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SU0012534
EnvironmentalHealth
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SU0012534
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Entry Properties
Last modified
11/6/2019 4:15:58 PM
Creation date
11/6/2019 1:14:27 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0012534
PE
2622
FACILITY_NAME
PA-1900068
STREET_NUMBER
26783
Direction
N
STREET_NAME
CHEROKEE
STREET_TYPE
LN
City
GALT
Zip
95632-
APN
00511013
ENTERED_DATE
9/6/2019 12:00:00 AM
SITE_LOCATION
26783 N CHEROKEE LN
RECEIVED_DATE
9/6/2019 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
TSok
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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: SU0012534 <br /> DATE RECEIVED by EHD: September 06,2019 APPL#: PA-1900068 <br /> Referral Agency STAFF CONTACT TEDDIE HERNANDEZ PE : 2622 <br /> SUBDIVISON-MINOR(MS) <br /> COMPLETE&SUBMIT BY: Fri, September 13, 2019 <br /> Assigned to : EE0000418 KITH <br /> SITE ADDRESS: 26783 N CHEROKEE LN, GALT APN: 00511013 <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 Name of System <br /> SUMMARY OR COMMENTS: <br /> 2 G 77! I/ 2 6 fT'/ ,t/. cl►roKrc L4 .e. <br /> s fe Z&771 N• Ctyrwcec Lug E+at art *ta etfm,'t x'08'746), <br /> 5lk Z-4SA clocS ..a4 4 u v.- a c p l+c /te ea'4eA- perm,f S, <br /> S¢t l G7 t'3 /✓ c l+r.,ctE f— Le—c— kis —t/ s-'1,04-e- LS)zoo 3241-70 c,-J 4wp -te-a icc L�4c� <br /> -is S/Z4v> 3S79L a.., / s/1oo3S/93). <br /> �kv� Jas L� ✓��- •tpPL-, -X "V"5 Q%}.W s'i*-� /7-27e <br /> Ss 4R A/ '6my <br /> I recommend: Approval Denial Continuance F-1 Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> t�� <br /> ck OK List: Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 September 06,2019 <br />
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