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NOTE: PULL Ali~ eERMITS (Septic, Well, etc.) MAKE ..OPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0007732 <br /> DATE RECEIVED by EHD: May 01,2009 APPL#: QX-890003 <br /> Referral Agency STAFF CONTACT: KEVIN SWANSON PE : 2656 <br /> REVISIONS TO ACTIONS (RA) <br /> COMPLETE & SUBMIT BY: Wed, May 13, 2009 <br /> Assigned to : EE0004045 TASIOPOLILOS <br /> SITE ADDRESS: 28902 S KASSON RD, MANTECA APN : 24138007 <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 /> Insity, location of house, wind direction, etc.... <br /> blic Water: ✓ Public Sewer: <br /> Name of Purveyor Name of System <br /> MMARY OR COMMENTS: <br /> e. <br /> I recommend: Approval Denial Continuance lnsp --�` <br /> _�igueh <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> OA 11 Check Off List: Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 May 19,2009 <br />