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NOTE: PULL ALL �.RMITS (Septic, Well, etc.) MAKE kw, PIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0006719 <br /> DATE RECEIVED by EHD: September 04,2007 APPL H: PA-0700407 <br /> Referral Agency STAFF CONTACT: RICK GRIFFIN PE : 2666 <br /> REZONING 5+acres(ZR) <br /> COMPLETE & SUBMIT BY: Wed, September 12, 2007 <br /> Assigned to : EE0004045 TASIOPOULOS <br /> SITE ADDRESS: 10800 E HWY 120 , MANTECA APN : 22803024 <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 /> mmend: Approval Denial Continuance Inspe <br /> tgaature <br /> ervisor/Lead Senior COMMENTS: <br /> CC <br /> 'ISOR / LEAD SENIOR Approval: Date: <br /> ' 11 Check Off List., Proolrcad Report? Correct LAND.USE H 7 <br /> Correct CONDI'IION(S)? - Logged in LAND USE Book? <br /> EH 06 06 Report#7201 September 06,2007 <br />