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SU0013628
Environmental Health - Public
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SU0013628
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Entry Properties
Last modified
9/30/2020 8:07:44 AM
Creation date
9/17/2020 1:48:15 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0013628
PE
2625
FACILITY_NAME
PA-2000120
STREET_NUMBER
5950
Direction
E
STREET_NAME
WOODBRIDGE
STREET_TYPE
RD
City
ACAMPO
Zip
95220-
APN
01709058
ENTERED_DATE
9/16/2020 12:00:00 AM
SITE_LOCATION
5950 E WOODBRIDGE RD
RECEIVED_DATE
9/8/2020 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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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: SU0013628 SJad'3 <br /> DATE RECEIVED by EHD: September 08,2020 APPL#: PA-2000120 <br /> Referral Agency STAFF CONTACT ALISA GOULART PE : 2625 <br /> USE PERMIT-MINOR(UP) <br /> COMPLETE&SUBMIT BY: Tue, September 22, 2020 <br /> Assigned to: EE0000418 KITH <br /> SITE ADDRESS: 5950 E WOODBRIDGE RD,ACAMPO APN: 01709058 <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: ^p,,- Public Sewer: <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: /`��P_��C���r uj'dafCc� 'i f cr - • NJ C- <br /> Je .sl s-LY-V/3s s3.J A ,r <br /> lA-i6Yi_fi'ev-al r'� 4P1,1,v,,,t/ ����'r Gulp- M /4.,,1.4 L Zc?y SW Y/ 'i f AO- eT . <br /> I recommend: Approval F-1 Denial ❑ Continuance ❑ Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/ LEAD SENIOR Approval: Date: <br /> � A�e k Off List: Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 September 16,2020 <br />
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