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SU0013455
EnvironmentalHealth
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2600 - Land Use Program
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PA-2000087
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SU0013455
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Entry Properties
Last modified
7/28/2020 1:41:30 PM
Creation date
7/1/2020 12:38:30 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0013455
PE
2633
FACILITY_NAME
PA-2000087
STREET_NUMBER
6041
Direction
E
STREET_NAME
KETTLEMAN
STREET_TYPE
LN
City
LODI
Zip
95240-
APN
04923011
ENTERED_DATE
6/29/2020 12:00:00 AM
SITE_LOCATION
6041 E KETTLEMAN LN
RECEIVED_DATE
6/26/2020 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
TSok
Tags
EHD - Public
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SAN - . JOAO U I N SITE APPROVAL <br /> FILE NUMBER : <br /> SERVICES <br /> Water <br /> Public Service Provider : Will Serve Letter Provided Distance to Public Water: <br /> ❑ ❑ <br /> Private Existing Well New Well Well Replacement <br /> ❑ ❑ <br /> Wastewater Disposal <br /> Public Service Provider : Will Serve Letter Provided Distance to Public Sewer: <br /> Private Existing Septic System New Septic System Septic System Replacement <br /> El <br /> If the project will result in process Description of process Volume of process wastewater : Method of disposal : <br /> wastewater provide the following wastewater: <br /> information : <br /> Storm Drainage <br /> Public Service Provider : Will Serve Letter Provided Distance to Public Storm Drain : <br /> ❑ ❑ <br /> Private Existing On -site Retention Pond New On -site Retention Pond Natural Drainage <br /> V%� I A ❑ <br /> OTHER PUBLIC SERVICES <br /> School Service Fire Protection Service <br /> Service Provider Distance to School Service Provider Distance to Fire Station <br /> Lm <br /> Page 3 of 6 <br /> Updated 11125/2019 <br />
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