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SU0007488
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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340
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2600 - Land Use Program
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PA-0800350
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SU0007488
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Entry Properties
Last modified
11/19/2024 3:48:15 PM
Creation date
9/9/2019 10:24:55 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0007488
PE
2626
FACILITY_NAME
PA-0800350
STREET_NUMBER
340
Direction
W
STREET_NAME
STATE ROUTE 12
City
LODI
APN
05802005
ENTERED_DATE
11/25/2008 12:00:00 AM
SITE_LOCATION
340 W HWY 12
RECEIVED_DATE
11/24/2008 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\T\HWY 12\340\PA-0800350\SU0007488\APPL.PDF \MIGRATIONS\T\HWY 12\340\PA-0800350\SU0007488\CDD OK.PDF \MIGRATIONS\T\HWY 12\340\PA-0800350\SU0007488\EH COND.PDF \MIGRATIONS\T\HWY 12\340\PA-0800350\SU0007488\EH PERM.PDF
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EHD - Public
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NOTE: PULL Al.e. aRMITS (Septic, Well, etc.) MAKE PIES FOR FILE <br /> LAND USE REPORT <br /> RECORD ID: SU0007488 <br /> DATE RECEIVED by EHD: November 24,2008 APPL#: PA-0800350 <br /> Referral Agency STAFF CONTACT: JASON JONES PE : 2626 <br /> COMPLETE&SUBMIT BY: Wed, December 10, 2008 <br /> USE PERMIT-GENERAL(UP) <br /> SITE ADDRESS: 340 W HWY 12 , LODI Assigned to : EE0005366 MEDINA <br /> APN : 05802005 <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: j Public Sewer:,62 <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: F1 <br /> f <br /> .' / <br /> ��.• off• <br /> I recommend: Approval EjlbenialEl <br /> Continuance Inspector: r <br /> Supervisor/Lead Senior COMMENTS: 9i nature <br /> C Pf L°'' L---XC� <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> 'OA! eport? Crrecf LA7atDiSSE# <br /> r <br /> sCarrect CG1ND[TI � .^^ egged CUBE$csolc� u <br /> EH 06 06 Report#7201 <br /> November 25,2008 <br />
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