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SU0012042
EnvironmentalHealth
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2600 - Land Use Program
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PA-1800279
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SU0012042
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Entry Properties
Last modified
5/7/2020 11:35:37 AM
Creation date
9/9/2019 11:11:46 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0012042
PE
2626
FACILITY_NAME
PA-1800279
STREET_NUMBER
5573
Direction
W
STREET_NAME
WOODBRIDGE
STREET_TYPE
RD
City
LODI
Zip
95242-
APN
01117052
ENTERED_DATE
10/30/2018 12:00:00 AM
SITE_LOCATION
5573 W WOODBRIDGE RD
RECEIVED_DATE
11/13/2018 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
TSok
Supplemental fields
FilePath
\MIGRATIONS\W\WOODBRIDGE\5573\PA-1800279\SU0012042\APPL.PDF \MIGRATIONS\W\WOODBRIDGE\5573\PA-1800279\SU0012042\EHD COND.PDF
Tags
EHD - Public
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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0012042 <br /> DATE RECEIVED by EHD: November 13,2018 APPL#: PA-1800279 <br /> Referral Agency STAFF CONTACT: FRANK GI RARDI PE : 2626 <br /> USE PERMIT-GENERAL(UP) <br /> COMPLETE&SUBMIT BY: Thu, November 29, 2018 Assigned to : EE0009488 WONG <br /> SITE ADDRESS: 5573 W WOODBRIDGE RD, LODI APN : 01117052 <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 //� // J Name oof,System <br /> _L <br /> SUMMARY OR COMMENTS: n� �t(�C �!^! Lr /npl I /brSP a� <br /> D VjAr 1( 1 <br /> ( • 0 i <br /> n <br /> Z 2 zo�e <br /> a ornaS a en wln <br /> I recommend:i Approval Denial Continuance Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: Date: !/ <br /> A ll heck N List: Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 kvv t/ 9K 2 November 14,2018 <br />
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