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SU0005773
Environmental Health - Public
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SU0005773
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Last modified
12/27/2019 8:42:10 AM
Creation date
12/27/2019 8:36:50 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0005773
PE
2622
FACILITY_NAME
PA-0500764
STREET_NUMBER
19730
Direction
N
STREET_NAME
WINDWOOD
STREET_TYPE
DR
City
WOODBRIDGE
APN
01502061
ENTERED_DATE
11/21/2005 12:00:00 AM
SITE_LOCATION
19730 N WINDWOOD DR
RECEIVED_DATE
11/16/2005 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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SJGOV\gmartinez
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EHD - Public
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NOTE: PULL ALL IRMITS (Septic, Well, etc.) MAK PIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0005773 <br /> DATE RECEIVED by EHD: November 16,2005 APPL#: PA-0500764 <br /> Referral Agency STAFF CONTACT: KARLA KUHL PE : 2622 <br /> SUBDIVISON-MINOR(MS) <br /> COMPLETE& SUBMIT BY: Tue, December 6, 2005 <br /> Assigned to : EE0005366 MEDINA <br /> SITE ADDRESS: 19730 N WINDWOOD DR, WOODBRIDGE APN : 01502061 <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�r7�P/� , �1 Public Sewer./ <br /> Name of Purveyor Name of S stem <br /> SUMMARY OR COMMENTS: ������ �:� ���" �� � � <br /> _ lc�i/� f�—� •�/o ��x�fi"ir' /'l/ oma/�//��� �ZZ� <br /> ///�V� % �����y� i—/err � •.l >I�/'� <br /> is O- <br /> �d O <br /> I recommend: Approval Denial ❑ Continuance F] I o : ` <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> L <br /> 2,0 <br /> � Swb <br /> Q W rr _ u <br /> 2 v I <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> Report? <br /> OA 11 Check Off List: Proofread Correct LAND USE#? <br /> Correct CONDITIONS)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 November 21,200 <br />
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