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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LA, D USE REPORT RECORD ID: 500009833 <br /> DATE RECEIVED by EHD: November 22,2013 APPL#: PA-1300196 <br /> Referral Agency STAFF CONTACT: RICK GRIFFIN PE ; 7b89 <br /> SPECIAL LAND USE PROJECT(PR) <br /> COMPLETE& SUBMIT BY: Mon, December 16, 2015 <br /> Assigned to: EE000361 I GIRARDI <br /> SITE ADDRESS: NORTH OF LATHROP RD, MANTECA APN : 19710007 08 09 16 17 <br /> .802001F 09 113 id 115 !6+— <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 /> SUM>"Y OR COMMENTS: <br /> 1 recommend: Approval Denial Continuance Inspector: <br /> Signature <br /> Superyisor/Lead Senior COMMENTS: <br /> I, -4, Htwk // <br /> 17(s • VJJ oLi� ♦�h <br /> SUPERVISOR/ LEAD SENIOR Approval: Date: l ( 7--V <br /> Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> Eli 06 06 Report#7201 November 2i,2013 <br />