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SU0012573
EnvironmentalHealth
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SU0012573
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Entry Properties
Last modified
4/2/2020 3:34:38 PM
Creation date
11/18/2019 1:41:33 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0012573
PE
2690
FACILITY_NAME
PA-1900210
STREET_NUMBER
8200
Direction
E
STREET_NAME
JAHANT
STREET_TYPE
RD
City
ACAMPO
Zip
95220-
APN
00705046
ENTERED_DATE
9/26/2019 12:00:00 AM
SITE_LOCATION
8200 E JAHANT RD
RECEIVED_DATE
9/24/2019 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
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: SU0012573 <br /> DATE RECEIVED by EHD: September 24,2019 ADPL#: PA-1900210 <br /> Referral Agency STAFF CONTACT RICK GRIFFIN PE : 2690 <br /> LOT LINE ADJUSTMENT(LA) <br /> COMPLETE&SUBMIT BY: Fri, September 27, 2019 <br /> Assigned to : EE0000418 KITH <br /> SITE ADDRESS: 8200 E JAHANT RD,ACAMPO APN : 00705046 <br /> j W7� <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: AA t Public Sewer: <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: © .,C ,ery 1.✓; ons Q d� 4 ssac,, fr �!` lien) 067. 466 -gfyj <br /> 82" E ja!e'K-e led, i4r a �.��. /+P&! (jo 9-Oslo,43 .23/A�/N. Xil h A� <br /> 7LVoC f!/)4'L /�Gir..'tj dr IS'�`P�1J1 01.00 F. jtitu. - /2C� <br /> OAC gQy�.a�-L..',�,,( T�.�r.'� o-. f'I°,fdv $tae E - Juke..f eW, <br /> S1/7�L SN��tw N�1Ct r./ Jiaq-o i F-w .7tv� v� torn r� . <br /> I recommend: Approval ❑ Denial 1-1 Continuance Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/ LEAD SENIOR Approval: Date: <br /> A II h ck Off List: Proofread Report? Correct LAND USE#'? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 September 26,2019 <br />
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