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SU0013238
EnvironmentalHealth
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2600 - Land Use Program
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SU0013238
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Entry Properties
Last modified
10/27/2020 3:02:14 PM
Creation date
5/7/2020 3:22:12 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0013238
PE
2626
FACILITY_NAME
PA-1800177
STREET_NUMBER
9698
Direction
S
STREET_NAME
PRIEST
STREET_TYPE
RD
City
FRENCH CAMP
Zip
95231-
APN
19322015
ENTERED_DATE
5/5/2020 12:00:00 AM
SITE_LOCATION
9698 S PRIEST RD
RECEIVED_DATE
5/4/2020 12:00:00 AM
P_LOCATION
99
P_DISTRICT
001
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: SU0013238 <br /> DATE RECEIVED by EHD: May 04,2020 APPL#: PA-1800177 <br /> Referral Agency STAFF CONTACT GIUSEPPE SANFILIPPO PE : 2626 <br /> USE PERMIT-GENERAL(UP) <br /> COMPLETE & SUBMIT BY: Thu, May 28, 2020 <br /> Assigned to: EE0000418 KITH <br /> SITE ADDRESS: 9698 S PRIEST RD, FRENCH CAMP APN : 19322015 <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: Public Sewer: <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> I recommend: Approval ❑ Denial F-1 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 May 05,2020 <br />
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