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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0012234 <br /> DATE RECEIVED by EHD: March 14,2019 APPL#: PA-1900031 Pre-Application <br /> Referral Agency STAFF CONTACT. CHRISTINE LUCKASEN PE : 2666 <br /> REZONING 5+acres(ZR) 3 Z <br /> COMPLETE&SUBMIT BY: Thu, April 18, 2019 rN.+ S:cres 1 <br /> Assigned to : EE0009488 WONG ' <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.... Vv $ D <br /> Public Water: o� �CI'QS M D Public Sewer: f> VT <br /> Name of Purveyorgg Name of System <br /> SUMMARY OR COMMENTS: ",Vo ffQV16A S ��D Cr{ PA <br /> FA l P -?,/7- &(&c�i vtc, i-h D n rzv� \-m - �r <br /> i0: as <br /> 910 <br /> rc V'6Wkfr 1AA W f< o <br /> cpa <br /> o\. a ak s ari W /oC i0j1 <br /> I recommend: Approval171— Denial tontinuance Inspector: <br /> Sir re <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/ LEAD SENIOR Approval: Date: <br /> A II Check Off List: Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report tl7201 <br /> March l4,2019 <br />