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SU0013460
EnvironmentalHealth
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SU0013460
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Last modified
7/29/2020 1:15:49 PM
Creation date
7/8/2020 1:10:22 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0013460
PE
2622
FACILITY_NAME
PA-1600264
STREET_NUMBER
20309
Direction
N
STREET_NAME
DE VRIES
STREET_TYPE
RD
City
LODI
Zip
95242-
APN
01303007, -08 & 01306009
ENTERED_DATE
7/6/2020 12:00:00 AM
SITE_LOCATION
20309 N DE VRIES RD
RECEIVED_DATE
7/6/2020 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: SU0013460 <br /> DATE RECEIVED by EHD: July 06,2020 APPL#: PA-1600264 <br /> Referral Agency STAFF CONTACT GIUSEPPE SANFILIPPO PE : 2622 <br /> SUBDIVISON-MINOR(MS) <br /> COMPLETE&SUBMIT BY: Thu, July 30, 2020 <br /> Assigned to: EE0000418 KITH <br /> SITE ADDRESS: 20309 N DE VRIES RD, LODI APN: 01303007,-08&01306009 <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: c"-/ Public Sewer: <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> /�l�'S� �.�� LST TF�-r c� ��tip�T� r�r ��/9�► <br /> I recommend: Approvai\[N Denial ❑ Continuance inspector: <br /> Sign e <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> OA 11 Check Off List: Proofread Report? Correct LAND USE#? 41 <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 July 06,2020 <br />
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