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NOTE: PULL ALL RMITS (Septic, Well, etc.) MAKE MPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0004490 <br /> DATE RECEIVED by ERD: May 25,2004 APPL#: PA-04-111 <br /> Referral Agency STAFF CONTACT: LEANNE MUELLER PE : 2633 <br /> SITE APPROVAL-MAJOR(SA) <br /> COMPLETE& SUBMIT BY: Tue, June 15, 2004 Assigned to : EE0001456 HESS <br /> SITE ADDRESS: 1500 E MADRUGA RD, LATHROP APN : 24141037 <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: O <br /> � F cal <br /> LGc-1e,�.�F <br /> I recommend: Approval Denial ❑ Continuance ❑ Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> V1SOR/LEAD SENIOR Approval: Date: <br /> eck OK List: Proofread Report? Correct LAND USEV? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> lona 113,'00; <br />