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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0011958 <br /> DATE RECEIVED by EHD: September 17,2018 APPL#: PA-1600212 <br /> Referral Agency STAFF CONTACT: MEGAN AGUIRRE PE : 2625 <br /> USE PERMIT-MtNOR(UP) <br /> COMPLETE&SUBMIT BY: Tue, October 2, 2018 On F �r't"'l6Y1 <br /> Assigned to : EE0000034 AHMED <br /> SITE ADDRESS: 916 W FREWERT RD, LATHROP APN : 19126022, 19127004 <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: 1ygeL Public Sewer: A,&,,.&— <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> � 5e�n•L f�..n,'fs <br /> 4�27�13� 6��-L Vt�' +'i .�emo54,� ,.t.e.(t. <, '[' 6t'+� r»tjslua... saY.anlf '�pP• <br /> ,,Q�� 'fl lh+ ✓t.l.Lt uE S�.EC �vnit�•'� <br /> e, 11 GG.xGG'C <br /> I recommend: Approval Denial El Continuance ❑ Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> St[PERVISOR/ LEAD SENIOR Approval: Date: <br /> OA 11 Check Off List: Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 September 20,2018 <br />