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CNOTE: PULL AI.�ERMITS (Septic, Well, etc.) MAKc ;OPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0007898 <br /> DATE RECEIVED by EHD: September 04,2009 APPL#: PA-0900197 <br /> Referral Agency STAFF CONTACT: JOHN FL'NDERBURG PE : 2631 <br /> SITE APPROVAL-MINOR(SA) <br /> COMPLETE& SUBMIT BY: Wed, October 7, 2009 <br /> Assigned to : EE0004045 TASIOPOULOS <br /> SITE ADDRESS: 14800 S HWY 99 , MANTECA APN : 19702004 <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 /> 4 <br /> 1 recommend: Approval �.�' Denial F-1 Continuance F-1 Inspector: _` <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> :2,2--- <br /> ,I <br /> —,til P1 RVISOR / I.EAI).til:VlOR Al4hro�al: — I)alc: / l <br /> OA 1l Check Off List: Proofread Report'? Correct LAND ('Sli 4 ?— <br /> Correct <br /> ?Correct CONDI HON(S)Y Logged in LAND USF Book? <br />