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NOTE: PULL ALL PERNWTS (SEPTIC, WELL, ETC...) ieIrAKE COPIES FOR FILE <br /> LAND USE REPORT APP# ,SA -9g -Ja <br /> EHD RECEIVED APP.REFERRAL: "1 COMPLETE & SUBMIT BY -# 1 ~7—W <br /> DATE I _ _ DATE <br /> ATTN: 0 h r tm 6 Is <br /> SITE ADDRESS: e, �e 1 7)n e -T-(-Pp <br /> In completing the Land Use investigation, draw all Public Health factors on the exhibit (i.e.: sewage disposal, <br /> water supplies, etc...). Where necessary, on an attached piece of plain paper, draw completed map of area <br /> showing population density, location of house, wind direction, etc.... <br /> Public water: N rk Public sewage: N <br /> SUMMARY OR COMMENTS: <br /> ( P, e t S -k-,� I <br /> v <br /> C. m ' Wkll be <br /> o tSUl 0 <br /> I recommend: Approval Denial Continuance Inspector's Signature <br /> Supervisor/`L, �Iead Senior Comments: <br /> bT ✓ <br /> pj 21 <br /> n <br /> o� - 0 — The number of animals per acre shall be consistent with appropriate <br /> _ e waste management peactices. A manure management plan shall be <br /> �s'B submitted for approval to the Environmental Health Division. A <br /> S L review fee of 5156.00 is applicable at the time of submittal, <br /> fd <br /> ' Compliance with the rdinenea CSite'San Joaquin County. itle 5. and <br /> the California Code of Regulations Tide 27. Division 3,Chapter 15. <br /> Article 6 shall be addressed in manure management plan. <br /> SUPERVISOR/LEAD SENIOR APPROVAL: <br /> OA H CHECK OpF LIST: — proofread report? /_ Correct L4ND USE#? <br /> )6 Rcv 1/99 Correct CONDlTION(S)? V Logged in L-LND USE BOOK? <br />