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nrk E 11 in A11/1 EA-5r <br />- S Ef1/47_ <br /> <br />c\dvc-41-- <br /> <br />Ar,p1vci,JAA RoripkilA <br /> <br />)01P-NN Gothiv <br />Uk?..irt \AU, <br />I recommend: Approval <br />Supervisor/Lead Senior COMMENTS: <br />n Continuance <br />t..;\ <br />Denial <br />012/Ztitlq <br />Inspector: <br />Signature <br />NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br />LAND USE REPORT <br />DATE RECEIVED by EHD: July 19, 2019 <br />RECORD ID: SU0012453 <br />APPL #: PA-1900030 <br /> <br />Referral Agency STAFF CONTACT STEPHANIE STOWERS PE: 2626 <br />USE PERMIT - GENERAL (UP) <br />Assigned to: EE0007380 SHIH <br />COMPLETE & SUBMIT BY: Fri, August 2, 2019 <br /> <br />SITE ADDRESS: 17800 S COMCONEX RD, MANTECA <br /> <br />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: CSC., Public Sewer: <br />Name of Purveyor <br /> <br />Name of System <br />SUMMARY OR COMMENTS: fLui_lqvcc,A) PRI 0 ViGi pecni_Rls.ecv3 vkl)Ns <br />cvN-01\i-A), t•c:1 E_N•QU'A ,,&f,c_r I 7.0 f• <br /> <br />oN.)- (ft- cS- tssir . 0 rvq/lh LU4cct-NIc 1E7 ttkik ççL. <br />kiycl t 0 7)124 I 7i0 stl NA Ivo f <br />SUPERVISOR / LEAD SENIOR Approval: Date: <br />QA II Check Off List: Proofread Report? <br />Correct CONDITION(S) ? <br /> <br />Correct LAND USE # ? <br />Logged in LAND USE Book? <br /> <br />EH 06 06 Report #7201 <br />July 23, 2019