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SU0015345
EnvironmentalHealth
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DUSTIN
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2600 - Land Use Program
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PA-2300002
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SU0015345
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Entry Properties
Last modified
7/14/2023 2:34:59 PM
Creation date
2/6/2023 10:13:33 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0015345
PE
2690
FACILITY_NAME
PA-2300002
STREET_NUMBER
25476
Direction
N
STREET_NAME
DUSTIN
STREET_TYPE
RD
City
ACAMPO
Zip
95220-
APN
00704001, -26, -27
ENTERED_DATE
1/11/2023 12:00:00 AM
SITE_LOCATION
25476 N DUSTIN RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\sballwahn
Tags
EHD - Public
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SAN Jo I { 1 (� �j•' - I'➢ 1� � �� C1lI� i{ �' 1 1--� � f 1 � 4� ^ .� r-� t �J /1�1 Ii -' r -� <br /> ti f h l� P I � Lf �� ' 4{ `�� EKY . O �� PR a Li ' t�IN <br /> ��L= r � �1 `�1t� (' i3 u <br /> 1 Pull S FB` <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 /> Ley'/ ❑ ❑ <br /> Wastewater Disposal <br /> Public Service Provider: Will Serve Letter Provided Distance to Public Sewer: <br /> ❑ ❑ <br /> Private Existing Septic System New Septic System Septic System Replacement <br /> uoo� i <br /> El El <br /> Storm Drainage <br /> Public Service Provider: Will Serve Letter Provided Distance to Public Storm Drain : <br /> El New <br /> Private Existing On-site Retention Pond New On-site Retention Pond Natural Drainage <br /> ❑ ❑ L7-` ~ <br /> OTHER PUBLIC SERVICES <br /> Fire Protection Service <br /> Service Provider: Distance to Fire Station : <br /> 3U* ZvV Jo�ff 12 -d <br /> Updated 09 /01 /2020 <br />
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