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i <br /> NOTE: PULL ALL EMITS (Septic, Well, etc.) MAKE DIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0006097 <br /> DATE RECEIVED by EHD: June 20,2006 APPL#: PA-0600330 <br /> Referral Agency STAFF CONTACT: KEVIN SWANSON PE : 2663 <br /> VARIANCE(VR) <br /> COMPLETE& SUBMIT BY: Wed, June 28, 2006 <br /> Assigned to : EE0007379 BOERTIEN <br /> SITE ADDRESS: 14840 S HWY 99 , MANTECA APN : 19702005 <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 Continuance ❑ Inspector: ` <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: < t�^ Date: <br /> EH 06 06 Report#7201 June 20,2006 <br />