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r t <br /> NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0009928 <br /> DATE RECEIVED by EHD: February 03,2014 APPL#: PA-1400011 <br /> Referral Agency STAFF CONTACT: STEPHANIE STOWERS PE: 2631 <br /> SITE APPROVAL-MINOR(SA) <br /> COMPLETE &SUBMIT BY: Tue, February 18, 2014 <br /> Assigned to : EE0004045 TASIOPOULOS <br /> SITE ADDRESS: 5741 E VERIGIN RD, MANTECA APN: <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: X.54 L3., w /5 <br /> i 1 2 a— w <br /> J 7 h 7ilz-,-IV V <br /> ry <br /> rI rf'e� <br /> I recommend: Approval ® Denial Continuance ❑ Inspector:.,— - _-� <br /> _�3ig an ture <br /> Supervisor/Lead Senior COMMENTS: <br /> C,1>M w.AJ S <br /> v4 <br /> SUPERVISOR/LEAD SENIOR Approval: Date: Z -t <br /> A e List T'roofrcad Reports Correct A TJSE <br /> 'Cortect CO,NDI I©N(S)7'' Logged in t,,'kND'l §E 13", <br /> EH 06 06 Report#7201 February 04,2014 <br />