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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: 500009293 <br /> DATE RECEIVED by EHD: July 26,2012 APPL#: PA-1200140 <br /> Referral Agency STAFF CONTACT: JOHN FUNDERBURG PE : 2631 <br /> SITE APPROVAL-MINOR(SA) <br /> COMPLETE&SUBMIT BY: Tue, August 21, 2012 <br /> Assigned to : EE0004045 TASIOPOULOS <br /> SITE ADDRESS: 1286 E MADRUGA RD, LATHROP APN : 24141025 27 28 38 39 <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 Purvey 7 Name of System <br /> SUMMARY OR COMMENTS: <br /> S J <br /> . ; <br /> r <br /> / ! /d oECG-Ci 5/t/,�.�i " G✓� �/1<Y`^ ✓K� /OC�f� drJ �9✓Z�L?/ <br /> 2-2,-, -1 <br /> I recommend: Approval Denial Continuance Inspector: � <br /> ` Signature <br /> Sunervisor/Lead Senior COMMENTS: <br /> -7 <br /> c) <br /> g1 X02 = 01 <br /> c <br /> c) IUZ ; vim/ <br /> SUPERVISOR/ 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 /> F1106 06 Repon#7201 July 31,2012 <br /> A <br />