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SU0005793
Environmental Health - Public
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SU0005793
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Last modified
5/7/2020 11:31:46 AM
Creation date
9/4/2019 6:39:34 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0005793
PE
2626
FACILITY_NAME
PA-0500714
STREET_NUMBER
23073
Direction
S
STREET_NAME
FREDERICK
STREET_TYPE
AVE
City
RIPON
APN
22813021
ENTERED_DATE
11/30/2005 12:00:00 AM
SITE_LOCATION
23073 S FREDERICK AVE
RECEIVED_DATE
11/29/2005 12:00:00 AM
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\F\FREDERICK\23073\PA-0500714\SU0005793\APPL.PDF \MIGRATIONS\F\FREDERICK\23073\PA-0500714\SU0005793\EHD COND.PDF
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EHD - Public
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NOTE: PULL ALL4feRMITS (Septic, Well, etc.) MAKE"a]PIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0005793 <br /> DATE RECEIVED by EHD: November 29,2005 APPL#: PA-0500714 <br /> Referral Agency STAFF CONTACT: RICK GRIFFIN PE : 2626 <br /> USE PERMIT-GENERAL(UP) <br /> COMPLETE&SUBMIT BY: Wed, December 14, 2005 <br /> Assigned to : EE0004000 VAN D]'lYE <br /> SITE ADDRESS: 23073 S FREDERICK AVE, RIPON APN : 22813021 <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: n <br /> A i l,'o�, � 'R U,,eeS AIV 7/lr 501e 5 U17,9t U7? <br /> ii Sr Nor/. // 2 <br /> A 14 6o EMl leer vF f d*b, " Ali's x' Ed e- /'�'z .47 <br /> 7;W:� Dk- SdBtNiZjAZ, 76 6,0424 ,*A,74L J-& t7;VAPZ <br /> I recommend: Approval Denial El Continuance El Inspector: ' <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> r41) 11 ' 02 be,4v!PA-1 cw( f+ 17v S,5 <br /> NOV it, Z 063 <br /> SUPERVISOR I LEAD SENIOR Approval: Date: <br /> Proofread Re or(? .. ". ... ..-..,,. -., ,. <br /> OA //Check Off List: o„ p ,.. CRneRt LANl?�USE#? <br /> Con eet CONDITION(S)? - Logged in LAND USE Book? <br /> CI1 uo u6 1""'t LT_'01 December 01,2005 <br />
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