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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> RECORD ID: SU0009475 <br /> LAND USE REPORT <br /> DATE RECEIVED by EHD: January t0,2013 APPL#: PA-1300004 <br /> Referral Agency STAFF CONTACT: CORINNE KING PE : 2631 <br /> SITE APPROVAL-MINOR(SA) <br /> COMPLETE&SUBMIT BY: Wed, February 6, 2013 Assigned to: EE0004045 TASIOPOULOS <br /> SITE ADDRESS: 15255 S HWY 99 , MANTECA APN : 21802013 <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: �2 j N <br /> w D� <br /> 22 i ✓1 <br /> I recommend: Approval Henial Continuance Inspecto "'� <br /> bE�� nature <br /> Supervisor/Lead Senior COMMENTS: <br /> 2Z i0 <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> OA It Check Off List; Proofread Report?.. Correct LAND USE#? <br /> Correct CONDITION(S)? Logged nLAND USE'Book? <br /> . <br /> EH 06 06 Report 47201 Jonuan 11, <br />