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SU0012605
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SU0012605
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Last modified
4/28/2020 9:53:51 AM
Creation date
11/19/2019 9:12:59 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0012605
PE
2690
FACILITY_NAME
PA-1900239
STREET_NUMBER
17590
Direction
S
STREET_NAME
KELSO
STREET_TYPE
RD
City
TRACY
Zip
95391-
APN
25802017, 25802020, 25802021, 25802032
ENTERED_DATE
10/16/2019 12:00:00 AM
SITE_LOCATION
17590 S KELSO RD
RECEIVED_DATE
10/16/2019 12:00:00 AM
P_LOCATION
99
P_DISTRICT
005
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: ;.� 06 %Z-U 0 S <br /> DATE RECEIVED by EHD: October 30,2019 APPL#: PA-1900239 <br /> Referral Agency STAFF CONTACT FRANK GIRARDI PE : 2690 <br /> LOT LINE ADJUSTMENT(LA) <br /> COMPLETE& SUBMIT BY: Wed, October 23, 2019 <br /> Assigned to : EE0000418 KITH <br /> SITE ADDRESS: 17590 S KELSO RD,TRACY APN: 25802017,25802020, <br /> -- - <br /> 9020%*'25802052 <br /> In completing the Land Use investigation, draw all Public Health factors on the exhibit (i.e., sMA60dis'posal, 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: M OkMT K-0 wNNM. Public Sewer: WJ O��4t <br /> Name of Purveyor S�p,�j � V��,����.� Name of System <br /> SUMMARY OR COMMENTS: <br /> b'*1 bN- 4T LAt pl 5 I,4,�h A t Lo N Df�'► L,LI� <br /> LAS 1--5 V\0-i- 4, -- W <br /> ' 4 Q. ks � ��r �J_�r���S-• Q— �'F.� T1,3 LT%& JQr�c�1.J5. <br /> I recommend: Approval ❑ Denial ❑ Continuance F-1 Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> [QA 11 Check Off List: Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 October 30,2019 <br />
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