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NOTE: PULL ALL*ERMITS (Septic, Well, etc.) MAKE'tv'PIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0005a4 <br /> DATE RECEIVED by EHD: May 03,2005 APPL#: PA-0500239 <br /> Referral Agency STAFF CONTACT: RICK GRIFFIN PE : 2626 <br /> USE PERMIT-GENERAL(UP) <br /> COMPLETE&SUBMIT BY: Wed, May 11, 2005 <br /> Assigned to : EE0000001 TURKATTE <br /> SITE ADDRESS: 1400 W FREWERT RD, LATHROP APN : 19127021 <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: <br /> Uyl� U <br /> z WVi ba. <br /> I recommend: Approval Denial Continuance ❑ Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> 40 1 <br /> 04 _ Il/ I/ A;Z <br /> D <br /> SUPERVISOR/LEAD SENIOR Approval: Date: - Z' ✓r/�/' <br /> OA 11 Check OH List Proofread Report`? V Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 May 09,2005 <br />