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NOTE: PULL ALL. RMITS (Septic, Well, etc.) MAKE %~VIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0004688 <br /> DATE RECEIVED by EHD: November 02,2004 APPL#: PA-04-646 <br /> Referral Agency STAFF CONTACT: JOHN FUNDERBURG PE : 2626 <br /> USE PERMIT-GENERAL(UP) <br /> COMPLETE& SUBMIT BY: Wed, November 10, 2004 <br /> Assigned to : EE0005944 ESCOTTO <br /> SITE ADDRESS: 12833 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 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: <br /> /"LGE/Zt"J.fc3� /A4s1D0/;c Z <2 Ad&M/7S P2gVZcac4r a CC.o-�o%i3/rz3�-a/-o�,c.►�<�e'JM-c- <br /> JYS�.�r�z�Jrltits 4isaJ� GSP��3cs /-ia��`fa�nra►r�m ..q) . <br /> T�,LBcG-Elcs .�-.c0 etll-tC-sB�rEerteBG/'� Q7,rIS�G.�sLllX.tr.�,cd.4.,/l�v�Faao .�iJC/- , <br /> 7j/��� G4U.t.� IJ�Y,�.�f-��-i A�I.Iii�-r�CicA1f2A'2J?iT: .4�/i/L7lLl��9G I/�i"�.�P.57fJG�°J' U� l29/R!7 <br /> ' �7EL`.ZEb7s.� IJT4JltL?eo/1�6ff.tdrT/Lf2�� �.�/J'?�-6C3 Zd c3��'iiia Q/Tsist/N / <br /> I recommend: Approval Denial Continuance Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> �t PERVISOR/ LEAD SENIOR Approval: Date: <br /> OA 11 Check OH List. Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 Page 4 November 04,20004 <br />