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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0013003 <br /> DATE RECEIVED by EHD: January 29,2020 APPL#: PA-1900295 <br /> Referral Agency STAFF CONTACT GIUSEPPE SANFILIPPO PE : 2631 <br /> SITE APPROVAL-MINOR(SA) <br /> COMPLETE&SUBMIT BY: Thu, February 27, 2020 <br /> Assigned to : EE0000418 KITH <br /> SITE ADDRESS: 800 W MOSSDALE RD, LATHROP APN : 23903008,23903009 <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: y,�A, y,y"� L A-q . Public Sewer: ��- <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: `� L PW �S Lk� <br /> - wk V, / o��, WootS QR S vj <br /> COSS S - _ \S o f-3 <br /> cco.c ccr�c o t�Pv6rCYc <br /> �t�(� •- Q1InW Sl0 ��� ��,qq <br /> I recommend: Approval F-1 Denial F1 Continuance F-1 Inspector: <br /> Signature <br /> Sulaervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> A II h ck Off List- Proofread Report? Correct LAND USE#? <br /> _ Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 January 30,2020 <br />