f� <br /> Tlf�JL j.94-1r71 CGiGF3b�! Lii Ziiti. <br /> I recommend: Approval Denial Continuance Inspecto <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> A List: Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> Eli 06 06 Report#7201 March 23,2017 <br />
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