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SU0011353
Environmental Health - Public
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2600 - Land Use Program
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PA-1700097
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SU0011353
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Entry Properties
Last modified
11/20/2024 8:50:28 AM
Creation date
9/9/2019 10:28:43 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0011353
PE
2622
FACILITY_NAME
PA-1700097
STREET_NUMBER
16255
Direction
E
STREET_NAME
STATE ROUTE 26
City
LINDEN
Zip
95236-
APN
09110029
ENTERED_DATE
5/17/2017 12:00:00 AM
SITE_LOCATION
16255 E HWY 26
RECEIVED_DATE
5/5/2017 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\T\HWY 26\16255\PA-1700097\SU0011353\APPL.PDF \MIGRATIONS\T\HWY 26\16255\PA-1700097\SU0011353\CDD OK.PDF \MIGRATIONS\T\HWY 26\16255\PA-1700097\SU0011353\EHD COND.PDF \MIGRATIONS\T\HWY 26\16255\PA-1700097\SU0011353\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: SU0011353 <br /> DATE RECEIVED by EHD: May 05,2017 APPL#: PA-1700097 <br /> Referral Agency STAFF CONTACT MEGAN E.AGUIRRE PE : 2622 <br /> SUBDIV ISON-MINOR(MS) <br /> COMPLETE&SUBMIT BY: Tue, June 6, 2017 <br /> Assigned to : EE0005944 ESCOTTO <br /> SITE ADDRESS: 16255 E HWY 26 , LINDEN APN : 09110029 <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: —face � � , W&? <br /> ��i/Ci/�i7i'>yi��",�t'✓'rJIU%1��'�'/)dV�LS .C�IVf�}��/�7i1!//7%//hVl/n.�,A -��/G-Z <br /> r� 1it73Lt� . 7145.271 !/4tiiir 5 Pa�� 7a r� 65 C 4z.111 /6 moi= isr�h/ <br /> i <br /> S�C�t/�4Z7: sn�Jr7Ty .4- tylAwlc/Yiu2rr� <br /> I recommend: Approval Denial Con inuanceInspec , <br /> Signature <br /> Sunervisor/Lead Senior COMMENTS: <br /> A""16 ld 2/,r l 2;�t5 e?A2�aRILY_ <br /> 57ff7c/< �Z�91f�'IY�../s,:�6 TI�3///��/�� /s Glt/�ic�dc/.sI-77•Fn5 Z�i1z� C7c�'r//N4v <br /> _ O J2�ki Ae7Ca/? lLgli��L�✓ [r . <br /> ,fie- Y[115!9liArf7r,:;PtL <br /> \ 22.,02 <br /> �l G1:o2 (�rv7c: . sizes cc�7E) <br /> :U <br /> :U <br /> SU ERV&OLEADSENIOR Approval: Date: <br /> Off List: Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 Report N7201 �,) M:nli.'_ <br />
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