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` NOTE: PULL AL ERMITS (Septic, Well, etc.) MAK► PIES FOR FILE <br /> I AND USE REPORT RECORD ID: SU0007499 <br /> DATE RECEIVED by EUD: December 04,2008 APPL#: PA-0800357 <br /> Referral Agency STAFF CONTACT: PATRICK CROSBY PE : 2626 <br /> USE PERMIT-GENERAL(UP) <br /> COMPLETE&SUBMIT BY: Wed, December 31, 2008 <br /> Assigned to : EE0004045 TASIOPOULOS <br /> SITE ADDRESS: 11651 E PALM AVE, MANTECA APN : 22809005 <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: 4,le- ri, ly 8 A3 <br /> () c 5 sz-� OJ.�17 � C <br /> e, I yzK3 <br /> J 9L <br /> I recommend: Approval Denial Continuance Inspector: �-'- <br /> f L Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> �, 07goy <br /> l rAf `c < " c <br /> e �l.? <br /> • � G <br /> O <br /> S1 I'ERVISOR /LEAD SE: lOR APproN e Cate: <br /> OA 11 Check Off List: Proofread Report? Correct LAND[ISE#'? <br /> Correct CONDITION(S)? l oggcd in I AND USE Rook? <br /> - December 05,2008 <br />