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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0011216 <br /> DATE RECEIVED by EHD: January 30,2017 APPL#: PA-1600295 <br /> Referral Agency STAFF CONTACT: STEPHANIE STOWERS PE : 2660 <br /> DEVIATION(DV) <br /> COMPLETE&SUBMIT BY: Tue, February 14, 2017 <br /> Assigned to : EE0004045 TASIOPOULOS <br /> SITE ADDRESS: 760 E LAKE RD,MANTECA APN : 24105120 <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 /> I recommend: Approval `—Denial ❑ Continuance Inspecto <br /> Signature <br /> Supervisor/Lead Senior OMMENTS: <br /> SUPERVISOR/ LEAD SENIOR Approval: Date: <br /> OA 1/Check Off Ust7 Proofread Report Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? } <br /> LI 106 06 Kepon 47201 January 30,2017 <br />