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NOTE: +�4 <br /> PULL AL&..ERMITS (Septic, Well, etc.) MAKE PIES FORFILL <br /> LAND USE REPORT RECORD ID: SU0007281 <br /> DATE RECEIVED by EHD: July 14,2008 APDL#: PA-0800203 <br /> Referral Agency STAFF CONTACT: MO HATEF PE : 2625 <br /> COMPLETE& SUBMIT BY: Wed, July 30, 2008 USE PERMIT-MINOR(UP) <br /> Assigned to : EE0005366 MEDINA <br /> SITE ADDRESS: 23627 N DE VRIES RD, LOD1 APN : 003-040-03 <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 /> ^ Pv � Name of system <br /> 04 <br /> 22:02 Prior to Issuance of Building Permits <br /> 11:04 The addition of a minimum of three hundred and forty(340) <br /> lineal feet of leach line shall be installed under a sanitation permit and inspection <br /> by the Environmental Health Department prior to occupancy. (San Joaquin County <br /> Development Title, Section 9-1110.3 and 9-1110.4). <br /> NOTE: The septic and leachfield area(s) depicted on the submitted site plan <br /> do not reflect the septic system installed under permit and inspection <br /> / Service Request#48241, finaled on September 27, 2006. <br /> —22:04 Delete first sent <br /> 0 <br /> r <br /> WV <br /> Approval g` <br /> SUPERVISOR/LEAD SENIOR Date. rJ <br /> OA II Gheck:Off Lrst Pooireadtep <br /> 5ort? or[ect" D USS#? <br /> ,. <br /> CorectGONDI4N( )� ,. . <br /> - - . . . t .. �dggalJ <br /> EM 06 06 Report#7201 <br /> July 14,2008 <br />