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SU0005344
Environmental Health - Public
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2600 - Land Use Program
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SU0005344
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Last modified
11/2/2020 10:05:00 AM
Creation date
9/9/2019 11:11:09 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0005344
PE
2627
FACILITY_NAME
PA-0500531
STREET_NUMBER
4620
Direction
E
STREET_NAME
WOODBRIDGE
STREET_TYPE
RD
City
ACAMPO
APN
01709002
ENTERED_DATE
8/26/2005 12:00:00 AM
SITE_LOCATION
4620 E WOODBRIDGE RD
RECEIVED_DATE
8/26/2005 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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SJGOV\wng
Supplemental fields
FilePath
\MIGRATIONS\W\WOODBRIDGE\4620\PA-0500531_PA-0300206\SU0005344\PUB REC REL APPL.PDF
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EHD - Public
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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKirCOPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0007603 <br /> DATE RECEIVED by EHD: February 23,2009 APPL#: PA-0500531 E <br /> Referral Agency STAFF CONTACT: KEVIN SWANSON PE : 2627 <br /> USE PERMIT-MAJOR(UP) <br /> COMPLETE & SUBMIT BY: Wed, March 11, 2009 <br /> Assigned to : EE0005944 ESCOTTO <br /> SITE ADDRESS: 4620 E WOODBRIDGE RD, ACAMPO APN : 01709002 <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 Purvevor Name of System <br /> SUMMARY OR COMMENTS: <br /> commend: Approval Denial Continuance ❑ In <br /> Signature <br /> isor/Lead Senior COMMENTS: <br /> �L --- <br /> SUPERVISOR/LEAD SENIOR Approval: �`i� Date: / �2j <br /> OA 1l Check Off List; Proofread Report? Correct LAND IiSF:it? <br /> Correct CON DI"I'ION(S)? Logged in LAND USE Book? <br /> February 24,2009 <br />
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