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SR0083976_SSNL
Environmental Health - Public
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2600 - Land Use Program
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SR0083976_SSNL
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Last modified
2/10/2022 9:33:35 AM
Creation date
8/9/2021 1:22:08 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSNL
RECORD_ID
SR0083976
PE
2602
STREET_NUMBER
12184
Direction
N
STREET_NAME
HIBBARD
STREET_TYPE
LN
City
LODI
Zip
95240
APN
06323042
ENTERED_DATE
7/20/2021 12:00:00 AM
SITE_LOCATION
12184 N HIBBARD LN
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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Tags
EHD - Public
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NOTE: PULL ALL -.AMITS (Septic, Well, etc.) MAKE G.J IES FOR FILE <br />LAND USE REPORT RECORD ID: SU0006150 <br />DATE RECEIVED by EHD: August 01,2006 APPL#: PA-0600423 <br />Referral Agency STAFF CONTACT: JOHN FUNDERBURG PE : 2690 <br />LOT LINE ADJUSTMENT(LA) <br />COMPLETE&SUBMIT BY: AbAP-BY,Assigned to : EE0005944 ESCOTTO <br />SITE ADDRESS: 121.72 N HIBBARD RD, LODI APN : 06323014 <br />1 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: Public Sewer: <br />Name of Purveyor Name of System <br />SUMMARY OR COMMENTS: <br />i <br />4 <br />I recommend: Approval Denial Continuance Inspector: <br />el <br />Signature <br />Supervisor/Lead Senior COMMENTS: <br />I <br />3 <br />r <br />SUPERVISOR/LEAD SENIOR Approval: <br />7nDate: <br />2 f <br />EH 06 06 Report#7201 August 0l,2006
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