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SU0013103
Environmental Health - Public
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SU0013103
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Entry Properties
Last modified
5/13/2020 5:02:52 PM
Creation date
4/2/2020 2:15:23 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0013103
PE
2622
FACILITY_NAME
PA-2000047
STREET_NUMBER
18175
Direction
E
STREET_NAME
FRONT
STREET_TYPE
ST
City
LINDEN
Zip
95236-
APN
09120050
ENTERED_DATE
3/27/2020 12:00:00 AM
SITE_LOCATION
18175 E FRONT ST
RECEIVED_DATE
3/26/2020 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
TSok
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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: SU0013103 <br /> DATE RECEIVED by EHD: March 26,2020 APPL#: PA-2000047 <br /> Referral Agency STAFF CONTACT. GIUSEPPE SANFILIPPO PE : 2622 <br /> SUBDIVISON-MINOR(MS) <br /> COMPLETE & SUBMIT BY: Thu, April 30, 2020 <br /> Assigned to: EE0000418 KITH <br /> SITE ADDRESS: 18175 E FRONT ST, LINDEN APN: 09120050 <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: N®f-� Public Sewer: L z IR-� <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: iQ 12 b ) ) <br /> S � Ut) No PL4,6 ur'� iH64j�.N 1,0 tj C'i-., "s <br /> �.�� � ��fl� �9�mss T ► � t �1 �- ���� ST >� p�s�_� <br /> I recommend: Approval Denial Continuance Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> A 11 Check Off List: Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 April 23,2020 <br />
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