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NOTE: PULL ALL't-&RMITS (Septic, Well, etc.) MAKE IES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0004846 <br /> DATE RECEIVED by EHD: February 15,2005 APPL#: PA-05-61 <br /> Referral Agency STAFF CONTACT: KEVIN SWANSON PE : 2626 Pre. -ov"I iCP4'JV'-. <br /> USE PERMIT-GENERAL(UP) <br /> COMPLETE&SUBMIT BY: Wed, March 2, 2005 <br /> Assigned to: EE0000321 OLIVEIRA <br /> SITE ADDRESS: 22273 UNION RD, MANTECA APN: 22605016 <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: cels { n <br /> -e-s. 1:5 1s33 ©t d co ce' 0,3001?7 1-A9 <br /> r, <br /> A- �• lI- 07 � C nit �CccS`1ti� �ci lJci�cr6.vl�ce. `c r�Se ,Drco— ,,lSsuc� L� o 6Ccl <br /> f �= <br /> n ! 4 Bets-rtl+-W�s-S r/ <br /> C z <br /> //- 0-'( <br /> J <br /> ju✓rov CSC--tart , <br /> )6V-el 11L- <br /> I recommend: Approval E' Denial Continuance F� Inspector: I <br /> Signature <br /> Supervisor/Lead S nior COMMENTS: <br /> /Uer <br /> I✓"''� �c-` tttel l � b'f c` �ct r�oo.C�S <br /> C 22— c)-7 <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> Check Off List: Proofread Report? V Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 Page 2 February 22,2005 <br />