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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0012260 <br /> DATE RECEIVED by EHD: Apri102,2019 APPL#: PA-1800112 <br /> Referral Agency STAFF CONTACT: ALISA GOULART PE : 2691 <br /> GP AMEND1ytENT 10+acres(GP) <br /> COMPLETE& SUBMIT BY: Thu, April 18, 2019 IY`/n�.�.ttW <br /> 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, 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: Alo- Public Sewer: <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> sss�NGc rtig..� f1✓�va� St zoi+S t /Ive 7ysa � 5��y ✓ �baG�zR <br /> y6C �ali� '� SVoO lz2`2 w�' LL ✓lq✓tK awT'�'Y bSS�i'�L.S • _ <br /> t recommend: Approval ❑ Denial Continuance ❑ Inspectorl�/ <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> A 11 Check Off Proofread Report? Comet LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> Elt 06 06 Report 47201 April 03,2019 <br />