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SU0013540
EnvironmentalHealth
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SU0013540
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Entry Properties
Last modified
9/3/2020 2:56:12 PM
Creation date
8/7/2020 11:06:32 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0013540
PE
2631
FACILITY_NAME
PA-1800096
STREET_NUMBER
514
Direction
E
STREET_NAME
FRENCH CAMP
STREET_TYPE
RD
City
FRENCH CAMP
Zip
95231-
APN
17749001
ENTERED_DATE
7/24/2020 12:00:00 AM
SITE_LOCATION
514 E FRENCH CAMP RD
RECEIVED_DATE
7/13/2020 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: SU0013540 <br /> DATE RECEIVED by EHD: July 13,2020 APPL#: PA-1800096 <br /> Referral Agency STAFF CONTACT GIUSEPPE SANFILIPPO PE : 2631 <br /> SITE APPROVAL-MINOR(SA) (TO <br /> COMPLETE&SUBMIT BY: Thu, July 30, 2020 <br /> Assigned to: EE0000418 KITH <br /> SITE ADDRESS: 514 E FRENCH CAMP RD,FRENCH CAMP APN: 17749001 <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: nb.y-- Public Sewer: 4,b,4 <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> ei e4�Ay— a{ '7i�/��'d�� �G�t(t� G�ir Ll�!s{" .7✓ne 2-r <br /> Gs x sS Ql,)W-e , ,i, /C // <br /> ee <br /> I recommend: Approval F-1 Denial F-1 Continuance F� Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/ LEAD SENIOR Approval: Date: <br /> A II h k Off List: Proofread Report? Correct LAND USE#?- <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 July 27,2020 <br />
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