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SU0005730
EnvironmentalHealth
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SU0005730
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Last modified
12/27/2019 8:36:33 AM
Creation date
12/27/2019 8:30:28 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0005730
PE
2622
FACILITY_NAME
PA-0500710
STREET_NUMBER
25050
Direction
N
STREET_NAME
WILD HARE
STREET_TYPE
LN
City
ACAMPO
Zip
95220
APN
00310025
ENTERED_DATE
10/26/2005 12:00:00 AM
SITE_LOCATION
25050 N WILD HARE LN
RECEIVED_DATE
10/26/2005 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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SJGOV\gmartinez
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EHD - Public
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I t <br /> 1 <br /> NOTE: PULL AL; •RMITS (Septic, Well, etc.) MAKI JPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0005730 <br /> DATE RECEIVED by EHD: October 26,2005 APPL#: PA-0500710 <br /> Referral Agency STAFF CONTACT: KATHY ALLEN PE : 2622 `x <br /> SUBDIVISON-MINOR(MS) <br /> COMPLETE&SUBMIT BY: Tue, November 15, 2005 <br /> Assigned to : EE0005944 ESCOTTO <br /> SITE ADDRESS: 25050 N WILD HARE LN, ACAMPO APN: 00310025 <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: �-?-2r , Public Sewer: <br /> Name of Purveyor,/U5 Name of System <br /> SUMMARY OR COMMENTS: <br /> Nig-z,-s✓rr �c.-�o�-1 rn.--.� /F��n.�i coi.'L��ryii ���G� <br /> I recommend: Approval � —Denial � Continuance F Inspecto �c� - i <br /> S gnature <br /> Supervisor/Lead Senior COMMENTS: <br /> 0� ell <br /> l 609 <br /> B <br /> SUPERVISOR/ LEAD SENIOR Approval: <- Date: <br /> 1 OA II Check Off List: Proofread Report?�_ "°' Corre AND USE#? <br /> L Correct CONDITION(S)? Logged in LAND USE Book? <br /> 06 06 Report#7201 October 27,2005 <br />
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