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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0011074 <br /> DATE RECEIVED by EHD: October 03,2016 APPL#: PA-1600231 <br /> Referral Agency STAFF CONTACT: MO RATEF PE : 2622 <br /> SUBDIVISON-MINOR(MS) <br /> COMPLETE&SUBMIT BY: Tue, October 18, 2016 Assigned to : EE0004045 TASIOPOULOS <br /> SITE ADDRESS: 23669 S MANTECA RD,MANTECA APN : 22611035 <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( op/ulati <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 /> lope <br /> n-I <br /> �0 3e7 5cw� ./Za 6 1 —rrn re �ti.R•t— <br /> �z 0.7— wd� <br /> I recommend: Approval Denial Continuance Inspector: <br /> gaature <br /> Supervisor/Lead Senior COMMENTS: <br /> �, ZZ .UZ �• <br /> C) II .O� A Snit SIA2 STcR�Y <br /> SUPERVISOR/ LEAD SENIOR Approval: Date: <br /> All Check Qff Li <br /> Proofread Report? Correct LAND USE#? <br /> Correct CONDITIONS)? Logged in LAND USE BooKl <br /> October 04,2016 <br /> EH 06 06 Report#7201 <br />