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NOTE: PULL A <br /> avIMITS (Septic, Well, etc.) MAK OPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0004863 <br /> DATE RECEIVED by EHD: March 01,2005 APPL#: PA-05-08 <br /> Referral Agency STAFF CONTACT: KATHY ALLEN PE : 2631 <br /> SITE APPROVAL-MINOR(SA) <br /> COMPLETE&SUBMIT BY: Tue, March 22, 2005 <br /> Assigned to : EE0000149 BORGES <br /> SITE ADDRESS: 14844 S ST RT 88 E FRONTAGE RD, MANTECA APN : 19710008 <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 7 Denial F-1 Continuance F-1 Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> nr <br /> f' <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> OA 11 Check Off List: Proofread Report? Correct LAND USE 4? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 page 5 March 02,2001 <br />