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SU0013609
Environmental Health - Public
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2600 - Land Use Program
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SU0013609
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Last modified
4/14/2021 8:12:50 AM
Creation date
9/30/2020 7:57:22 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0013609
PE
2622
FACILITY_NAME
PA-2000147
STREET_NUMBER
22745
Direction
E
STREET_NAME
HARNEY
STREET_TYPE
LN
City
LODI
Zip
95240-
APN
06704001
ENTERED_DATE
9/2/2020 12:00:00 AM
SITE_LOCATION
22745 E HARNEY LN
RECEIVED_DATE
9/11/2020 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: S00013609 <br /> DATE RECEIVED by EHD: September 11,2020 APPL#: PA-2000147 <br /> Referral Agency STAFF CONTACT: TEDDIE HERNANDEZ PE: 2622 <br /> SUBDIVISON-MINOR(MS) <br /> COMPLETE&SUBMIT BY: Thu,October 1,2020 <br /> Assigned to: EE0007380 SHIN <br /> SITE ADDRESS: 22745 E HARNEY LN,LODI APN: 06704001 <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: /(/v,.,o Public Sewer: Ae'-C <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> '0.le �4>litr� '� Ow' 1'"le— 3 zo—) ✓ 5'Y: <br /> " rW0 ,+��- �-<,e�! i'��n, ? a--- ! /c ( �'poz+�//9/, S�LDO w y G 3/� /���•-�j G•f� lcs.��.,,�'. c�.,v!r lcs <br /> e �arr�vst AP 4z,—i. 4z, - -yrik 167—O Ll0 -dl t <br /> /3000$p cm S,. <br /> I recommend: Approval 1-1 Denial F-1 Continuance ❑ Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR AI)proNal: Date: <br /> OA 11 Check Off List: Proofread Report? Correct LAND USE#? <br /> Correct CONDMON(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 September 28,2020 <br />
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