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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0012262 <br /> DATE RECEIVED by EHD: Apri102,2019 APPL#: PA-1800300 <br /> Referral Agency STAFF CONTACT? ALISA GOULART PE : 2626 <br /> USE PERMIT-GENERAL(UP) <br /> COMPLETE& SUBMIT BY: Thu, April 18, 2019 F�0eOM<a`O-GM11 <br /> Assigned to : EEO OU 003434 AHMED <br /> SITE ADDRESS: 11150 E HWY 120 , MANTECA APN : 22803028 <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: N, ,. Public Sewer: Atwe— <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> SBP a£jwl^ptpa4'6'S <.�J SQ/24! io_'EceA/ <br /> S.Skiv13 rr of(i d -0 (r oz►21 dw,k �����a 8- ae/t! sdcb7�t s a& <br /> '55 5/N L.5 er 4 y" '1y r U P 4+A S t•o 1ty F 'fes t-c-ll /�nawr <br /> I recommend: Approval ❑ Denial ❑ Continuance ❑ Inspector: $e—t ' <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> WA <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> OA 11 Ch,,k Off List: Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> El1 06 06 Report#7201 April 03,2019 <br />