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SU0005888
EnvironmentalHealth
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SU0005888
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Last modified
11/9/2022 4:15:25 PM
Creation date
7/7/2022 10:03:12 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0005888
PE
2665
FACILITY_NAME
PA-0500832
STREET_NUMBER
1026
Direction
E
STREET_NAME
MOKELUMNE
STREET_TYPE
ST
City
WOODBRIDGE
APN
01545027
ENTERED_DATE
1/18/2006 12:00:00 AM
SITE_LOCATION
1026 E MOKELUMNE ST
RECEIVED_DATE
1/17/2006 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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i.M <br /> NOTE: PULL ALL PES (SEPTIC, WELL, ETC...) E COPIES FOR FILE <br /> PA-0500831 (GP) su0005887,PE 2687 & <br /> LAND USE REPORT APP#: PA-0500832 (ZB) sv0005888,PE 2665 <br /> EHD RECEIVED APP.REFERRAL: 1/17/06 COMPLETE & SUBMIT BY: 01/25/06 <br /> DATE DATE <br /> ATTN: RICK GRIFFIN <br /> SITE ADDRESS: 1026 E. MOKELUMNE STREET, WOODBRIDGE <br /> In completing the Land Use investigation, draw all Public Health factors on the exhibit(i.e.: sewage disposal, <br /> water supplies, etc...). Where necessary, on an attached piece of plain paper, draw a completed map of area <br /> showing population density, location of house, wind direction, etc.... <br /> Public water: /�� ��� Public sewage: r/���i�A <br /> SUMMARY OR COMMENTS: <br /> I recommend: Approval Denial Continuance Inspector's Signature c � <br /> Supervisor/Lead Senior Comments: <br /> D <br /> SUPERVISOR/LEAD SENIOR APPROVAL: <br /> EH 06 06 Rev 1/99 OA H CHECK-OFF LIS Ti,, Correct LAND USE#? <br /> �..� <br /> Correct CONDITIONS)"? Logged in'LAND.USE BOOK? <br />
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