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SU0011566
EnvironmentalHealth
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SU0011566
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Last modified
6/8/2020 4:27:53 PM
Creation date
9/9/2019 9:10:06 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0011566
PE
2626
FACILITY_NAME
PA-1700247
STREET_NUMBER
707
Direction
E
STREET_NAME
ROTH
STREET_TYPE
RD
City
STOCKTON
Zip
95231-
APN
19332008
ENTERED_DATE
11/6/2017 12:00:00 AM
SITE_LOCATION
707 E ROTH RD
RECEIVED_DATE
11/3/2017 12:00:00 AM
P_LOCATION
99
P_DISTRICT
001
QC Status
Approved
Scanner
TSok
Supplemental fields
FilePath
\MIGRATIONS\R\ROTH\707\PA-1700247\SU0011566\APPL.PDF \MIGRATIONS\R\ROTH\707\PA-1700247\SU0011566\EH COND.PDF \MIGRATIONS\R\ROTH\707\PA-1700247\SU0011566\EHD 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: SU0011566 <br /> DATE RECEIVED by EHD: November 03,2017 APPL#: PA-1700247 <br /> Referral Agency STAFF CONTACT. GIUSEPPE SANFILIPPO PE : 2626 <br /> USE PERMIT-GENERAL(UP) <br /> COMPLETE&SUBMIT BY: Mon, November 13, 2017 <br /> Assigned to : EE0000034 AHMED <br /> SITE ADDRESS: 707 E ROTH RD, STOCKTON APN: 19332008 <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: P)Qv,,_ Public Sewer: <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> 3 5ep�c per..., 7<s ans{ ost ed )Vito.4-14 At <br /> O� <br /> - IV •_as <br /> I recommend: Approval Denial El Continuance F-1 Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/ LEAD SENIOR Approval: Date: <br /> A II h k ff L' Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report 47201 November 06,2017 <br />
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