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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0012197 <br /> DATE RECEIVED by EHD: February 25,2019 APPL#: PA-1900030 <br /> Referral Agency STAFF CONTACT CHRISTINE LUCKASEN PE : 2626 <br /> USE PERMIT-GENERAL(UP) <br /> COMPLETE&SUBMIT BY: Thu, March 14, 2079 <br /> Assigned to : EE0000034 AHMED <br /> SITE ADDRESS: 17800 S COMCONEX RD, MANTECA APN : 20818023 <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: C SA 30 Public Sewer: tv ov a <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: S a4 nor <br /> 94 p fi z rt[ to *'d P+`rm• I's, <br /> Aool,z�-v� ^rap�6t. ,.y..N borldr.—�.—„,i(� �-o�'.00V.. -tr?.•.c/biL �bw,lC ticV�`�{.. SSS�N/�• <br /> F)"t4- 'fWU butldl•lrS ort, lzcl'” . NdiK. L`ab+- cne( ovK b*f'ng1f:- nor'tk-'O 'f' cry raet..t d'C <br /> evmv"s-per >(V S'h)'4'C - 764r. <br /> �/;oT �ss�iVGS 3ro:as G✓-p.•I w»/fir �s�4 3p <br /> 1/ �S P.-,PVj%..l slk10 pla» f S'+f ✓4114: IV'P rt///(r .n 4I'f e <br /> II'd3 Star..j1 JYJt�'" fe+•s�i.7,:. P"We. LCd)/k,/W" . /16r�rrit� b✓s.l'a3 wdG' <br /> I recommend: Approval ❑ Denial ❑ Continuance ❑ Inspector: <br /> Signature <br /> Sunervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> All he k ff Li Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 February 25,2019 <br />