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SU0011643
Environmental Health - Public
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2600 - Land Use Program
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PA-1600120
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SU0011643
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Entry Properties
Last modified
11/20/2024 9:09:39 AM
Creation date
9/4/2019 6:46:22 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0011643
PE
2690
FACILITY_NAME
PA-1600120
STREET_NUMBER
7411
Direction
E
STREET_NAME
STATE ROUTE 4
City
STOCKTON
Zip
95215-
APN
10305015
ENTERED_DATE
1/30/2018 12:00:00 AM
SITE_LOCATION
7411 E HWY 4
RECEIVED_DATE
1/30/2018 12:00:00 AM
P_LOCATION
99
P_DISTRICT
001
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\F\HWY 4\7411\PA-1600120\SU0011643\APPL.PDF \MIGRATIONS\F\HWY 4\7411\PA-1600120\SU0011643\CDD OK.PDF \MIGRATIONS\F\HWY 4\7411\PA-1600120\SU0011643\EH PERM.PDF \MIGRATIONS\F\HWY 4\7411\PA-1600120\SU0011643\EHD 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: SU0011643 <br /> DATE RECEIVED by EHD: January30,2018 APPL#: PA-1600120 <br /> Referral Agency STAFF CONTACT STEPHANIE STOWERS PE : 2690 <br /> LOT LINE ADJUSTMENT(LA) <br /> COMPLETE&SUBMIT BY: Fri, February 2, 2018dime $x.wsion <br /> Assigned to : EE 009488 WONG <br /> SITE ADDRESS: 7411 E HWY 4 , STOCKTON APN : 10305015 <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 s f R <br /> SUMMARY OR COMMENTS: AUwz; , a 2, ck)1q_ V3! LI'o -? '�5 5 <br /> 0 W X31 anI` 0 363 3 Z0 <br /> K� a 9" d I 2 4;4A 20/.5 <br /> 6i�u2st� : 6n1 <br /> 4 <br /> Abovew.7 22 Ckeb <br /> I recommend: Approval ❑ Denial ❑ Continuance F-1 Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: / Date: 171 <br /> OA II Check OS List: Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report 47201 January 30,2018 <br />
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