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NOTE: PULL A�J RMITS (Septic, Well, etc.) MAKE PIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0007784 <br /> DATE RECEIVED by EHD: June 22,2009 APPL#: UP-010009 <br /> Referral Agency STAFF CONTACT: JOHN FUNDERBURG PE ; 2656 <br /> REVISIONS TO ACTIONS (RA) <br /> COMPLETE& SUBMIT BY: Wed, July 1, 2009 <br /> Assigned to : EE0009649 ESTRADA <br /> SITE ADDRESS: 10948 S AIRPORT WY,MANTECA APN : 20402004 <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: Public Sewer: <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> I recommend: Approval Denial ❑ Continuance Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> I <br /> SUPERVISOR/LEAD SENIOR Approval: ate: (� <br /> mm Pi' diead Re arty <br /> QA 1I+Gh� k Off first Px.rrect 1......... <br /> .AND Cider <br /> Correct CO�IBPt S ar <br /> yg d�n 1i ISE Bav� <br /> EH 06 06 Report#7201 June 22,2009 <br />