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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0011793 <br /> DATE RECEIVED by EHD: May 08,2018 APPL#: PA-1800112 Pre-Application <br /> Referral Agency STAFF CONTACT STEPHANIE STOWERS PE : 2691 <br /> GP AMENDMENT 10+acres(GP) <br /> COMPLETE & SUBMIT BY: Wed, May 30, 2018 Assigned to : EE0000034 AHMED <br /> SITE ADDRESS: 11150 E HWY 120 , MANTECA APN : 22803028 <br /> In completing the Land Use investigation, draw all Public Health factors on the exhibit (i.e., sewage disposal, water <br /> supplies, ate:..). 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: /U#,Y-- Public Sewer: Ijp,e— <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: �/*q*' /?O ti-j '-A 4 <br /> O^Lbr/�rlr tc fie rr+• 7� a.,� sv+ v�/G! �7o n+•� ��. R'!v - <br /> S/+s-hr off6 tc s„sloe <br /> — S•9't ee-yaA of Al ! <br /> ✓a _ �qp.�•/(a it� a/t6[ M.► on•f� e� Li..� . S i/.s,i <br /> d"0.s(/ <br /> —&�wblc Ea vy,,4 UvW,'4 ; af�.ruJ�t . tL/ u.+wb1e { lac4f� wd• <br /> 12 : Ja. 2-1 io7 <br /> ():03 <br /> I recommend: Approval W] Denial ❑ Continuance F Inspector:Nv46r <br /> Signature <br /> Sunervisor/Lead Senior COMMENTS: r� Q <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> h k ff List: Proofread Report? Correct LAND USE# <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> Et 106 06 Report#7201 May 10,2018 <br />