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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0009624 <br /> DATE RECEIVED by EHD: April 19,2013 APPL#: PA-1300060 <br /> Referral Agency STAFF CONTACT: MEGAN AGUIRRE PE : 2686 <br /> GP TEXT AMENDMENT-GENERAL <br /> COMPLETE &SUBMIT BY: Wed, May 1, 2013 (TG) <br /> Assigned to: EE0009649 ESTRADA <br /> SITE ADDRESS: 1262 E MADRUGA RD, LATHROP APN: <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 /> 3ensity, location of house, wind direction, etc.... <br /> Public Water: Public Sewer: <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> I recommend: Approval ❑ Denial El Continuance El Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENT <br /> SUPERVISOR/LEAD SENIOR Approval: I" Date: 412 4 113 <br /> OA //Check Off List: 'Proofread Report? Correct LAND USE# ? <br /> Correct CONDI'1'ION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 April 22,201 <br />