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SU0011565
Environmental Health - Public
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SU0011565
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Last modified
5/7/2020 11:35:15 AM
Creation date
9/8/2019 12:39:32 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0011565
PE
2690
FACILITY_NAME
PA-1700249
STREET_NUMBER
23504
Direction
N
STREET_NAME
PEARL
STREET_TYPE
RD
City
ACAMPO
Zip
95220-
APN
00727024
ENTERED_DATE
11/3/2017 12:00:00 AM
SITE_LOCATION
23504 N PEARL RD
RECEIVED_DATE
11/3/2017 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\P\PEARL\23504\PA-1700249\SU0011565\APPL.PDF \MIGRATIONS\P\PEARL\23504\PA-1700249\SU0011565\CDD OK.PDF \MIGRATIONS\P\PEARL\23504\PA-1700249\SU0011565\EH 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: SU0011565 <br /> DATE RECEIVED by EHD: November 03,2017 APPL#: PA-1700249 <br /> Referral Agency STAFF CONTACT. RICK GRIFFIN PE : 2690 <br /> LOT LINE ADJUSTMENT(LA) <br /> COMPLETE&SUBMIT BY: Fri, November 10, 2017 <br /> Assigned to : EE0009488 WONG <br /> SITE ADDRESS: 23504 N PEARL RD,ACAMPO APN : 00727024 <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 /> J oD� 3 23l1L 1��cLr� ill/oz-70-?-3 0JU 5j 26 o <br /> b U -Z2'0ZZ <br /> - a <br /> S k7Ivt <br /> W13/14 2 + ® d— 4 B v i <br /> I recommend: Approval 9L lbenial El Oontinuance Inspector: <br /> / „nature <br /> Sunervisor/Lead Senior COMMENTS: <br /> d l l <br /> f AV <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> A It Check Off List: Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)'? Logged in LAND USE Book? <br /> EH 06 06 Report 47201 November 03,2017 <br />
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