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SU0012487
EnvironmentalHealth
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SU0012487
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Entry Properties
Last modified
12/21/2020 11:32:41 AM
Creation date
11/19/2019 9:08:08 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0012487
PE
2622
FACILITY_NAME
PA-1900086
STREET_NUMBER
16042
Direction
E
STREET_NAME
BAKER
STREET_TYPE
RD
City
LINDEN
Zip
95236-
APN
09110008
ENTERED_DATE
8/9/2019 12:00:00 AM
SITE_LOCATION
16042 E BAKER RD
RECEIVED_DATE
8/9/2019 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
TSok
Tags
EHD - Public
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�06N2 1?0 1 <br /> NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0012487 <br /> DATE RECEIVED by EHD: August 09,2019 APPL#: PA-1900086 <br /> Referral Agency STAFF CONTACT. GIUSEPPE SANFILIPPO PE : 2622 <br /> SUBDIVISON-MINOR(MS) <br /> COMPLETE&SUBMIT BY: Thu, September 12, 2019 <br /> Assigned to : EE0007380 SHIN <br /> SITE ADDRESS: 16042 E BAKER RD, LINDEN APN : 09110008 <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: N,,,,.` Public Sewer: roo„e- <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: o0ee llw,e•d: N� y,,�f {��/ laHc�f�i. <br /> 7� c9 S/yae+/2-e37•six <br /> .SLOy /1301, 1R1/v,11,d (e, VK• Jz�� <br /> I recommend: Approval F-1 Denial 1-1 Continuance F-1 Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> 14 <br /> SUPERVISOR/LEAD SENIOR Approval: Date: V/ <br /> All heck Off List: Proofread Report? V Correct LAND USE#'? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 August 09,2019 <br />
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