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NOTE: PULL ALL �, AMITS (Septic, Well, etc.) MAKE %,,,,2IES FOR FILE <br /> LAND USE REPORT RECORD Ii): SU0006677 <br /> DATE RECEIVED by EHD: August 02, 2007 APPL#: PA-0700315 <br /> Referral Agency STAFF CONTACT: MO HATEF PE : 2631 <br /> SITE APPROVAL-MINOR(SA) <br /> COMPLETE& SUBMIT BY: Wed, August 15, 2007 <br /> Assigned to : F;E0007379 BOERTIEN <br /> SITE ADDRESS: 12687 S MANTHEY RD, LATHROP APN : 19123007 <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 snap of area showing population <br /> density, location of house, wind direction, etc.... <br /> Public Water: N'; /I Public Sewer: <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> A <br /> i1/cs., <br /> I recommend: Approval Denial Continuance F-1 Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> 07 <br /> i J-6 14,g or74 / <br /> u . <br /> G� <br /> D / y 2 : b3 <br /> f I uZ <br /> 41PER2 'ISOR / LEAD SENIOR Approval: _ 't' Date: <br /> OA 11 Check Off Lisp. Proofread Report? correct LAND USE# '? <br /> Correct CON t?t"LLUN(S)'1__ I "-'ed is LAND USE Book? <br /> iH 06 06 Report#7201 _ - <br />