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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0011068 <br /> DATE RECEIVED by EHD: September 23,2016 APPL#: PA-1600212 <br /> Referral Agency STAFF CONTACT: MEGAN AGUIRRE PE : 2625 <br /> USE PERMIT-MINOR(UP) <br /> COMPLETE & SUBMIT BY: Tue, October 18, 2016 <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 /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> I recommend: ApprovalD Denial Continuance Inspects <br /> El <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: Date. <br /> A II Li : Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 October 04,2016 <br />