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SU0013448
EnvironmentalHealth
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SU0013448
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Last modified
6/25/2020 9:41:38 AM
Creation date
6/11/2020 3:26:41 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0013448
PE
2631
FACILITY_NAME
PA-2000054
STREET_NUMBER
2365
Direction
N
STREET_NAME
WIGWAM
STREET_TYPE
DR
City
STOCKTON
Zip
95205-
APN
13208012
ENTERED_DATE
6/11/2020 12:00:00 AM
SITE_LOCATION
2365 N WIGWAM DR
RECEIVED_DATE
6/9/2020 12:00:00 AM
P_LOCATION
99
P_DISTRICT
002
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: SU0013448 <br /> DATE RECEIVED by EHD: June 09,2020 APPL#: PA-2000054 <br /> Referral Agency STAFF CONTACT ALISA GOULART PE : 2631 <br /> SITE APPROVAL-MINOR(SA) <br /> COMPLETE&SUBMIT BY: Thu, July 2, 2020 <br /> Assigned to: EE0000418 KITH <br /> SITE ADDRESS: 2365 N WIGWAM DR, STOCKTON APN: 13208012 <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: LPI*- V,}pZ-- Public Sewer: &AZTL <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: J Q-C)AA <br /> I recommend: ApprovalIT Denial Continuance Inspector: 66!1 <br /> gnature <br /> Supervisor/Lead Senior COMMENTS: <br /> C.4 G /vs� <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 June 11,2020 <br />
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