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SU0005905
Environmental Health - Public
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EHD Program Facility Records by Street Name
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T
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12 (STATE ROUTE 12)
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10921
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2600 - Land Use Program
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PA-0600043
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SU0005905
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Entry Properties
Last modified
11/19/2024 3:48:13 PM
Creation date
9/9/2019 10:23:04 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0005905
PE
2690
FACILITY_NAME
PA-0600043
STREET_NUMBER
10921
Direction
E
STREET_NAME
STATE ROUTE 12
City
LODI
APN
05115016 45 48
ENTERED_DATE
2/7/2006 12:00:00 AM
SITE_LOCATION
10921 E HWY 12
RECEIVED_DATE
2/7/2006 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\T\HWY 12\10921\PA-0600043\SU0005905\APPL.PDF \MIGRATIONS\T\HWY 12\10921\PA-0600043\SU0005905\CDD OK.PDF \MIGRATIONS\T\HWY 12\10921\PA-0600043\SU0005905\EH COND.PDF \MIGRATIONS\T\HWY 12\10921\PA-0600043\SU0005905\EH PERM.PDF
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EHD - Public
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NOTE: PULL ALL�,,,,ZRMITS (Septic, Well, etc.) MAKE'----PIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0005905 <br /> DATE RECEIVED by EHD: February 07,2006 ,APPL#: PA-0600043 <br /> Referral Agency STAFF CONTACT: TONY SALCEDO PE : 2690 <br /> LOT LINE ADJUSTMENT(LA) <br /> COMPLETE&SUBMIT BY: ASAR <br /> V <br /> 11# WWV <br /> Assigned to : 1;E0005366 MEDINA <br /> SITE ADDRESS: 10921 E HWY 12 , LODI APN : 05115016 45 48 <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, Iocation of house, wind direction, etc.... <br /> Public Water: �rnp Public Sewer: <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: " " <br /> i6-2 <br /> I recommend: ApprovalTD Denial ❑ Continuance tn.SRec <br /> S' nature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR I LEAD SENIOR Approval: Date: d <br /> E <br /> J ff.Ltrs ` -e <br /> EH 06 06 Report#7201 February 07,2006 <br />
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