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SU0009315
Environmental Health - Public
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EHD Program Facility Records by Street Name
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2600 - Land Use Program
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PA-1200161
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SU0009315
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Last modified
5/7/2020 11:33:56 AM
Creation date
9/4/2019 6:38:03 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0009315
PE
2690
FACILITY_NAME
PA-1200161
STREET_NUMBER
17508
Direction
E
STREET_NAME
FRAZIER
STREET_TYPE
RD
City
LINDEN
Zip
95236-
APN
06510008 29 30
ENTERED_DATE
8/13/2012 12:00:00 AM
SITE_LOCATION
17508 E FRAZIER RD
RECEIVED_DATE
8/13/2012 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\F\FRAZIER\17508\PA-1200161\SU0009315\APPL.PDF \MIGRATIONS\F\FRAZIER\17508\PA-1200161\SU0009315\CDD OK.PDF \MIGRATIONS\F\FRAZIER\17508\PA-1200161\SU0009315\EH 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: SU0009315 <br /> DATE RECEIVED by EHD: August 13,2012 APPL#: PA-1200161 <br /> Referral Agency STAFF CONTACT: CORINNE E KING PE : 2690 <br /> LOT LINE ADJUSTMENT(LA) <br /> COMPLETE&SUBMIT BY: RV■ <br /> ASAR <br /> "^T Assigned to: EE0005944 ESCOTTO <br /> SITE ADDRESS: 17508 E FRAZIER RD, LINDEN APN : 06510008 29 30 <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 /> / EZa A� ✓ /A3 �%SGLI� C� Ga�C..Ex � �-�/�.Lor7�'� <br /> I recommend: Approval 2 Denial El Continuance ❑ Inspector: <br /> iQnature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: Date: / L <br /> OA 11 Check Off List: Proofread Repot? Correct LAND USF,'4 <br /> Correct CONDITION(S)'? Lo�cd in LAND USF.Book? <br /> J4 06 06 Report 47201 <br /> August 13,20 1 <br />
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