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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0010667 <br /> DATE RECEIVED by EHD: October 16,2015 APPL#: PA-1500114 <br /> Referral Agency STAFF CONTACT: STEPHANIE STOWERS PE : 2631 <br /> SITE APPROVAL-MINOR(SA) <br /> COMPLETE&SUBMIT BY: Tue, October 27, 2015 <br /> Assigned to: EE0004045 TASIOPOULOS <br /> SITE ADDRESS: 13602 S ST ROUTE 99/FRONTAGE RD, MANTECA APN : 19712065 <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: d55Ile— VVS'k a1411%� 1 , �$ Il <br /> 1 d <br /> se .W�hl <br /> ._ w�ta_ �� htoew <br /> 01 <br /> I recommend: Approval Denial Continuance Inspector.•. <br /> �- Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> t� <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> OA II Check Off List: Proofread Report? Correct LAND USE#'? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 October 21,2015 <br />