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SU0012440
Environmental Health - Public
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2600 - Land Use Program
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SU0012440
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Entry Properties
Last modified
10/28/2020 5:06:07 PM
Creation date
12/6/2019 9:55:06 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0012440
PE
2665
FACILITY_NAME
PA-1900031
STREET_NUMBER
1026
Direction
E
STREET_NAME
MOKELUMNE
STREET_TYPE
ST
City
WOODBRIDGE
Zip
95258-
APN
01545027
ENTERED_DATE
7/18/2019 12:00:00 AM
SITE_LOCATION
1026 E MOKELUMNE ST
RECEIVED_DATE
7/18/2019 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\wng
Supplemental fields
FilePath
\MIGRATIONS\M\MOKELUMNE\1026\PA-1900031 (1)\SU0012440\CDD OK.PDF
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EHD - Public
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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0012440 <br /> DATE RECEIVED by EHD: July 18,2019 APPL#: PA-1900031 <br /> Referral Agency STAFF CONTACT: ALISA GOULART PE : 2665 <br /> REZONING<5 acres(Z'B) <br /> COMPLETE & SUBMIT BY: Thu, July 25, 2019 <br /> Assigned to : EE0007380 SHIH <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.... I L/ <br /> Public Water: /41Q Kg-lu w n,P- A6 res WS Public Sewer: <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: F,'I e y�i e,: No �� l e5 ©vI (e-(p 1-9�P� S (�GrOn . L O wo-� T lA 0'r <br /> A S lam) t o o C'oh�i� ✓� <br /> c.� -2 SOr u n � <br /> I recommend: Approval Denial 11 Continuance ❑ Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> OA 11 heck Off List: Proofread Report? Correct LAND USE#? <br /> Correct CONDITIONS)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 July 19,2019 <br />
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