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SU0012589
EnvironmentalHealth
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SU0012589
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Entry Properties
Last modified
12/6/2019 10:09:59 AM
Creation date
11/5/2019 2:26:06 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0012589
PE
2689
FACILITY_NAME
PA-1900037
STREET_NUMBER
1026
Direction
E
STREET_NAME
MOKELUMNE
STREET_TYPE
ST
City
WOODBRIDGE
Zip
95258-
APN
01545027
ENTERED_DATE
10/4/2019 12:00:00 AM
SITE_LOCATION
1026 E MOKELUMNE ST
RECEIVED_DATE
10/4/2019 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
TSok
Tags
EHD - Public
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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0012589 <br /> DATE RECEIVED by EHD: October 04,2019 APPL#: PA-1900037 <br /> Referral Agency STAFF CONTACT ALISA GOULART PE : 2689 <br /> GP AMENDMENT5-9.9 acres(GP) <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: Alz* 4e/et-.0 /4/) Public Sewer: <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: *14ie-tt'����,�. 1W ,ell ar r?A4L �, , ,4 <br /> j4y,1 �On Sr✓ ��' S rL.y� 2 y 7/ t�/fi'�L' tGi�if,D !�J/�irv( �f w. itLf. /cam[r O�r?!�f <br /> 7- /`i Z4, <br /> I recommend: Approval Denial Continuance F-1 Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> J i <br /> SUPERVISOR/LEAD SENIOR Approval: Date: G <br /> ��11 h k Off List: Proofread Report? Correct LAND USE#? <br /> Ab Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 October 04,2019 <br />
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