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C — NOTE: PULL AL ERMITS (Septic, Well, etc.) MAKI OPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0007470 <br /> DATE RECEIVED by EHD: November 07,2008 APPL#: PA-0400523 RA <br /> Referral Agency STAFF CONTACT: JOHN FUNDERBURG PE : 2633 <br /> SITE APPROVAL-MAJOR(SA) <br /> COMPLETE& SUBMIT BY: Tue, December 16, 2008 <br /> Assigned to : EE0009649 ESTRADA <br /> SITE ADDRESS: 11651 E PALM AVE, MANTECA APN : 22809005 <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 /> 1 recommend: Approval F-1 Denial F1 Continuance F-1 Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> OA 11 Check Off List: Proofread Report? Correct LAND USE i <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report 47201 <br />