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SU0011266
EnvironmentalHealth
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2600 - Land Use Program
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SU0011266
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Entry Properties
Last modified
5/7/2020 11:35:04 AM
Creation date
9/8/2019 12:42:55 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0011266
PE
2631
FACILITY_NAME
PA-1100092
STREET_NUMBER
7099
Direction
E
STREET_NAME
PELTIER
STREET_TYPE
RD
City
ACAMPO
Zip
95220-
APN
00526042
ENTERED_DATE
3/10/2017 12:00:00 AM
SITE_LOCATION
7099 E PELTIER RD
RECEIVED_DATE
3/10/2017 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\P\PELTIER\7099\PA-1100092\SU0011266\APPL.PDF \MIGRATIONS\P\PELTIER\7099\PA-1100092\SU0011266\EHD COND.PDF
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EHD - Public
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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0011266 <br /> DATE RECEIVED by EHD: March 10,2017 APPL#: PA-1100092 <br /> Referral Agency STAFF CONTACT: MO HATEF PE : 2631 <br /> SITE APPROVAL-MINOR(SA) <br /> COMPLETE & SUBMIT BY: Tue, April 4, 2017 'T.wc C -fie^�,0A <br /> Assigned to : EE0005944 ESCOTTO <br /> SITE ADDRESS: 7099 E PELTIER RD,ACAMPO APN : 00526042 <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: Public Sewer: <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> Al U Xe-/3t &r l 7>l yrs 5 7 /a'air/z: ; <br /> I recommend: Approval 0Denial Continuance Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/ LEAD SENIOR Approval: Date: <br /> A 11 Check Off List, Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 March 10,2017 <br />
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