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NOTE: PULL A:.L-OERMITS (Septic, Well, etc.) MAKlk---4P1E3 FOR FILE <br /> LAND USE REPORT RECORD ID: 500007802 <br /> DATE RECEIVED by EHD: duly 02,2009 APPL#: PA-0900141 <br /> Referral Agency STAFF CONTACT: CORINNE KING PE : 2631 <br /> SITE APPROVAL-MINOR(SA) <br /> COMPLETE& SUBMIT BY: Wed, July 15, 2009 <br /> Assigned to : EE0004045 TASIOPOULOS <br /> SITE ADDRESS: 3552 W YOSMITE AVE, LATHROP APN : 24140008 <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 Pury or Name of System <br /> SUMMARY OR COMMENTS: � \` 'I <br /> 7 4 hair I V 0 �G V, <br /> i <br /> rl "o6 - SrJi 5 t.a, --dz' •/ ,/ ,, % A�< fry 0t L c A""X <br /> za W <br /> I recommend: Approval Denial Continuance In or: <br /> nature _ <br /> Supervisor/Lead Senior COMMENTS: <br /> � _ c <br /> SS <br /> ERNISOR ; LEAD SENIOR ApproN'al: Date: <br /> 11 Check Off List: Proofread Report? Correct'LAND USF is 1 <br /> Correct CONDI'f10N(S)7 _Logged in LAND USE BooV <br /> '0606 Report 47201 „, _. <br />