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SU0012522
EnvironmentalHealth
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SU0012522
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Last modified
2/25/2020 4:44:18 PM
Creation date
11/5/2019 2:36:51 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0012522
PE
2690
FACILITY_NAME
PA-1900185
STREET_NUMBER
1796
Direction
S
STREET_NAME
MARIPOSA
STREET_TYPE
RD
City
STOCKTON
Zip
95205-
APN
17304003, 17304004, 17304076
ENTERED_DATE
9/3/2019 12:00:00 AM
SITE_LOCATION
1796 S MARIPOSA RD
RECEIVED_DATE
9/3/2019 12:00:00 AM
P_LOCATION
99
P_DISTRICT
001
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: SU0012522 <br /> DATE RECEIVED by EHD: September 03,2019 APPL#: PA-1900185 <br /> Referral Agency STAFF CONTACT'. FRANK GIRARDI PE : 2690 <br /> LOT LINE ADJUSTMENT(LA) <br /> COMPLETE& SUBMIT BY: Fri, September 6, 2019 <br /> Assigned to : EE0000418 KITH <br /> SITE ADDRESS: 1796 S MARIPOSA RD, STOCKTON APN : 17304003, 17304004, 17304076 <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:PV7- Public Sewer: Ala,v <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: Derr— 2e ��� , i9�'� X73— a yo- 03 C��/p'r •v/,Ie adder 171/ <br /> lWa,,e, 15W 1 3—o •Wt {O /7.5� �, /V,,, `41- ?4 <br /> rs <br /> I recommend: Approval F-1 Denial ❑ Continuance ❑ Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> LA h k Off List: Proofread Report? V Correct LAND USE#? <br /> Correct CONDITIONS)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 September 03,2019 <br />
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