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SU0011735
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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12 (STATE ROUTE 12)
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9296
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2600 - Land Use Program
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PA-1800064
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SU0011735
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Last modified
11/19/2024 3:48:17 PM
Creation date
9/9/2019 10:27:48 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0011735
PE
2666
FACILITY_NAME
PA-1800064
STREET_NUMBER
9296
Direction
E
STREET_NAME
STATE ROUTE 12
City
LODI
Zip
95240-
APN
05112056
ENTERED_DATE
3/30/2018 12:00:00 AM
SITE_LOCATION
9296 E HWY 12
RECEIVED_DATE
3/30/2018 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\T\HWY 12\9296\PA-1800064\SU0011735\APPL.PDF \MIGRATIONS\T\HWY 12\9296\PA-1800064\SU0011735\EHD COND.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: SU0011735 <br /> DATE RECEIVED by ERD: March 30,2018 APPL#: PA-1800064 Pre-Application <br /> Referral Agency STAFF CONTACT GIUSEPPE SANFILIPPO PE : 2666 <br /> REZONING 5+acres(ZR) <br /> COMPLETE&SUBMIT BY: Wed, April 11, 2018 <br /> Assigned to : EE0009488 WONG <br /> SITE ADDRESS: 9296 E HWY 12 , LODI APN : 05112056 <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,ietc.... <br /> Public Water: Public Sewer: NQ�� <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: — rell <br /> J <br /> r' ry cl Ai wnC <br /> W i i ovM�U/h <br /> s ryt, ' 0jJ Q <br /> -f b17A r.re7LQ- 4� Ade- ra <br /> I recommend: Approvalff�—Denial Continuance Inspector: <br /> ig tore <br /> Supervisor/Lead Senior COMMENTS: r(") <br /> 4 �/� <br /> IL l <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> OA 11 Check ON List: Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 March 30,2018 <br />
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