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SU0013011
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SU0013011
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Last modified
8/18/2021 4:53:59 PM
Creation date
2/4/2020 8:25:07 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0013011
PE
2622
FACILITY_NAME
PA-2000013
STREET_NUMBER
595
Direction
E
STREET_NAME
AUGUSTA
STREET_TYPE
ST
City
WOODBRIDGE
Zip
95258-
APN
01534060
ENTERED_DATE
2/3/2020 12:00:00 AM
SITE_LOCATION
595 E AUGUSTA ST
RECEIVED_DATE
1/31/2020 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0013011 <br /> DATE RECEIVED by EHD: January 31,2020 APPL#: PA-2000013 <br /> Referral Agency STAFF CONTACT ALISA GOULART PE : 2622 <br /> SUBDIVISON-MINOR(MS) <br /> COMPLETE&SUBMIT BY: Thu, February 27, 2020 <br /> Assigned to : EE0000418 KITH <br /> SITE ADDRESS: 595 E AUGUSTA ST,WOODBRIDGE APN : 01534060 <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`o V.-• t�-tR�.b WIV Public Sewer: -r I �N SV <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: S 'b 1% s v.�QA <br /> r.y,C5 cn Rsc� WQPear.—�c�,�� <br /> �AW5 'hA-Ays V-11 rD <br /> "air_ �g,�ao c•�c,P. <br /> I recommend: Approval ❑ Denial ❑ Continuance ❑ Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> OA 11 Check Off List: Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 February 03,2020 <br />
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