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SU0004417
Environmental Health - Public
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EHD Program Facility Records by Street Name
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FREWERT
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2600 - Land Use Program
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SA-01-75
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SU0004417
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Entry Properties
Last modified
5/7/2020 11:30:47 AM
Creation date
9/4/2019 6:43:54 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0004417
PE
2632
FACILITY_NAME
SA-01-75
STREET_NUMBER
690
Direction
W
STREET_NAME
FREWERT
STREET_TYPE
RD
City
LATHROP
ENTERED_DATE
5/19/2004 12:00:00 AM
SITE_LOCATION
690 W FREWERT RD
RECEIVED_DATE
10/2/2001 12:00:00 AM
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\F\FREWERT\690\SA-01-75\SU0004417\APPL.PDF \MIGRATIONS\F\FREWERT\690\SA-01-75\SU0004417\CDD OK.PDF \MIGRATIONS\F\FREWERT\690\SA-01-75\SU0004417\EH COND.PDF
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EHD - Public
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zw <br /> NOTE: PULL ALL PER1V,,.S (SEPTIC, WELL, ETC...) T EKE COPIES FOR FILE <br /> LAND USE REPORT APP# / I�I7 '7/S <br /> EHD RECEIVED APP.REFERRAL:_ COMPLETE & SUBMIT BY 10 / / /�r <br /> J� lI Da <br /> ATTN:a <br /> SITE ADDRESS: In� �Y� ins S �L � ( �� n)o <br /> In completing the Land Use investigation, draw all Public Health factors on the exhibit (i.e.: sewage disposal, <br /> water supplies, etc...). Where necessary, on an attached piece of plain paper, draw completed map of area <br /> showing population density, location of house, wind direction, etc.... <br /> Public water: X-2-- Public sewage: <br /> SUMMARY OR COMMENTS: <br /> �/"�� ��J�ii/� � r irr/ � -y. i^i �—�, �:- i�f r 1, �� fr=..tz�..c�✓ <br /> r fn i <br /> -"!tE <br /> �- <br /> ' <br /> I recommend: Approval Denial Continuance Inspector's Signat e <br /> Supervisor/Lead Senior Comments: <br /> C <br /> SUPERVISOR/LEAD SENIOR APPROVAL: <br /> OA II CIfECK OFF LIST., Proofread report? Correct LAND USE#? <br /> Ell 06 06 acv 1/99 Correct CONDITION(S)? Logged is LAND USE BOOK? <br />
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