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NOTE: PULL AL`rRMITS (Septic, Well, etc.) MAKE,,PPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0005704 <br /> DATE RECEIVED by EHD: October 12,2005 ADPL#: PA-0500666 <br /> Referral Agency STAFF CONTACT: 01545042 / , PE : 2622 <br /> 'moi SUBDIVISON-MINOR(MS) <br /> COMPLETE&SUBMIT BY: Tue, November`f 2005 <br /> Assigned to : EE0005366 MEDINA <br /> SITE ADDRESS: 838 E MOKELUMNE ST,WOODBRIDGE APN: 01545042 <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: �C��L�e �T� Public Sewer: <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> 6A2 <br /> —Z -i r�x— <br /> ao <br /> I recommend: Approva Denial Continuance ❑ 16pector221,g�ure <br /> Supervisor/Lead Senior COMMENTS: <br /> i <br /> r d <br /> 2� r �� � Q� (�✓h Cn.`1 <br /> SUPERVISOR/ LEAD SENIOR Approval: Date: 0 S <br /> OA 11 Check Off List: Proofread Kepbrt? 777=777M,. <br /> Correct CONDCfION(S)? _ <br /> EH 06 06 Report N7201 October 17,2005 <br />