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' NOTE: PULL ALt IRMITS (Septic, Well, etc.) MAKL, )PIES FOR FILE <br /> �e <br /> LAND USE REPORT RECORD ID: SU0005731 <br /> DATE RECEIVED by EHD: October 26,2005 APPL#: PA-0500451 <br /> Referral Agency STAFF CONTACT: RICK GRIFFIN PE : 2631 <br /> SITE APPROVAL-MINOR(SA) <br /> COMPLETE&SUBMIT BY: Tue, November 15, 2005 <br /> Assigned to : EE0004000 VAN DYNE <br /> SITE ADDRESS: 13771 S PRESCOTT RD, MANTECA APN: 20608004 <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: �4 <br /> I recommend: Approval Denial ❑ Continuance Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> O <br /> 2<'D3 4> c <br /> DS <br /> i 4k&--l-e- <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> EH 06 06 Report#7201 October 27,2005 <br />