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.s <br /> NOTE: PULL AL&FOERMITS (Septic, Well, etc.) MAKE'VdP1ES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0005772 <br /> DATE RECEIVED by EHD: November 16,2005 APPL#: PA-0500741 <br /> Referral Agency STAFF CONTACT: RICK GRIFFIN PE : 2663 <br /> VARIANCE(VR) <br /> COMPLETE&SUBMIT BY: Tue, December 6, 2005 <br /> Assigned to : EE0004045 TASIOPOULOS <br /> SITE ADDRESS: IM65 S MANI.HEY RD, LATHROP APN : 19124025 <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 /> i <br /> Public Water: Public Sewer: <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> - n4 ILL <br /> ,I <br /> ii <br /> I� <br /> I recommend: Approval ©- Denial Continuance Inspect <br /> gna ure <br /> Suaervisor/Lead Senior COMMENTS: <br /> I <br /> Zz '. 09 <br /> - <br /> ii <br /> �i <br /> i <br /> II <br /> d <br /> I <br /> �I <br /> SUPERVISOR/LEAD SENIOR Approval: f. Date: � <br /> t%%yaw' 1,--.,:�t�-�s il- `F,n�.ry �P���C�tl(112C Q'. ij�i . ,'a3 �`�� ir�• $i' ! €�.'o- D �.,1.:. --`� i F,B�F'' <br /> Boa rr`Gfeclf�flff;Llsf s�pj> g+,�45@4�3 i4 FP �` A ((� q�&aI <br /> orrecY f£ NDI3N ho d T3�q <br /> �aSft- -� �. _ trpp r� <br /> 3 =# '?:. .. .. ,xi#*>.__a....F 7,�..a&m- .-,�__�� `._�_..' ...-.. �.€b.4€ftF�.:nl['WtGt. <br /> EH 06 06 Report 47201 November 21,2005 <br /> is <br /> I� <br />