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SU0013088
EnvironmentalHealth
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99 (STATE ROUTE 99)
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2600 - Land Use Program
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PA-2000036
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SU0013088
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Last modified
11/19/2024 1:59:07 PM
Creation date
3/16/2020 3:41:58 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0013088
PE
2690
FACILITY_NAME
PA-2000036
STREET_NUMBER
19351
Direction
N
STREET_NAME
STATE ROUTE 99
STREET_TYPE
RD
City
ACAMPO
Zip
95220-
APN
01322032, -34, -58
ENTERED_DATE
3/16/2020 12:00:00 AM
SITE_LOCATION
19351 N HWY 99 FRONTAGE RD
RECEIVED_DATE
3/16/2020 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
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: SU0013088 <br /> DATE RECEIVED by EHD: March 16,2020 APPL#: PA-2000036 <br /> Referral Agency STAFF CONTACT TEDDIE HERNANDEZ PE : 2690 <br /> LOT LINE ADJUSTMENT(LA) <br /> COMPLETE&SUBMIT BY: Mon, March 23, 2020 <br /> Assigned to : EE0000418 KITH <br /> SITE ADDRESS: 19351 N HWY 99 FRONTAGE RD,ACAMPO APN : 01322032,-34,-58 <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: NOAIJ� Public Sewer: Nd6Vf <br /> Name of Purveyor q Name of System <br /> SUMMARY OR COMMENTS: r 3 5 j IV,, 11 VV y <br /> EOMev�k�N�S Fob NOv�Srn�`a �Lr7uG,� L.11IS�G . <br /> lno t(4 CS V- f_z 1. to s c�0 cot. <br /> Lyu5 i LAA,t^r.4 N �Q bY..ArG��c- <br /> �-AP�� -AAaA-W4�Grp <br /> I recommend: Approval F-1 Denial ❑ Continuance F-1 Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/ LEAD SENIOR Approval: Date: <br /> [_OA11 Check Off List: Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 March 16,2020 <br />
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