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SU0013565
EnvironmentalHealth
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SU0013565
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Last modified
3/2/2021 8:52:21 AM
Creation date
8/18/2020 3:02:57 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0013565
PE
2611
FACILITY_NAME
PA-2000126
STREET_NUMBER
1401
Direction
S
STREET_NAME
TRADITION
STREET_TYPE
ST
City
MOUNTAIN HOUSE
Zip
95391-
APN
20945039
ENTERED_DATE
8/6/2020 12:00:00 AM
SITE_LOCATION
1401 S TRADITION ST
RECEIVED_DATE
8/17/2020 12:00:00 AM
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
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SJGOV\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: SU0013565 <br /> DATE RECEIVED by EHD: August 17,2020 APPL#: PA-2000126 <br /> Referral.Agency STAFF CONTACT FRANK GIRARDI PE : 2611 <br /> SUBDIVISION-MAJOR(SU) <br /> COMPLETE&SUBMIT BY: Fri, September 4, 2020 <br /> Assigned to: EE0000418 KITH <br /> SITE ADDRESS: 1401 S TRADITION ST,MOUNTAIN HOUSE APN: 20945039 <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: 114#erD Public Sewer: At4+st) <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: / <br /> AIL-) C/7 . <br /> I recommend: Approval a Denial 1-1 Continuance F-1 Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> A 11 h ck Off List: Proofread Report? Correct LAND USE#? <br /> dAWk Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 August 18,2020 <br />
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