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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0009268 <br /> DATE RECEIVED by EHD: July 06,2012 APPL#: PA-1200123 RA <br /> Referral Agency STAFF CONTACT: JOHN FUNDERBURG PE : 2656 <br /> REVISIONS TO ACTIONS (RA) <br /> COMPLETE&SUBMIT BY: Wed, August 1, 2012 <br /> Assigned to : EE0004045 TASIOPOULOS <br /> SITE ADDRESS: 2467 E FRENCH CAMP RD, MANTECA APN: 17710034 <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 /> Jensity, location of house,wind direction, etc.... <br /> Public Water: Public Sewer: <br /> Name of Purveyr Name of System <br /> SUMMARY OR COMMENTS: g 1 / <br /> uc� <br /> aie ✓� <br /> I 7 -10 — <br /> a4- l-7 ,7 - /o <br /> o✓1L c <br /> Z o rn <br /> �p -7- /oma <br /> j2vu A- <br /> I recommend: Approval Denial Continuance Inspecto rwrdt� . <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> L 1 A" ( "0 01 - 0 ,75-)� ZS. <br /> (A-PAI 17 7O6) 1 36 <br /> UJADI-1A 0-1A-)-A54 S yr <br /> l a-XII -4 n !y! 4 Iw/Ct.t m SVt�-k rl'I S�J / milt/[Gtr <br /> -f,(IZ aA II 1 C, 01 <br /> - <br /> 2- A 6cI aCCCd _ = cv <br /> - vi �i4 �� �ti - �� ' /00 <br /> SUPERVISOR/ LEAD SENIOR Approval: Date: <br /> OA //Check Off List: Proofread Report? Correct LAND.USE R? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EI-I 06 06 Report 47201 <br /> July 09,2012 <br />