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SU0005873
Environmental Health - Public
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2600 - Land Use Program
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SU0005873
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Last modified
5/7/2020 11:31:49 AM
Creation date
9/9/2019 10:52:30 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0005873
PE
2622
FACILITY_NAME
PA-0500879
STREET_NUMBER
10055
Direction
E
STREET_NAME
UNDERWOOD
STREET_TYPE
RD
City
ACAMPO
APN
00730008
ENTERED_DATE
1/11/2006 12:00:00 AM
SITE_LOCATION
10055 E UNDERWOOD RD
RECEIVED_DATE
1/10/2006 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\U\UNDERWOOD\10055\PA-0500879\SU0005873\APPL.PDF \MIGRATIONS\U\UNDERWOOD\10055\PA-0500879\SU0005873\CDD OK.PDF \MIGRATIONS\U\UNDERWOOD\10055\PA-0500879\SU0005873\EH COND.PDF \MIGRATIONS\U\UNDERWOOD\10055\PA-0500879\SU0005873\MISC.PDF
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EHD - Public
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NOTE: PULL ALL IMITS (Septic, Well etc.) MAKE MES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0005873 <br /> DATE RECEIVED by EHD: January 10,2006 APPL#: PA-0500879 <br /> Referral Agency STAFF CONTACT: CEALY LEIN PE : 2622 <br /> SUBDMSON-MINOR(MS) <br /> COMPLETE& SUBMIT BY: Tue, January 37, 2006 <br /> Assigned to : EE0005366 MEDINA <br /> SITE ADDRESS: 10055 E UNDERWOOD RD, ACAMPO APN : 00730008 <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: L Public Sewer: <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS 77 ��G�iL' s m �• <br /> C37 <br /> 1 <br /> I recommend: Approval Denial ❑ Continuance Inspector: — — <br /> ignature <br /> Supervisor/Lead Senior COMMENTS: <br /> C,d1 <br /> 13 �2. DZ /yew <br /> �205� <br /> 3AA <br /> 2� o6V � <br /> ',L P C R V I50 R/ LEAD SENIOR Approval: Date: L <br /> OA 11-Check-Off L'is <br /> EH 06 06 Report#7201 January 11,2006 <br />
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