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SU0009649
EnvironmentalHealth
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SU0009649
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Entry Properties
Last modified
5/7/2020 11:34:08 AM
Creation date
9/9/2019 9:04:57 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0009649
PE
2690
FACILITY_NAME
PA-1300081
STREET_NUMBER
21209
Direction
E
STREET_NAME
RIVER
STREET_TYPE
RD
City
ESCALON
Zip
95320-
APN
24524012 & 13
ENTERED_DATE
5/31/2013 12:00:00 AM
SITE_LOCATION
21209 E RIVER RD
RECEIVED_DATE
5/31/2013 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\R\RIVER\21209\PA-1300081\SU0009649\APPL.PDF \MIGRATIONS\R\RIVER\21209\PA-1300081\SU0009649\CDD OK.PDF \MIGRATIONS\R\RIVER\21209\PA-1300081\SU0009649\EH COND.PDF \MIGRATIONS\R\RIVER\21209\PA-1300081\SU0009649\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: SU0009649 <br /> DATE RECEIVED by ERD: May 31,2013 APPL#: PA-1300081 <br /> Referral Agency STAFF CONTACT: STEPHANIE STOWERS PE : 2690 <br /> LOT LINE ADJUSTMENT(LA) <br /> COMPLETE&SUBMIT BY: <br /> Assigned to: EE0004045 TASIOPOULOS <br /> SITE ADDRESS: 21209 E RIVER RD, ESCALON APN : 24524012& 13 <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 ey���*** � / Name of System <br /> SUM,MARYORCOMMENTS: �,� ��L22Se2' 14y /rne- IS 1fCaMJd1 >-' <br /> /1 <br /> If <br /> 0 — ! <br /> O G f Si ` Gtw1, Z V <br /> J �In vGf if �Yv�l� <br /> t recommend: Approval ®_ Denial ❑ Continuance Inspector:. ` <br /> Supervisor/Lead Senior COMMENTS: <br /> �-j-•-N--apt- - _ t . <br /> al 111,Iv <br /> SUPERVISOR/LEAD SENIOR Approval: w Date: <br /> OA 11 Check Off List: Proofread Report? Correct LAND USE ? <br /> Correct CONDI"I ION(S)? Logged in LAND USE Book?. <br /> 110606Itcp,m jIVI�n;I.1iiI- <br />
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