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MOTE: PULL ALL..,RMITS (Septic, Well, etc.) MAKE ,,PIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0006056 <br /> DATE RECEIVED by EHD: May 23,2006 APPL#: PA-0600190 <br /> Referral Agency STAFF CONTACT: KARLA KUHL PE : 2632 <br /> SITE APPROVAL-GENERAL(SA) <br /> COMPLETE & SUBMIT BY: Tue, June 6, 2006 <br /> Assigned to : EE0004045 'TASIOPOULOS <br /> SITE ADDRESS: 10800 E HWY 120 , MANTECA APN : 22803024 <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 /> SUMMARN' OR-COMMENTS: 6 /1 /O LEE <br /> // b` o��— `'V✓ L.OviS KC- -7\11 c_ CAIZ-Avll <br /> lSe ' <br /> r <br /> I recommend: Approval Denial F-1 Continuance Inspecto <br /> i <br /> Supervisor/Lead Senior COMMENTS: <br /> UL� <br /> 0-7 nyry - D (SCLtctni Id, 'F S � <br /> 2Z :JZ Qt (dii fv <br /> .j f �c.tic.. n Q r c Gt�c�l • o r a'fz w o•{ <br /> !� • D3Q �esed vtn .Su,/ SK��a�rl�:4, / A), LO 92 at S-f►,�dti .�'K�,nnt <br /> � llflZ <br /> 22- = 0T <br /> SUPERVISOR/LEAD SENIOR Approval: - Date: <br /> OA I!Check Off List: Proofread Report? Correct LAND USE 4? <br /> Correct CONDITION(S)? Logged ki LAND IJSE Book? <br /> GH 06 06 Report#7201 May 23,2006 <br />