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SU0010621
Environmental Health - Public
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SU0010621
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Last modified
5/7/2020 11:34:39 AM
Creation date
9/9/2019 10:53:15 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0010621
PE
2690
FACILITY_NAME
PA-1400026
STREET_NUMBER
6000
Direction
W
STREET_NAME
UNDINE
STREET_TYPE
RD
City
STOCKTON
Zip
95206-
APN
18920004 06
ENTERED_DATE
9/8/2015 12:00:00 AM
SITE_LOCATION
6000 W UNDINE RD
RECEIVED_DATE
9/4/2015 12:00:00 AM
P_LOCATION
99
P_DISTRICT
003
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\U\UNDINE\6000\PA-1400026\SU0010621\APPL.PDF \MIGRATIONS\U\UNDINE\6000\PA-1400026\SU0010621\CDD OK.PDF \MIGRATIONS\U\UNDINE\6000\PA-1400026\SU0010621\EH COND.PDF
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EHD - Public
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-z <br /> NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: S00010621 <br /> DATE RECEIVED by EHD: September 04,2015 APPL#: PA-1400026 TE <br /> Referral Agency STAFF CONTACT: CORINNE KING PE : 2690 <br /> LOT LINE ADJUSTMENT(LA) <br /> COMPLETE& SUBMIT BY: Fri, September 11, 2015 Assigned to: EE0005944 ESCOTTO <br /> SITE ADDRESS: 6000 W UNDINE RD, STOCKTON APN : 18920004 06 <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: <br /> Q) 067 .CI'GL LGAk/74� 4--.4 L NA41 C., AZ= C2171�`I:1i 222 e i-'Ahxf -A SZ!E2Qw <br /> L�1e3p /Y)41Lef 3 9�i�f C•LfDCaVLS!l��t1 lrW0.5d1) <br /> I recommend: Approval Denial Continuance Inspect r. <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> 4 <br /> SUPERVISOR/ LEAD SENIOR Approval: Date: l J <br /> Proofread Report?\, Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 September 08,2015 <br />
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