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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0012590 <br /> DATE RECEIVED by ERD: October 04,2019 APPL#: PA-1900031 <br /> Referral Agency STAFF CONTACT ALISA GOULART PE : 2666 <br /> REZONING 5+acres(ZR) <br /> COMPLETE&SUBMIT BY: Thu, October 31, 2019 <br /> Assigned to : EE0000418 KITH <br /> SITE ADDRESS: 1026 E MOKELUMNE ST,WOODBRIDGE APN: 01545027 <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: 114e C lftc irs /4D Public Sewer: p✓T tws�) <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: D e xo ie-1 Na ,,e" s Lia. F lie. /,4-- <br /> eC,1 j0/7R rf zw S✓oo �i �5/a �Ur w17 �� �- �Nth �es�a..W*� .y,'�<t if f��� cf'.��� J'yly L!a <br /> ?clq, <br /> I recommend: Approval ❑ Denial ❑ Continuance F-1 Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> OA 11 Check Off List: Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report 97201 October 04,2019 <br />