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SU0011200
Environmental Health - Public
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EHD Program Facility Records by Street Name
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2600 - Land Use Program
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SU0011200
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Entry Properties
Last modified
5/7/2020 11:35:01 AM
Creation date
9/6/2019 10:37:12 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0011200
PE
2631
FACILITY_NAME
PA-1700007
STREET_NUMBER
20350
Direction
N
STREET_NAME
KENNEFICK
STREET_TYPE
RD
City
ACAMPO
Zip
95220-
APN
01714042
ENTERED_DATE
1/23/2017 12:00:00 AM
SITE_LOCATION
20350 N KENNEFICK RD
RECEIVED_DATE
1/23/2017 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\K\KENNEFICK\20350\PA-1700007\SU0011200\APPL.PDF \MIGRATIONS\K\KENNEFICK\20350\PA-1700007\SU0011200\EHD COND.PDF \MIGRATIONS\K\KENNEFICK\20350\PA-1700007\SU0011200\EHD PERM.PDF \MIGRATIONS\K\KENNEFICK\20350\PA-1700007\SU0011200\MISC.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: SU0011200 <br /> DATE RECEIVED by EHD: January 23,2017 APPL#: PA-1700007 <br /> Referral Agency STAFF CONTACT STEPHANIE STOWERS PE : 2631 <br /> SITE APPROVAL-MINOR(SA) <br /> COMPLETE&SUBMIT BY: Wed, February 8, 2017 <br /> Assigned to : EE0005944 ESCOTTO <br /> SITE ADDRESS: 20350 N KENNEFICK RD,ACAMPO APN : 01714042 <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 COMMENT'S:) _ 1-2e��i�l g! WE Ag�qfi,6 W� age. &*5;97 32LYY/ <br /> • i�,l,;S/7r"- ���� -Tv.�jJ,�.�t/l� �v-�s��a�,4.�1 sl�z:�n ,a-,v cF�r�ll��,a� <br /> r✓Ti .g tel« s1r5 �i i7rf a�4�7rf�n.•3��19t/PSS 3 ZnZb/ 142 &,oX e c 9,7A/cn1, <br /> Sc Z« sus cn -61 r anc5skc&,,tlFi/12 l nR�i�W-r cr> ��tL_1 a an/�l�zu <br /> TTS<N1c ExiS� f� �t��yySZEMS <br /> A4,-'-A,07Z%.ac <br /> • 7i/�Tis�1��iJsrl!sr��.� ,4Z ���� T-aL/ <3C�i i?,rt��s �9�s��'LOL�Ic�J <br /> / �.3 �JSI� �/Y.� C�//'Jl1e-�U7L�S� %r/�SE`Si�i�/GZ��Ir3/-Ylls7���E�►"lGc/tj'I . <br /> I recommend: Approval Denial ❑ Continuance Inspecto <br /> Signature <br /> Sunervisor/Lead Senior COMMENTS: <br /> �llCLy7>I7��i�sk ,. <br /> A-1_//-/0 — SL!&iv-//I �7c , DG4+✓D//!? l: Zw6 sl'64- :ii <br /> /,�ayn/AxJL >l isi%cc Ylc � 5k,�4.0 6f -a- zo ewiy.•'� <br /> Skis �i7SC i� C6, i��cl �A ?s✓��n, vc k1 r �2✓+ 7T1/�7� QJ-fay I <br /> Ko' <br /> SUPERVISOR/ LEAD SENIORApproval: Date: <br /> A II Check Off Li Proofread Report? Correct LAND USE#'? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 January 23,2017 <br />
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