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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: 500009316 <br /> DATE RECEIVED by EHD: August 13,2012 APPL#: PA-1200154 <br /> Referral Agency STAFF CONTACT: RAYMOND 1100 PE : 2666 <br /> REZONING 5+acres(ZR) <br /> COMPLETE& SUBMIT BY: Wed, August 29, 2012 <br /> Assigned to: EE0004045 T.4SIOPOULOS <br /> SITE ADDRESS: 17800 S COMCONEX RD, MANTECA APN : 20818023 <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 F&7 Denial Continuance Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/ LN_AD SENIOR Approval: Date: <br /> OA 11 Check Off List: Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? I.og ed in I.AND USE Book? <br /> EH 06 06 Report#7201 <br />