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SU0011956
Environmental Health - Public
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EHD Program Facility Records by Street Name
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4 (STATE ROUTE 4)
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24465
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2600 - Land Use Program
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PA-1800213
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SU0011956
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Last modified
11/20/2024 9:09:39 AM
Creation date
9/4/2019 6:45:44 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0011956
PE
2690
FACILITY_NAME
PA-1800213
STREET_NUMBER
24465
Direction
E
STREET_NAME
STATE ROUTE 4
City
FARMINGTON
Zip
95230-
APN
18704029, 18704017
ENTERED_DATE
9/19/2018 12:00:00 AM
SITE_LOCATION
24465 E HWY 4
RECEIVED_DATE
9/17/2018 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\F\HWY 4\24465\PA-1800213\SU0011956\APPL.PDF \MIGRATIONS\F\HWY 4\24465\PA-1800213\SU0011956\CDD OK.PDF \MIGRATIONS\F\HWY 4\24465\PA-1800213\SU0011956\EH COND.PDF \MIGRATIONS\F\HWY 4\24465\PA-1800213\SU0011956\EH PERM.PDF
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EHD - Public
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s <br /> NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0011956 <br /> DATE RECEIVED by EHD: September 17,2018 APPL#: PA-1800213 <br /> Referral Agency STAFF CONTACT FRANK GIRARDI PE : 2690 <br /> LOT LINE ADJUSTMENT(LA) <br /> COMPLETE&SUBMIT BY: Fri, September 21, 2018 <br /> Assigned to : EE0000034 AHMED <br /> SITE ADDRESS: 24465 E HWY 4 ,FARMINGTON APN: 18704029, 18704017 <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: Na,,,` Public Sewer: <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> Lbs 1 10#i,L .,o 4 AAm w o eels vee— ezo l--s h'r Led <br /> rsG. S!!ts7'J��' ¢24 1 G'eZ <br /> -e1r7rvw"-1h, t140 <br /> I recommend: Approval FTI Denial F-1 Continuance F-1 Inspector:-..--VA - <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: , <br /> L!/ <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> OA 11 Check Off Lis : Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 September 19,2018 <br />
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