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SU0005280
EnvironmentalHealth
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2600 - Land Use Program
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SU0005280
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Last modified
11/2/2020 4:38:12 PM
Creation date
9/9/2019 10:19:15 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0005280
PE
2626
FACILITY_NAME
PA-0500224
STREET_NUMBER
11330
Direction
W
STREET_NAME
SPUD
STREET_TYPE
IS
City
STOCKTON
APN
12929001
ENTERED_DATE
8/10/2005 12:00:00 AM
SITE_LOCATION
11330 W SPUD IS
RECEIVED_DATE
8/9/2005 12:00:00 AM
P_LOCATION
99
P_DISTRICT
003
QC Status
Approved
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SJGOV\wng
Supplemental fields
FilePath
\MIGRATIONS\S\SPUD ISLAND\11330\PA-0500224\SU0005280\APPL.PDF
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EHD - Public
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NOTE: PULL ALL RMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0005280 <br /> DATE RECEIVED by EHD: August 09,2005 APPL#: PA-0500224 <br /> Referral Agency STAFF CONTACT: KATHY ALLEN PE : 2626 <br /> USE PERMIT-GENERAL(UP) <br /> COMPLETE & SUBMIT BY: Wed, August 31, 2005 <br /> Assigned to : EE0000811 HUGGINS <br /> SITE ADDRESS: 11330 W SPUD IS, STOCKTON APN : 12929001 <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 /> i <br /> I recommend: Approval ❑ Denial ❑ Continuance F-1 Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> 421L - C_ e'N <br /> N� <br /> SUPERVISOR/ LEAD SENIOR Approval: Date: / �lJ <br /> OA II Check Off List: Proofread Report? Correct LAND USE 9? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report 47201 August 11,2005 <br />
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