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SU0012328
Environmental Health - Public
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2600 - Land Use Program
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SU0012328
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Entry Properties
Last modified
5/7/2020 11:35:43 AM
Creation date
9/6/2019 10:24:12 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0012328
PE
2690
FACILITY_NAME
PA-1900080
STREET_NUMBER
18282
Direction
S
STREET_NAME
JACK TONE
STREET_TYPE
RD
City
MANTECA
Zip
95366-
APN
24502030, 24503021, 24503022
ENTERED_DATE
5/21/2019 12:00:00 AM
SITE_LOCATION
18282 S JACK TONE RD
RECEIVED_DATE
5/21/2019 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\J\JACK TONE\18282\PA-1900080\SU0012328\APPL.PDF \MIGRATIONS\J\JACK TONE\18282\PA-1900080\SU0012328\CDD OK.PDF \MIGRATIONS\J\JACK TONE\18282\PA-1900080\SU0012328\EH COND.PDF \MIGRATIONS\J\JACK TONE\18282\PA-1900080\SU0012328\EH PERM.PDF
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EHD - Public
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r <br /> NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0012328 <br /> DATE RECEIVED by ERD: May 21,2019 APPL#: PA-1900080 <br /> Referral Agency STAFF CONTACT! STEPHANIE STOWERS PE : 2690 <br /> LOT LINE ADJUSTMENT(LA) <br /> COMPLETE&SUBMIT BY: Tue, May 28, 2019 Assigned to : EE0009825 AFONSKAIA <br /> SITE ADDRESS: 18282 S JACK TONE RD, MANTECA APN : 24502030,24503021,24503022 <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.... n / <br /> Public Water: NName vul Public Sewer: / V V11 <br /> Name of Purveyor 2 Name of System <br /> SUMMARY OR COMMENTS: ; 2 1 to Li5� >0 I WC1 I vh'� <br /> L4 AVS <br /> Sr S o a2 )3 02 C d�rtcl a �oC ce <br /> [owl V� rc We coa Ick use S C <br /> S l� ro <br /> .Z� So 3c� 22 Vlo (s ob e <br /> A OA/ 2N502030" [ a q we- l l oh��a o� edL. <br /> >% s���h �%d� 4.r"� <br /> = <br /> I recommend: Approval El Denial Continuance Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: _ Date: <br /> OA 1 Check Off Li Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> May 21,2019 <br /> EH 06 06 Report#7201 <br />
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