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NOTE: PULL ALL+w.RMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0005670 <br /> DATE RECEIVED by EHD: October 05,2005 APPL#: PA-0500647 <br /> Referral Agency STAFF CONTACT: RICK GRIFFIN PE : 2631 <br /> SITE APPROVAL-MINOR(SA) <br /> COMPLETE & SUBMIT BY: ((��1/1 il- i , 12005 <br /> Assigned to : EE0004000 VAN DYNE <br /> SITE ADDRESS: 1945 E LATHROP RD, LATHROP APN : 19803011 <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: t1�� <br /> A Nva NOT (n(.A5 A-Z) /iJ 66ZAe'Mr <br /> ✓/�.'�.S GL. <br /> V' v <br /> r <br /> I recommend: Approval ® Denial ❑ Continuance Inspector: <br /> Signature -; <br /> Supervisor/Lead Senior COMMENTS: 6 <br /> Q <br /> C7 <br /> S _ <br /> Lie zzu <br /> t � C <br /> C <br /> G ` �� 6G <br /> Sl t3 Uttpl Ca <br /> Q-, <br /> SUPERVISOR/ LEAD SEN 1011 Approval: ' �/�- �..�; Date: <br /> OA Il Check OH List: Proofread Report? Correct LAND USE ? .' <br /> Correct CONDITION(S),? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 October 06,2005 <br />