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SU0010811
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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PA-1600048
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SU0010811
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Entry Properties
Last modified
5/7/2020 11:34:45 AM
Creation date
9/9/2019 10:14:59 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0010811
PE
2690
FACILITY_NAME
PA-1600048
STREET_NUMBER
27750
Direction
E
STREET_NAME
SHELTON
STREET_TYPE
RD
City
LINDEN
Zip
95236-
APN
06725002
ENTERED_DATE
3/7/2016 12:00:00 AM
SITE_LOCATION
27750 E SHELTON RD
RECEIVED_DATE
3/4/2016 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\S\SHELTON\27750\PA-1600048\SU0010811\APPL.PDF \MIGRATIONS\S\SHELTON\27750\PA-1600048\SU0010811\CDD OK.PDF \MIGRATIONS\S\SHELTON\27750\PA-1600048\SU0010811\EHD COND.PDF \MIGRATIONS\S\SHELTON\27750\PA-1600048\SU0010811\EHD PERM.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: SU0010811 <br /> DATE RECEIVED by EHD: March 04,2016 APPL#: PA-1600048 <br /> Referral Agency STAFF CONTACT: STEPHANIE STOWERS PE : 2690 <br /> AA--AA nn RRRR��`��` {{{{{{ LOT LINE ADJUSTMENT(LA) <br /> CO{ ��USppl{I BY: Fri, March 4, 2016 <br /> nn VV uu II Assigned to : EE0005944 ESCOTTO <br /> SITE ADDRESS: 27750 E SHELTON RD,LINDEN (ZBZSU APN : 06725002 <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: _ � � . Lkj(ZJ��Fu JJ/rZS <br /> P, 2z z dv 27icav tr- c.b I <br /> ,Z�CA+N1eVD.,-ztc�Is' <br /> I recommend: Approval Denial Continuance Inspector <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> I <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> OA II Check Off Li <br /> Proofread Report?��'vim' Correct LAND USE#? <br /> Correct'CONDITI)N(S)? Lo aged in LAND USE Book? <br /> Ell 06 06 Report 47201 March 07,2016 <br />
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