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SU0012548
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SU0012548
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Last modified
11/5/2019 1:56:29 PM
Creation date
11/5/2019 1:54:28 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0012548
PE
2622
FACILITY_NAME
PA-1900066
STREET_NUMBER
1018
Direction
S
STREET_NAME
CARROLL
STREET_TYPE
AVE
City
STOCKTON
Zip
95215-
APN
15908310
ENTERED_DATE
9/13/2019 12:00:00 AM
SITE_LOCATION
1018 S CARROLL AVE
RECEIVED_DATE
9/13/2019 12:00:00 AM
P_LOCATION
99
P_DISTRICT
002
QC Status
Approved
Scanner
TSok
Tags
EHD - Public
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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0012548 <br /> DATE RECEIVED by EHD: September 13,2019 APPL#: PA-1900066 <br /> Referral Agency STAFF CONTACT TEDDIE HERNANDEZ PE : 2622 <br /> SUBDIVISON-MINOR(MS) <br /> COMPLETE&SUBMIT BY: Thu, October 10, 2019 <br /> Assigned to : EE0000418 KITH <br /> SITE ADDRESS: 1018 S CARROLL AVE, STOCKTON APN : 15908310 <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: �u T ca/ , ti fey Public Sewer: E s s s,0 <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: ,`_ <br /> ��: I S9' — O��- tO �1`iry� i E���� [orS✓'1�-�'oH/.' Juoo l Z-L4�/ <br /> S. ea,-/el 5 12 2-11 <br /> A-te --,////,377.3) 31, 'Lotq. <br /> spo-o 1goo, ✓ltsl'u^cc <br /> -(v S,Sc de 1<4 <br /> I recommend: Approval F1 Denial F-1 Continuance ❑ Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> A 11 Check Off List- Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 September 13,2019 <br />
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