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SU0012391
Environmental Health - Public
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SU0012391
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Entry Properties
Last modified
5/7/2020 11:35:45 AM
Creation date
9/4/2019 5:20:29 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0012391
PE
2690
FACILITY_NAME
PA-1900107
STREET_NUMBER
20920
Direction
N
STREET_NAME
DAVIS
STREET_TYPE
RD
City
LODI
Zip
95242-
APN
01309027
ENTERED_DATE
6/24/2019 12:00:00 AM
SITE_LOCATION
20920 N DAVIS RD
RECEIVED_DATE
6/24/2019 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
TSok
Supplemental fields
FilePath
\MIGRATIONS\D\DAVIS\20920\PA-1900107\SU0012391\APPL.PDF \MIGRATIONS\D\DAVIS\20920\PA-1900107\SU0012391\CDD OK.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: SU0012391 <br /> DATE RECEIVED by EHD: June 24,2019 APPL#: PA-1900107 <br /> Referral Agency STAFF CONTACT ALISA GOULART PE : 2690 <br /> LOT LINE ADJUSTMENT(LA) <br /> COMPLETE&SUBMIT BY: Fri, June 28, 2019 <br /> Assigned to : EE0009833 KAUR <br /> SITE ADDRESS: 20920 N DAVIS RD, LODI APN : 01309027 <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: 8�PX M���St -�- wed C U net" 2103 o pnx I's <br /> S ,Skxry or n04_ <br /> r kJ P ro rD d 101 <br /> not r d i <br /> �J J <br /> I recommend: ApprovalV1 Denial F-1Continuance Inspector: Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/ LEAD SENIOR Approval: Date: <br /> [Qa-11 heck Off List: Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 June 24,2019 <br />
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