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NOTE: PULL AL, AERMITS (Septic, Well, etc.) MAKL-,/OPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0008522 <br /> DATE RECEIVED by EHD: November 29,2010 APPL#: PA-1000245 <br /> Referral Agency STAFF CONTACT: JOHN FUNDERBURG PE : 2631 <br /> SITE APPROVAL-MINOR(SA) <br /> COMPLETE& SUBMIT BY: Tue, December 7, 2010 <br /> Assigned to : EE0004045 TASIOPOULOS <br /> SITE ADDRESS: 9999 S AUSTIN RD, MANTECA APN : 20106001 02 03 <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 /> Supervisor/Lead Senior COMMENTS: Signature <br /> SUPERVISOR/LEAD SENIOR Approval: Date: I 7 <br /> QA`,&6Rek0ffLlst 'Ar ` � �P pofre� Repvrl� <br /> _. <br /> :g... " +,"" N "v: sra§rr..�._ �;e ...; ¢ x,.Q (i.Cxf-AN� c9 of. •... raa: .> f, .., F r'" <br /> EH 06 06 Report 47201 <br /> November 30,2010 <br />