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NOTE:: PULL ALL RMITS (Septic, Well, etc.) MAKE { IES FOR FILE <br /> LAND USEREPORT RECORD ID: SU0006770 <br /> DATE RECEIVED by EHD: October 04,2007 APPL#: PA-0700469 <br /> Referral Agency STAFF CONTACT: RICK GRIFFIN PE ; 2663 <br /> VARIANCE(VR) <br /> COMPLETE& SUBMIT BY: Wed, October 31, 2007 <br /> Assigned to : EE0007379 BOERTIEN <br /> SITE ADDRESS: 1481 W MANILA RD, LATHROP APN : 19127028 <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: A Public Sewer: <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> � )y o 0'6 t r-(POLI tsr, S <br /> I recommend: Approval ® DenialEl <br /> Continuance Inspector: <br /> SupervisorSignature_ <br /> /Lead Senior COMMENTS: ,, <br /> SUPERVISOR/LEAD SENIOR Approval: ate: l Q <br /> Od!! ¢k;a�ff rst Prifafrt'; 2-0 <br /> tri ect LAI�TD[JSE.# <br /> Lorre ti�ZyI3I I �N�}? Logged,tnt�A1�[DIjJSE Book? <br /> .e <br />"H 06 06 Report#7201 <br /> October 05,2007 <br />