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SU0012395
Environmental Health - Public
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2600 - Land Use Program
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PA-1800301
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SU0012395
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Last modified
5/9/2022 3:13:46 PM
Creation date
9/9/2019 11:07:21 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0012395
PE
2656
FACILITY_NAME
PA-1800301
STREET_NUMBER
13285
Direction
S
STREET_NAME
WILLOW GLEN
STREET_TYPE
RD
City
STOCKTON
Zip
95206-
APN
19104007
ENTERED_DATE
6/28/2019 12:00:00 AM
SITE_LOCATION
13285 S WILLOW GLEN RD
RECEIVED_DATE
4/13/2022 12:00:00 AM
P_LOCATION
99
P_DISTRICT
003
QC Status
Approved
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SJGOV\tsok
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FilePath
\MIGRATIONS\W\WILLOW GLEN\13285\PA-1800301\SU0012395\APPL.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: SU0012395 <br />DATE RECEIVED by EHD: June 17, 2019 <br />Referral Agency STAFF CONTACT GIUSEPPE SANFILIPPO <br />COMPLETE & SUBMIT BY: Thu, July 11, 2019 <br />APPL #: PA -1800301 <br />PE : 2606 <br />EXCAVATION- AGRICULTURAL (AX) <br />Assigned to: EE0009825 AFONSKAIA <br />SITE ADDRESS: 13285 S WILLOW GLEN RD, STOCKTON APN : 19104007 <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: A la& Public Sewer: ALL'` <br />14a—me of Purveyor Name of System <br />SUMMARY OR COMMENTS: <br />I recommend: Approval14 E Denial Continuance Inspector: <br />Signature <br />Sunervisor/Lead Senior COMMENTS: <br />SUPERVISOR / LEAD SENIOR Approval: Date: <br />OA 11 Check Off List: Proofread Report? Correct LAND USE # ? <br />Correct CONDITION(S) ? Logged in LAND USE Book? <br />EH 06 06 Report #7201 June 28, 2019 <br />
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