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SU0012550
EnvironmentalHealth
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SU0012550
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Entry Properties
Last modified
11/19/2019 1:56:58 PM
Creation date
11/19/2019 1:13:47 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0012550
PE
2690
FACILITY_NAME
PA-1900205
STREET_NUMBER
19300
Direction
W
STREET_NAME
GRANT LINE
STREET_TYPE
RD
City
TRACY
Zip
95391-
APN
20906047, 26244069
ENTERED_DATE
9/13/2019 12:00:00 AM
SITE_LOCATION
19300 W GRANT LINE RD
RECEIVED_DATE
9/13/2019 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: SU0012550 <br /> DATE RECEIVED by EHD: September 13,2019 ADPL#: PA-1900205 <br /> Referral Agency STAFF CONTACT FRANK GIRARDI PE : 2690 <br /> LOT LINE ADJUSTMENT(LA) <br /> COMPLETE&SUBMIT BY: Fri, September 20, 2079 <br /> Assigned to : EE0000418 KITH <br /> SITE ADDRESS: 19300 W GRANT LINE RD,TRACY APN : 20906047,26244069 <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: 41 t-/if sD Public Sewer: M f/e-s1) <br /> Name of Purveyor Name of System <br /> SUMMARY O//R��COMMENTS: <br /> / ellre �QrW; 7-i7-i9: f��N Zo7-a _a V7 `Jg,,y '4 L4 ✓�dao Cr27- <br /> /75L ?e:'0/ , z ao 3 , ?,Ora S- 0'1W 2e2zz .f. e"" 4W T�a.k�✓��--� <br /> 1g3ZV 10 �/ta zap— o/�- elVS <br /> oAe 5Rno z1L1 ZS7P <br /> I recommend: Approval ❑ Denial F� Continuance ❑ Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: Date: -1100 <br /> A I Ch ck Off Li Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book?::7"q <br /> EH 06 06 Report#7201 September 13,2019 <br />
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