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SU0012252
EnvironmentalHealth
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2600 - Land Use Program
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SU0012252
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Entry Properties
Last modified
5/7/2020 11:35:42 AM
Creation date
9/9/2019 10:33:03 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0012252
PE
2656
FACILITY_NAME
PA-1800074
STREET_NUMBER
112
Direction
E
STREET_NAME
TADDEI
STREET_TYPE
RD
City
ACAMPO
Zip
95220-
APN
01313028, 01313027, 01313026
ENTERED_DATE
3/26/2019 12:00:00 AM
SITE_LOCATION
112 E TADDEI RD
RECEIVED_DATE
4/10/2019 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\T\TADDEI\112\PA-1800074\SU0012252\APPL.PDF \MIGRATIONS\T\TADDEI\112\PA-1800074\SU0012252\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: SU0012252 <br /> DATE RECEIVED by EHD: April 10,2019 ADPL#: PA-1800074 <br /> Referral Agency STAFF CONTACT. GIUSEPPE SANFILIPPO PE : 2656 <br /> REVISIONS TO ACTIONS (RA) <br /> COMPLETE&SUBMIT BY: Thu, May 2, 2019 <br /> Assigned to : EE0009488 WONG <br /> SITE ADDRESS: 112 E TADDEI RD,ACAMPO APN : 01313028,01313027,01313026 <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: /vole Public Sewer: /y a-k � <br /> Name of Purveyor NamA of System <br /> SUMMARY OR COMMENTS: 5S—SAILS no—/ <br /> o� -des V0 k <br /> ► 20 IAA- oD aq <br /> I recommend: Approval E�l Denial ❑ Continuance ❑ Inspector: <br /> Signabde <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> OA II Check Off List7 Proofread Report? V Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 April 11,2019 <br />
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