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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0012261 <br /> DATE RECEIVED by EHD: April 02,2019 APPL#: PA-1800156 <br /> Referral Agency STAFF CONTACT. ALISA GOULART PE : 2666 <br /> REZONING 5+acres(ZR) <br /> COMPLETE& SUBMIT BY: Thu, April 18, 2019 <br /> Assigned to : EEO0003 ARMED <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: Public Sewer: <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> I recommend: Approval ❑ Denial 0 Continuance Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> A II Ch,,k Off List: Proofread Report? _ Correct LAND USE#? <br /> Correct CONDITION(S)? Logged.in LAND USE Book? <br /> Eli 06 06 Report#7201 April 03,2019 <br />