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SU0006257
Environmental Health - Public
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SU0006257
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Entry Properties
Last modified
5/7/2020 11:32:15 AM
Creation date
9/5/2019 10:57:44 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0006257
PE
2633
FACILITY_NAME
PA-0600359
STREET_NUMBER
10998
Direction
S
STREET_NAME
HARLAN
STREET_TYPE
RD
City
FRENCH CAMP
APN
19333030
ENTERED_DATE
9/19/2006 12:00:00 AM
SITE_LOCATION
10998 S HARLAN RD
RECEIVED_DATE
9/19/2006 12:00:00 AM
P_LOCATION
99
P_DISTRICT
001
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\H\HARLAN\10998\PA-0600359\SU0006257\APPL.PDF \MIGRATIONS\H\HARLAN\10998\PA-0600359\SU0006257\CDD OK.PDF \MIGRATIONS\H\HARLAN\10998\PA-0600359\SU0006257\EH COND.PDF
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EHD - Public
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NOTE: PULL ALL OrRMITS (Septic, Well, etc.) MAKE C IES FOR FILE <br /> LAND USE REPORT RECORD ED: SU0006257 <br /> DATE RECEIVED by EHD: September 19,2006 APPL#: PA-0600359 <br /> Referral Agency STAFF CONTACT: KARLA KUHL PE : 2633 <br /> SITE APPROVAL-MAJOR(SA) <br /> COMPLETE&SUBMIT BY: Wed, September 27, 2006 <br /> Assigned to : EE0007379 BOERTIEN <br /> SITE ADDRESS: 10998 S HARLAN RD, FRENCH CAMP APN : 19333030 <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 /> GE re— .2 e) o 17- 40 ctQQ21L c.j <br /> tru r r Yrhnc.a-vim (�i.tidD G 1 <br /> I recommend: Approval F7 Denial Continuance Inspector: <br /> Y j Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> U-1 <br /> d-e <br /> /1X16 , ati.c &ota �_ -POG fl#w,K3 47) <br /> �. ,�. .�. <br /> 02 <br /> 2-0 <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> Che"ek Off Cist_ "' v Proofread Repor[? -- Correct LAND USE 9 4 ' <br /> Correa.[ OM)iTION(S)`' I,oeged in LAND USF: Book? <br /> September 19,2006 <br />
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