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n <br /> NOTE: PULL AL ERMITS (Septic, Well, etc.) MAK► OPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0005750 <br /> DATE RECEIVED by EHD: November 01,2005 APPL#: PA-0500726 <br /> Referral Agency STAFF CONTACT: RICK GRIFFIN PE : 2631 <br /> SITE APPROVAL-MINOR(SA) <br /> COMPLETE& SUBMIT BY: Wed, November 9, 2005 <br /> Assigned to : EE0004045 TASIOPOULOS <br /> SITE ADDRESS: 920 W FREWERT RD, LATHROP APN : 19126022 <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 /> 1 Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: 7/a� <br /> - '— <br /> u-! <br /> IF <br /> It <br /> - . a <br /> V 5�0 / <br /> I recommend: Approval enialContinuance nspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> ZO <br /> 0 d e <br /> !! Q <br /> Caw <br /> Cl <br /> P/l <br /> �\ a <br /> �YJ O <br /> SUPERVISOR/LEAD SENIOR Approval: µ -Rate: <br /> ..�aTb � <br /> Fw� <br /> A!10 ck�b�ff Lrst= �,� <br /> Corr�ctCONDaIONS , <br /> � " zn <br /> .- ., <br /> EH 06 06 Report#7201 November 03,2005 <br />