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V <br /> NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> _AND USE REPORT RECORD ID: SU0008127 <br /> DATE RECEIVED by EHD: March 01,2010 APPL#: PA-1000041 <br /> Referral Agency STAFF CONTACT: MO HATEF PE : 2663 <br /> VARIANCE(VR) <br /> COMPLETE& SUBMIT BY: Wed, March 17, 2010 <br /> Assigned to : EE0004045 TASIOPOULOS <br /> SITE ADDRESS: 14840 S HWY 99 , MANTECA APN : 19702005 <br /> n completing the Land Use investigation, draw all Public Health factors on the exhibit (i.e., sewage disposal, water <br /> upplies, etc...). Where necessary, on an attached piece of plain paper, draw complete map of area showing population <br /> lensity, location of house, wind direction, etc.... <br /> ?ublic Water: Public Sewer: <br /> Name of Purveyor Name of System <br /> ;UMMARY OR COMMENTS: <br /> recommend: Approval Denial Continuance Inspe <br /> Wu–ie <br /> upervisor/Lead Senior COMMENTS: <br /> .l i. <br /> UPERVISOR/LEAD SENIOR Approval: _� Date:— L+ <br /> ,)A 11 Check Off List: Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> 106 06 Report#7201 March 02,2010 <br />