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SU0009164
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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99 (STATE ROUTE 99)
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25409
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2600 - Land Use Program
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PA-1200045
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SU0009164
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Entry Properties
Last modified
11/19/2024 1:59:03 PM
Creation date
9/8/2019 12:56:58 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0009164
PE
2687
FACILITY_NAME
PA-1200045
STREET_NUMBER
25409
Direction
N
STREET_NAME
STATE ROUTE 99
City
ACAMPO
APN
00514301 03
ENTERED_DATE
4/17/2012 12:00:00 AM
SITE_LOCATION
25409 N HWY 99
RECEIVED_DATE
4/16/2012 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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SJGOV\wng
Supplemental fields
FilePath
\MIGRATIONS\N\HWY 99\25409\PA-1200045 PRE-APP\SU0009164\EH PERM.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: SU0009164 <br /> DATE RECEIVED by EHD: April 16,2012 APPL#: PA-1200045 PRE-APP <br /> Referral Agency STAFF CONTACT: RAYMOND HOO PE : 2687 <br /> GP AMENDMENT<5 acres(GP) <br /> COMPLETE&SUBMIT BY: Wed, May 2, 2012 <br /> 2St(65 Assigned to: EE0005944 ESCOTTO <br /> SITE ADDRESS: 25409 N HWY 99 ,ACAMPO APN: 00514301 03 <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 /> 3ensity, location of house,wind direction, etc.... <br /> Public Water: Public Sewer: <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: 1�e/l�J = LILt'�tl d?ll//]l//Yti�e' �17 f74 <br /> `f// owi 9g /* 4 <br /> 4—�Zrc .5ys7a�, <br /> • 1�54�5� .t/ .<�-+!9�3 - 7sfzs P4.lE� �x1T�'� A-Jlz�/�n/c'r �<f� `7G svrn�r <br /> .4./Yar)�3ztG /. zv Aru'Cca leA2�kGr� Ain �x12�zyC27s �,a1G� <br /> A40 A.0 <br /> - / z a <br /> I recommend: Approval 1' Denial 1:1 Continuance El Inspect e <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> A7 OG <br /> 3 ZZ b?,- li <br /> 49 <br /> SUPERVISOR/LEAD SENIOR Approval: Date:—17 <br /> OA 11 Check Off List: proofread Report? " -- Correct LAND USE#? - <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report 47201 April 17,2012 <br />
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