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SU0006068
Environmental Health - Public
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2600 - Land Use Program
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SU0006068
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Entry Properties
Last modified
5/7/2020 11:32:05 AM
Creation date
9/6/2019 10:35:20 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0006068
PE
2690
FACILITY_NAME
PA-0600300
STREET_NUMBER
17590
Direction
S
STREET_NAME
KELSO
STREET_TYPE
RD
City
TRACY
APN
20903003
ENTERED_DATE
5/31/2006 12:00:00 AM
SITE_LOCATION
17590 S KELSO RD
RECEIVED_DATE
5/30/2006 12:00:00 AM
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\K\KELSO\17590\PA-0600300\SU0006068\APPL.PDF \MIGRATIONS\K\KELSO\17590\PA-0600300\SU0006068\CDD OK.PDF \MIGRATIONS\K\KELSO\17590\PA-0600300\SU0006068\EH COND.PDF
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EHD - Public
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NOTE: PULL ALL'i,. RMITS (Septic, Well, etc.) MAKE'. SPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0006068 <br /> DATE RECEIVED by EHD: May 30,2006 APPL#: PA-0600300 <br /> Referral Agency STAFF CONTACT: KATHY ALLEN PE ; 2690 <br /> LOT LINE ADJUSTMENT(LA) <br /> COMPLETE&SUBMIT BY: A A r) Assigned to : EE0004045 TASIOPOULOS <br /> SITE ADDRESS: 17590 S KELSO ,' APN: 20903003 <br /> Qd <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: 4— <br /> Approval Denial Continuance Inspector• <br /> I recommend: App ❑ <br /> � ature <br /> El <br /> Suaervisor/Lead� Senior COMMENTS:�/C.P�I/c 47o-k-. GVc c•ti U7L •� Z n T"7�1! t1LG (�[ �t r�� w r�l ✓� �Lt✓'�- <br /> 5 te�[G �yvsrGlR� �'I� <br /> � v <br /> t <br /> o tin <br /> SUPERVISOR 1 LEAD SENIOR Approval Date <br /> y - �7�v�"3u w- xaa x a• � 3u-5�@�L�aw. :t _. #,v �, - � +&fir ¢�,� '� �°- '" <br /> OA1 G eckxfl ,CFs a Prfr�adly;�eY,portl , r�c IsANS #: ; <br /> EH 06 06 Report#7201 May 31,2046 <br />
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