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NOTE: PULL ALL-'ERMITS (Septic, Well, etc,) MAKE—t—I'PIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0005222 <br /> DATE RECEIVED by EHD: July 22,2005 APPL#: PA-0500408 <br /> Referral Agency STAFF CONTACT: GILLIAN HAYES PE :--268$-- - (P 7,— <br /> SPECIAL <br /> SSPECIAL LAND USE PROJECT �� <br /> COMPLETE& SUBMIT BY: Wed, August 10, 2005 <br /> Assigned to : EE0000149 BORGES <br /> SITE ADDRESS: WAN CITY LIMITS , LATHROP APN : MANY <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 /> M J � • <br /> C <br /> I regommend: Approval 1-1Denial F-1ContinuanceE Inspector: <br /> I Signature <br /> Su rvisor/LeadSeni rCOMMENTS: ((�� <br /> �4 <br /> • 3 a. 7. <br /> 12A- ..� <br /> YL) <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> OA U Check OH List: Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)7 - Logged in LAND USE Book? <br /> El 106 06 Repon X7201 Jul}22,2005 <br />