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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0009974 <br /> DATE RECEIVED by ERD: February28,2014 APPL#: PA-1300190 <br /> Referral Agency STAFF CONTACT: MEGAN AGUIRRE PE : 2631 <br /> SITE APPROVAL-MINOR(SA) <br /> COMPLETE&SUBMIT BY: Wed, March 12, 2014 <br /> Assigned to : EE0004045 TASIOPOULOS <br /> SITE ADDRESS: 444 MOSSDALE RD, LATHROP APN : 23903003 <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: /„i&a is n .+tw zgx'iA,e ;'5el <br /> 5 e...+- � t fv� /1" C✓/7�.0` <br /> / 10+'9. tx,Yna 7c.1 'S- X .rn 'ee'r _4 7N%cr]/_ w1/^ /J ,nFIuaO O•,�E <br /> 1,92;0 Sw+i.0/0i Srte.afm <br /> fly.o/ - /gaC Arm <br /> I recommend: Approval ® Denial Continuance Inspect <br /> e <br /> Supervisor/Lead Senior COMMENTS: <br /> �twwL.Nl`i - Fuil�� rS O/nnu+ff—�_ ami OL /al-L 1•'L <br /> t.tmi L M r-c - aw s f-.iu. c <br /> Rcil� <br /> (<IetdG t es 4 I $T.� <br /> � ) 't �2 : 6 . i > 1M12W4 <br /> 14 ekc'. G►Z '•01 - S w S cee 1 <br /> SUPERVISOR/ LEAD SENIOR Approval: <br /> OA /I Check Off Ust: Proofread Report? Correct LAND USE#? <br /> Correct CONDITIONS)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 March 04,2014 <br />