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SU0013199
Environmental Health - Public
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PA-2000023
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SU0013199
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Last modified
11/19/2024 3:48:19 PM
Creation date
5/7/2020 3:39:20 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0013199
PE
2620
FACILITY_NAME
PA-2000023
STREET_NUMBER
10400
Direction
E
STREET_NAME
STATE ROUTE 12
City
LODI
Zip
95240-
APN
05112088
ENTERED_DATE
4/27/2020 12:00:00 AM
SITE_LOCATION
10400 E HWY 12
RECEIVED_DATE
4/17/2020 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
TSok
Tags
EHD - Public
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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0013198 <br /> DATE RECEIVED by EHD: April 17,2020 APPL#: PA-1900243 <br /> Referral Agency STAFF CONTACT' STEPHANIE STOWERS PE : 2626 <br /> USE PERMIT-GENERAL(UP) <br /> COMPLETE&SUBMIT BY: Thu, May 14, 2020 Assigned to : EE0000418 KITH <br /> SITE ADDRESS: 10400 E HWY 12 , LODI APN: 05112088 <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: NO IV a- Public Sewer: AA)klf—_ <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: 2 -{ ' c V Sq �-k. t V"-A S RTtc�N R-o,Q QAC <br /> P(zU?d�Eo �� �y�Fs ( L1 <br /> \ eitf- s406vA) <br /> D A I-F,.N` D 7��-F �l�L"1 MQ D i-i W!J TV CI'y 1. t?VO C J�� .t F i�Fi&D <br /> I recommend: Approval 1-1 Denial F-1 Continuance F� Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> L rvf.k'z ,tiiWw, om u s ,n sir(; <br /> �11� QI,Ar L nn6�v T <br /> 01-e'0 05 k- i�L b4'a /')&,U sU 7l 50( � �, r✓ <br /> In fel 11 l U/AU4L` _�� �71� M `✓ i��t L 5���- Pel'1 <br /> ot"o km <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> k Off Li Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 April 28,2020 <br />
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